[System] Find the positive answer of the given query:

[User] How did the patient's condition change after treatment with dupilumab?

She was started on dupilumab and demonstrated significant improvement within four weeks of treatment. Shortly thereafter, dupilumab was recommenced, and the patient showed significant skin clearance six weeks after reinstitution of the medication.


[System] Find the positive answer of the given query:

[User] How did the patient's condition change after treatment with total plasma exchange?

After completion of plasmapheresis, the patient reported a 50% increase in his lower extremity motor strength. Repeat neurophysiologic testing showed improvement in EMG and nerve conduction studies.


[System] Find the positive answer of the given query:

[User] How did the patient's condition change after treatment?

The patient has been consistently taking double renin-angiotensin-aldosterone system-blockade and has had no recurrence of MN for 12 and ½ years.


[System] Find the positive answer of the given query:

[User] How did the patient's condition change during hospital stay?

The patient continued to have significant multiorgan failure, including lactic acidosis, with an overall grave prognosis.


[System] Find the positive answer of the given query:

[User] How did the patient's condition change during hospitalization?

The patient reported significant relief from paroxysmal pain in the right maxillary region and her general condition was stable.


[System] Find the positive answer of the given query:

[User] How did the patient's condition change during the follow-up period?

The patient discontinued medical therapy due to symptomatic hypotension, but after two months suffered acute chest pain again, and was conservatively treated with an uncomplicated hospital course. Her pre-discharge transthoracic echocardiogram showed normalization of segmental kinesis. The patient is in good health and is currently being followed-up in our institution.


[System] Find the positive answer of the given query:

[User] How did the patient's condition change during the procedure?

During the operation, the patient's hemodynamic status became unstable, with an elevated end-tidal CO2, increasing pulmonary artery pressure, and a decrease in systemic blood pressure.


[System] Find the positive answer of the given query:

[User] How did the patient's condition change over time?

Twenty-two months later, the patient reported experiencing myalgia in the right forearm, oedema and functional disability, with no abnormal laboratory findings. After initial improvement, a relapse occurred with fever, pain, muscular and skin thickening in the contralateral forearm, which resolved following the introduction of add-on mycophenolate mofetil.


[System] Find the positive answer of the given query:

[User] How did the patient's condition change throughout the course of treatment?

The patient was started on combination therapy of prednisolone (PSL) and azathioprine (AZA) on April 11, 2006, which showed gradual improvement in the patient's condition. In September 2008, the patient's dyspnea and SpO2 had improved to H-J class I and 97%, respectively. KL-6 decreased, and the respiratory function test showed improvement in FVC%. Chest HRCT displayed a decrease in GGO, consolidation, and TBE.


[System] Find the positive answer of the given query:

[User] How did the patient's condition compare to his brother's?

The patient's brother was also diagnosed with EB and had referred with associated urogenital complications, including meatal stenosis, urinary tract infection, and ureteral stenosis, which had undergone marsupialization.


[System] Find the positive answer of the given query:

[User] How did the patient's condition evolve after treatment?

There were no new signs of chorea confirmed at a virtual clinic 1 month after her discharge. The patient was discharged to home in a stable condition after five days of hospital stay and symptom resolution.


[System] Find the positive answer of the given query:

[User] How did the patient's condition evolve during treatment?

The symptoms of nausea and vomiting resolved on the third day of treatment while the symptoms of paralysis gradually improved from the tenth day of treatment. ABGA results and lactate levels gradually normalized, and the patient was discharged on the 14th day without any signs of lactic acidosis.


[System] Find the positive answer of the given query:

[User] How did the patient's condition evolve over time?

Three months later, the patient presented with a left groin abscess, which spontaneously ruptured. In the coming months, the patient experienced intermittent PR bleeding and lower abdominal pain despite compliance with mesalazine.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve after angioplasty?

Inotropes were discontinued after the patient's condition improved.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve after reslizumab administration?

After administration of reslizumab, the eosinophil count immediately decreased to the normal range, and the clinical symptoms gradually improved without corticosteroids.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve after secondary intraocular lens implantation?

At 3 months postoperatively, the patient underwent a secondary intraocular lens implantation and showed an improvement in visual acuity and delay filling of the inferior retinal artery on fluorescein angiography.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve after surgery?

A facial CT scan taken three months post-surgery revealed improvement in enophthalmos, decreased malar projection deficit, and decreased malar height deficit.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve after the coil embolization?

The patient did not experience any additional neurological deficits and had an uneventful postoperative course, following which she was discharged and returned to the referring hospital.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve after the procedure?

The patient's symptoms of exertional symptoms, tingling, and frigid digits disappeared immediately following the procedure. The discharge diagnosis showed improved blood flow to the left hand with SPP of 98 mmHg at left second digit.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve after the transarterial embolization procedure?

The patient showed complete regression of ocular symptoms in a period of 5 days. During a 6-month follow-up, the patient confirmed complete remission of the trigeminal neuralgia.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve after treatment for the elbow pain?

The patient was treated with aspirin 81 mg for three months, which resulted in resolution of the elbow pain within three weeks.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve after treatment?

The patient became afebrile, showed improved clinical status, and resolution of pericardial effusion after immunomodulatory therapy with immunoglobulin G and high dose acetylsalicylic acid.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve during her hospital stay?

The patient’s condition improved during her hospital stay following treatment for Felty syndrome and the pneumonia/UTI. Her medications were adjusted accordingly during the stay due to her bone marrow biopsy results.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve during hospital stay?

The patient showed consistent clinical improvement and no recurrence of hypercalcemia.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve during hospitalization?

After 2 weeks of supportive care, the patient's CBC and systemic symptoms improved.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve during the hospital stay?

The patient's abdominal pain and fever gradually improved.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve during treatment?

After 4 months, there was total healing and closure of the ulcer. EA was discharged from the Central Hospital Benin City, Nigeria on August 5, 2019, and was seen at the hematology clinic on Tuesday September 10, 2019.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve with the prescribed therapy?

The patient's condition improved with the given therapy, and she showed the signs of disease remission. The patient was prescribed topical tacrolimus 0.03% under monotherapy that led to significant improvement of erythema after one month. As the appearance of new lesions in upper trunk and left upper limb occurred in spite of the satisfactory facial response to therapy, oral azithromycin, 320mg/day for five days, was added that finally provided disease remission.


[System] Find the positive answer of the given query:

[User] How did the patient's condition improve?

The patient's condition improved notably over the next two weeks and he received follow-up for the next two months without any recurrences.


[System] Find the positive answer of the given query:

[User] How did the patient's condition progress after completing CHOP?

However, four months after completing CHOP, he developed marked worsening of hepatic metastases, with numerous lesions affecting all hepatic segments up to 7 cm in diameter.


[System] Find the positive answer of the given query:

[User] How did the patient's condition progress after diagnosis?

During the follow-up period, he developed two new MRONJ lesions in the upper left jaw. In December 2009, he presented with increasing severe unilateral lower-left jaw pain. Oral examination revealed exposed bone on the left maxilla and a new exophytic mass on the lower-left buccal mucosa. A biopsy of this mass confirmed a diagnosis of oral squamous cell carcinoma (OSCC).


[System] Find the positive answer of the given query:

[User] How did the patient's condition progress after the first surgery?

Nine months after tumor resection and whilst still on therapy, the patient was admitted for a new-onset seizure. Imaging revealed tumor recurrence at the surgical bed in the temporal lobe with an additional lesion in the right occipital lobe.


[System] Find the positive answer of the given query:

[User] How did the patient's condition progress after the surgery?

The patient has shown considerable improvement with no new stroke reported after the EDAS. CT angiography was repeated six months after the second surgery and showed improved patency of collateral vessels and better anastomoses. The patient is currently undergoing physiotherapy and has shown continued progress in his functional recovery.


[System] Find the positive answer of the given query:

[User] How did the patient's condition progress after treatment?

At present 1-year follow-up, the patient is comfortable with no pain and difficulty in walking and has ankle dorsiflexion of 15 degrees and full plantar flexion.


[System] Find the positive answer of the given query:

[User] How did the patient's condition progress during hospitalization?

After surgery, patient experienced renal failure secondary to rhabdomyolysis and remained in ICU for 5 days. Patient was extubated and discharged to hospitalization service for 5 days of antibiotic treatment.


[System] Find the positive answer of the given query:

[User] How did the patient's condition progress during labor?

The labor was uneventful until the patient complained of rectal pressure, and the cervix was found to be fully dilated.


[System] Find the positive answer of the given query:

[User] How did the patient's condition progress during the hospital stay?

During the 2nd day of his stay, the patient's condition worsened, showing a confused mental state, and he was transferred to the intensive care unit. The patient showed remarkable improvement and was discharged on the 17th day of his hospital stay.


[System] Find the positive answer of the given query:

[User] How did the patient's condition progress during treatment?

The patient's whole body pain improved, and she was able to walk alone by the fifth day of admission.


[System] Find the positive answer of the given query:

[User] How did the patient's condition progress one year after surgery?

One year after surgery, neurological function remained stable with a slight kyphosis observed on MRI. At our facility, we assessed the patient's condition and determined that the sensorimotor dysfunction was mild enough to warrant a conservative approach to treatment.


[System] Find the positive answer of the given query:

[User] How did the patient's condition progress over time?

At the age of 1 year and 7 months, the patient presented with fever and vomiting indicative of upper UTI. At the age of 1 year and 8 months, the patient passed stones composed of cystine.


[System] Find the positive answer of the given query:

[User] How did the patient's condition progress?

During the surgery, a LAMN of the appendix was confirmed, along with a well-differentiated neuroendocrine carcinoma. The patient underwent several debulking surgeries as the disease progressed, and eventually, a large peritoneal mass developed, which broke through the skin of her back and began oozing green mucin and giving off an odor.


[System] Find the positive answer of the given query:

[User] How did the patient's condition respond to the treatment?

The patient responded positively to the prescribed treatment of diethylcarbamazine. No further follow-up is required.


[System] Find the positive answer of the given query:

[User] How did the patient's condition respond to treatment?

The patient's condition responded well to treatment, and the discharge summary signifies the successful resolution of the patient's symptoms.


[System] Find the positive answer of the given query:

[User] How did the patient's creatine kinase levels change over time?

Laboratory studies revealed an elevated creatine kinase (CK) level of over 6000 U/L. Postoperatively, the patient's creatine kinase levels improved to less than 200 U/L.


[System] Find the positive answer of the given query:

[User] How did the patient's disability impact his treatment?

The patient's disability made communication with the clinical team challenging. The patient's family was only able to communicate with him through touch and actions.


[System] Find the positive answer of the given query:

[User] How did the patient's disease progress?

The patient underwent a bilateral laminectomy of L3, partial laminectomy of L2, and subsequent decompression of the lumbar spine, but two years later, the patient presented again with sudden onset of severe lower extremity weakness, difficulty in urination and bowel movement. Imaging showed severe spinal stenosis with enhancing lesions in the thoracic spine.


[System] Find the positive answer of the given query:

[User] How did the patient's eosinophil count change after imatinib desensitization?

A slight increase in eosinophil count was noted after desensitization.


[System] Find the positive answer of the given query:

[User] How did the patient's exercise tolerance change after switching to NIV?

The patient returned in 2015 with a decrease in exercise tolerance, resulting in heavy dyspnoea and nearly an inability to leave the house. The patient was diagnosed with 6MWD 135 m with one stop. ... The patient was instructed to use NIV frequently in the daytime, which has improved his exercise tolerance to 200m with MPV, showing no need to stop.


[System] Find the positive answer of the given query:

[User] How did the patient's facial lesion change over time?

The patient was treated with oral propranolol, and the lesion regressed to nearly half of its visible size over a period of one month. After one year, propranolol was tapered over a period of 2-3 weeks.


[System] Find the positive answer of the given query:

[User] How did the patient's family medical history contribute to his condition?

The patient has a family history of diabetes and consanguinity. His father had diabetes and died recently after a cerebrovascular accident. Two of the patient's sisters have diabetes.


[System] Find the positive answer of the given query:

[User] How did the patient's heart function improve after switching to ARNI?

Following the introduction of ARNI, the patient's subjective condition, his ejection fraction (LV EF increased from 29 to 39%, LV ESV from 146 to 133 ml, LVEDV from 205 to 219 ml from July to November), and his hemodynamics showed a consistent improvement. NT-pro BNP also decreased from 76,733 ng/l in July 2017 to 1533ng/l in November 2017.


[System] Find the positive answer of the given query:

[User] How did the patient's hemoglobin levels change after treatment with rituximab and nandrolone?

Hemoglobin levels remained in the range of 6.1-6.4 g/dl for 2-3 weeks without blood transfusion and subsequently improved to above 7 g/dl. The patient has been maintaining hemoglobin above 7 g/dl without any need for blood transfusion for more than 6 months.


[System] Find the positive answer of the given query:

[User] How did the patient's jaw movements improve after surgery?

The patient had multiple post-operative reviews up to 6 weeks after surgery, during which there was a gradual improvement in jaw movements. The outcome was a limited mouth opening which was managed with jaw exercises using acrylic screws.


[System] Find the positive answer of the given query:

[User] How did the patient's kidney issue progress after the procedure?

The CT control performed 18 days after the procedure showed the hematoma in the right kidney substantially unchanged in size, currently less hyperdense in relation to the presence of blood component in different stages of organization.


[System] Find the positive answer of the given query:

[User] How did the patient's life change after therapy?

She realized that all she focused on was her deceased daughter, whereas her other daughter and her grandchildren were widely neglected. She vowed to change this and decided to participate more in the life of her loved ones and refreshed contacts with old friends. She also found a part-time job that she enjoyed greatly.


[System] Find the positive answer of the given query:

[User] How did the patient's lymphadenopathy affect their diagnosis?

The patient had a history of fever 1 month back with lymphadenopathy.


[System] Find the positive answer of the given query:

[User] How did the patient's medical history contribute to her anxiety symptoms?

She had a past psychiatric history of unspecified depression and anxiety and a complex medical history including EDS, chronic pain, dysautonomia, gastroparesis, seizures, hypothyroidism, and chronic migraines.


[System] Find the positive answer of the given query:

[User] How did the patient's medical history contribute to the diagnosis?

Medical history was significant for a prior excision of a sigmoid colon adenocarcinoma that was followed by a left lung basal segmentectomy, chemotherapy, partial lung resection, hepatectomy, and chemotherapy for lung and liver metastases.


[System] Find the positive answer of the given query:

[User] How did the patient's mental status affect her treatment?

The patient's mental status was subnormal with depression. The patient was also put on escitalopram 10 mg in the morning and clonazepam 0.5 mg at night for depression.


[System] Find the positive answer of the given query:

[User] How did the patient's motor function compare to control subjects?

Despite these limitations, studies have shown that the patient can scale force production with similar accuracy as control subjects and, under visual control, she can perform accurate reaching, grasping, and weight judging tasks.


[System] Find the positive answer of the given query:

[User] How did the patient's neurological examination reveal on admission?

On admission, neurological examination revealed paraplegia in both lower extremities with positive bilateral Babinski signs and sensory loss below the T10 dermatome.


[System] Find the positive answer of the given query:

[User] How did the patient's pain change after surgery?

The patient's pain significantly decreased after surgery with the VAS score decreasing from an 8 to a 3 immediately after surgery, and to 2 after 6 months.


[System] Find the positive answer of the given query:

[User] How did the patient's past trauma affect the current diagnosis?

The patient had a history of trauma in the same region 21 years back, and tooth 11 had a well-defined radiolucency in relation to the root, suggestive of resorption.


[System] Find the positive answer of the given query:

[User] How did the patient's platelet count affect her symptoms?

Laboratory tests results showed no significant abnormalities except for a high platelet count. After a month, the patient's platelet count had decreased, and her pain symptoms had resolved.


[System] Find the positive answer of the given query:

[User] How did the patient's platelet count change after treatment?

Re-evaluation at 2 weeks revealed improvement to grade 1 thrombocytopenia.


[System] Find the positive answer of the given query:

[User] How did the patient's seizures change after treatment?

After this procedure, the patient's seizures ceased.


[System] Find the positive answer of the given query:

[User] How did the patient's seizures impact their daily life?

The patient experienced >50 seizures per day with no aura or postictal confusion or drowsiness. Decreased scholastic performance.


[System] Find the positive answer of the given query:

[User] How did the patient's skin lesion improve?

On follow-up at 24 weeks, the skin lesion had significantly improved, with the scaling and erythema being negligible.


[System] Find the positive answer of the given query:

[User] How did the patient's skin lesion respond to treatment?

As of 18 months posttreatment, the patient had a complete clinical response of her BCC.


[System] Find the positive answer of the given query:

[User] How did the patient's surgery go?

The surgery involved a bicoronal incision combined with an anterior midfacial degloving to excise the mass. However, due to the right orbital and initial intracranial extension, a complete removal of the neoplasm was not feasible. Additionally, considerable bleeding occurred during the surgery.


[System] Find the positive answer of the given query:

[User] How did the patient's surgery proceed?

The surgery began laparoscopically and converted to conventional due to dissection difficulties. Following this, heavy bleeding was observed from the presacral plexus, which was controlled with surgical buffer.


[System] Find the positive answer of the given query:

[User] How did the patient's symptoms change after surgery?

The patient's symptoms improved with surgery.


[System] Find the positive answer of the given query:

[User] How did the patient's symptoms improve after treatment?

Following the treatment, her pain was significantly reduced, and her symptoms improved remarkably. Approximately 6 months after the initiation of the treatment, the patient's symptoms had resolved, and she was discharged in good condition.


[System] Find the positive answer of the given query:

[User] How did the patient's symptoms improve with treatment?

Following treatment, there was a marked reduction in size and number of papules and nodules. The symptoms of the patient improved.


[System] Find the positive answer of the given query:

[User] How did the patient's temperature change after the SGB procedure?

The patient reported a temperature increase in her right upper extremity from 32.4°C to 34.7°C, while right pupillary size was noted to be unchanged from baseline examination, and no facial flushing was noted.


[System] Find the positive answer of the given query:

[User] How did the patient's tooth heal after the reattachment procedure?

The one week follow-up showed that the tooth hue and the gingiva had healed normally. The twelve month follow-up showed that the treatment was aesthetically and functionally successful.


[System] Find the positive answer of the given query:

[User] How did the patient's urinary symptoms change after InterStim implantation?

While the InterStim had initially improved her daytime symptoms, she continued to experience nocturia and enuresis. She also reported experiencing pain from InterStim stimulation over the last 2 months.


[System] Find the positive answer of the given query:

[User] How did the patient's vision improve after treatment?

After perfluro-n-octane injection, the patient showed gradual improvement, with the area of Descemet's detachment being resolved in one week and the corneal edema clearing dramatically. On the fifth postoperative day, the Descemet's membrane was attached, and his unaided visual acuity had improved to 20/60 from 20/400. At 6 weeks follow-up, the patient was having a clear cornea with unaided visual acuity of 20/50.


[System] Find the positive answer of the given query:

[User] How did the patient's vision recover?

Her vision showed signs of improvement and returned to normal within 20 hours of the procedure.


[System] Find the positive answer of the given query:

[User] How did the patient's vocal cords function?

Stroboscopic laryngoscopy displayed limited movement of the right vocal cord and arytenoid cartilage, and both vocal cords were closed.


[System] Find the positive answer of the given query:

[User] How did the patient's weight change during follow-up?

The weight at follow up was 14.5 Kg.


[System] Find the positive answer of the given query:

[User] How did the patient's β-HCG levels change during treatment?

The patient's β-HCG levels declined from 18,121 IU/l before the first course of EMA/CO therapy to 3.57 IU/l after four cycles of EMA/CO therapy on 8 September 2011


[System] Find the positive answer of the given query:

[User] How did the rash progress?

The rash began on her inner thighs and rapidly progressed to her feet, face, and bilateral ears over the course of one day.


[System] Find the positive answer of the given query:

[User] How did the surgeon locate the diseased ureter during the surgery?

The patient consented to the off-labeled use of ICG, which was used to locate the diseased ureter and identify the ureter of interest for the surgery. The diseased ureter fluoresced green under NIRF, and the other two healthy ureters did not fluoresce.


[System] Find the positive answer of the given query:

[User] How did the therapist increase the patient's motivation to reduce fluid intake?

The therapist increased the patient's motivation to reduce his fluid intake by engaging him in competing events, such as breathing exercises and playing with his dog, and reinforcing positive behavior with pleasurable activities like taking his wife out for the evening.


[System] Find the positive answer of the given query:

[User] How did the wound heal?

Wound checks were performed at one and six weeks following hospital discharge and the patient's wounds went on to heal without complications. No further intervention was required, and the patient made a good recovery.


[System] Find the positive answer of the given query:

[User] How do you manage an unstable left lateral mass of C1?

Temporary internal fixation with lateral mass fixation of C1 and pedicle fixation of C2 without fusion was planned.


[System] Find the positive answer of the given query:

[User] How does IVL affect the brain?

Repeat MRI showed marked interval progression with new areas of cytotoxic edema/infarction, vasogenic edema, and a moderate-sized right temporoparietal hemorrhage causing cerebral edema and midline shift, with additional petechial hemorrhages on T2∗-weighted imaging.


[System] Find the positive answer of the given query:

[User] How does Nordic walking contribute to Mondor's disease?

A more thorough medical history revealed that the patient had started Nordic walking training (rapid walking using walking poles) 3 months prior to the onset of symptoms. The use of walking poles is known to increase the use of upper extremity and chest muscles.


[System] Find the positive answer of the given query:

[User] How does a leadless primary prevention CRT defibrillator system work?

The leadless CRT defibrillator system was composed of a Micra transcatheter pacing system in the RV, a WiSE-CRT system, and an Emblem S-ICD with effective electrical resynchronization and adequate sensing by the S-ICD. S-ICD sensing with pacing from the new Micra AV location and the WiSE-CRT system was satisfactory, and the patient has had no further myopotential sensing or inappropriate ICD shocks.


[System] Find the positive answer of the given query:

[User] How does adjuvant radiotherapy affect the brachial plexus?

The total dosage for the left axillary region was reduced to 50.4 Gy to protect the brachial plexus.


[System] Find the positive answer of the given query:

[User] How does antiaggregation therapy help with acute cerebral infarction?

Based on the clinical manifestation and MRI findings, acute cerebral infarction was diagnosed, and the patient immediately received antiaggregation therapy.


[System] Find the positive answer of the given query:

[User] How does azathioprine impact anti-GBM titres in patients with Goodpasture's syndrome?

In view of the recurrence of anti-GBM titres and the pulmonary aneurysms, the patient was treated with azathioprine and prednisolone immunosuppressive therapy. The anti-GBM titres became negative, and clinical examination did not reveal any evidence of another vasculitis.


[System] Find the positive answer of the given query:

[User] How does biomechanical preparation help in root canal treatment?

Biomechanical preparation was carried out employing Protaper hand instruments under copious irrigation, and calcium hydroxide was placed in the root canals.


[System] Find the positive answer of the given query:

[User] How does black cohosh cause liver damage?

Given the patient's recent use of black cohosh to alleviate menopausal symptoms, it was evident that the culprit agent was likely black cohosh. Based on the CIOMS criteria, the liver injury was highly probable from the use of black cohosh.


[System] Find the positive answer of the given query:

[User] How does eosinophil count relate to YNS diagnosis?

Hematology testing showed elevated immunoglobulin E levels and an eosinophil count. Sinus CT confirmed CRS, and bronchiectasis associated with YNS was confirmed through chest CT and sputum examinations.


[System] Find the positive answer of the given query:

[User] How does hypereosinophilic ANCA-negative vasculitis affect the cardiovascular system?

He also gave a history of typical angina chest pain for which he underwent a coronary angiogram at another hospital but was discharged with no antianginal measures. MRA showed beaded appearance of left ulnar artery distally and the radial artery branches in the left hand suggestive of vasculitis.


[System] Find the positive answer of the given query:

[User] How does smoking affect patients with Goodpasture's syndrome?

The patient was a heavy smoker, smoking more than 40 cigarettes per day. The patient was discharged in a stable condition, and he was advised to quit smoking to prevent any future complications.


[System] Find the positive answer of the given query:

[User] How does tacrolimus treat granulomatous interstitial nephritis?

Tacrolimus was administered at a target level of 5-7 μg/L. The patient's renal function and Crohn's disease improved, and he was discharged in stable condition.


[System] Find the positive answer of the given query:

[User] How does testicular torsion affect testicular elasticity?

Soft areas on color mode in the central portion of this area were also observed, with a mean elasticity value of 1.7 kPa. SWE at the control examination performed subsequently showed an increased elasticity value compared to the previous examination.


[System] Find the positive answer of the given query:

[User] How does the Ganz ring implantation procedure address the osseous defect in the acetabulum?

The osseous defect was addressed with a combination of structural allograft and impaction bone grafting. Finally, an all-polyethylene acetabular cup was cemented into place.


[System] Find the positive answer of the given query:

[User] How does the I201T mutation affect visual acuity?

The patient's visual acuity, vitelliform deposits, cystic degeneration, and responses to visual stimuli were all better than patient one, indicating that the I201T mutation is less severe than the P274R mutation.


[System] Find the positive answer of the given query:

[User] How does the Urticaria Activity Score 7 (UAS7) relate to the patient's condition?

Urticaria Activity Score 7 (UAS7) and Chronic Urticaria Quality of Life Questionnaire (CU-Q2oL) were assessed to evaluate the course of the disease. The patient's UAS7 after the 4-month course of first-line therapy was 19, and the CU-Q2oL showed marked impairment to the patient's quality of life.


[System] Find the positive answer of the given query:

[User] How does the patient's alcohol-induced cirrhosis affect their systemic sarcoidosis treatment?

The patient was discharged and is on a slow prednisone taper and hydroxychloroquine therapy. The patient will follow up with his general internist for further monitoring of his systemic sarcoidosis and alcohol-induced cirrhosis.


[System] Find the positive answer of the given query:

[User] How does the patient's condition affect daily activities?

She also complained of numbness on the thumb, index, and middle fingers that worsened with hand and wrist activity, suggesting carpal tunnel syndrome.


[System] Find the positive answer of the given query:

[User] How does the patient's history of multiple sclerosis affect their condition?

The patient has a history of multiple sclerosis for which he has been doing weight training to preserve muscle strength.


[System] Find the positive answer of the given query:

[User] How does the patient's immunosuppressant use relate to their condition?

Patient has history of living donor kidney transplantation and is currently taking immunosuppressants.


[System] Find the positive answer of the given query:

[User] How does the patient's past medical history relate to her current diagnosis?

The patient had a history of clear cell adenocarcinoma of the ovary (2003), for which she underwent surgical resection with a total hysterosalpingo-oophorectomy and received chemotherapy. She also had a history of gastric stromal tumor (2012), which was resected, and metastatic lymph nodes in the groin (2018).


[System] Find the positive answer of the given query:

[User] How effective is vismodegib for basal cell carcinoma?

The patient was started on vismodegib 150 mg daily, 2 months after the initial evaluation and experienced adverse events... The Visor 1 trial showed an objective partial response (35% reduction of tumor area) after 20 months of treatment.


[System] Find the positive answer of the given query:

[User] How effective was the TA injection for entropion and trichiasis?

The patient received a TA injection in the periorbital areas of his left eye, which resulted in the improvement of his entropion and trichiasis.


[System] Find the positive answer of the given query:

[User] How effective was the crizotinib treatment in reducing the patient's tumor size?

The patient was then initiated on second-line crizotinib treatment which resulted in initial tumor shrinkage of approximately 40%, as determined by radiological imaging.


[System] Find the positive answer of the given query:

[User] How effective was the patient's chemotherapy treatment?

He showed improvement with resolution of the GEJ mass and metastatic hepatic lesions.


[System] Find the positive answer of the given query:

[User] How effective was the percutaneous PNS in managing the patient's pain?

The implanted percutaneous PNS was successful in providing pain relief, and the patient reported improved performance in her daily activities. At the three-month follow-up, the patient reported maintenance of the reduction in pain in her left upper extremity.


[System] Find the positive answer of the given query:

[User] How effective was the rotigotine treatment for the patient?

The patient was treated with a long-acting dopamine agonist, rotigotine 9 mg/day, and levodopa/DCI titrated to 300 mg/day, resulting in significant improvement in Parkinsonism. The RLS symptoms resolved after rotigotine administration.


[System] Find the positive answer of the given query:

[User] How effective was the treatment for the patient's Langerhans Cell Histiocytosis?

The second-line of treatment with a regimen based on cladribine and cytarabine showed a persistent anemia but normal liver and kidney function. Further evaluation showed slight parenchymal liver disease without hepatomegaly or splenomegaly and bone marrow infiltration by LCH.


[System] Find the positive answer of the given query:

[User] How effective were the 4W-acuinjections?

The 4W-acuinjections caused no major change in percent sleep efficiency, but the patient reported remarkably restorative sleep upon waking up in the morning. The patient's PLMs were almost completely suppressed except for one leg movement.


[System] Find the positive answer of the given query:

[User] How is Distal Spinal Muscular Atrophy typically managed?

Her SMA was managed with supportive care.


[System] Find the positive answer of the given query:

[User] How is HHT typically managed?

Follow-up with a HHT specialist is recommended for further management.


[System] Find the positive answer of the given query:

[User] How is Leigh Syndrome typically managed?

Following the diagnosis, the patient was monitored and managed accordingly with appropriate care.


[System] Find the positive answer of the given query:

[User] How is acne rosacea related to intratarsal keratinous cyst?

External examination was remarkable for acne rosacea of the upper and lower eyelids and mid face bilaterally as well as bilateral Meibomian gland dysfunction.


[System] Find the positive answer of the given query:

[User] How is the patient doing after the kidney transplant?

11 years later, both donor and recipient are doing well. The recipient has an eGFR of 47 mL/min/1.73 m2 and has well-controlled hypertension on two medications.


[System] Find the positive answer of the given query:

[User] How is the patient's condition after treatment?

The patient's condition has improved with the current treatment plan. The patient has been discharged with instructions to continue follow-up appointments. Subsequent follow-up appointments revealed continuation of the erythematous macules but without bullae.


[System] Find the positive answer of the given query:

[User] How is vitiligo diagnosed in dogs?

In light of the clinical and histopathological findings, a diagnosis of vitiligo was made.


[System] Find the positive answer of the given query:

[User] How long after PED placement was the follow-up DSA performed?

A follow-up DSA six months later showed residual filling of the aneurysm.


[System] Find the positive answer of the given query:

[User] How long after discharge was the patient scheduled for follow-up?

The patient was discharged for an outpatient follow-up after 3 months.


[System] Find the positive answer of the given query:

[User] How long after liver transplantation did the patient remain asymptomatic?

The recipient demonstrated overall success with good function and asymptomatic state more than 12 mo after liver transplantation.


[System] Find the positive answer of the given query:

[User] How long after surgery is a follow-up examination typically conducted?

A follow-up examination conducted 14 months after surgery showed no recurrence of the disease.


[System] Find the positive answer of the given query:

[User] How long after surgery should the patient avoid driving?

Refrain from driving or operating heavy machinery for at least 48 hours after discharge.


[System] Find the positive answer of the given query:

[User] How long after the surgical procedure did the patient restart chemotherapy?

-The patient restarted chemotherapy after 3 weeks of the surgical procedure and progressively improved of balance complaints and otorrhea


[System] Find the positive answer of the given query:

[User] How long after the treatment did the patient's serum monoclonal protein become undetectable?

The patient's serum monoclonal protein became undetectable 10 months post-infusion and remained undetectable until now.


[System] Find the positive answer of the given query:

[User] How long after treatment did the patient's ECG return to normal?

ECG remained static on discharge and returned to normal during follow-up after 15 days.


[System] Find the positive answer of the given query:

[User] How long did Jane Doe's surgery last?

She was maintained at an intraabdominal pressure of 12 mmHg during surgery, which lasted one hour.


[System] Find the positive answer of the given query:

[User] How long did Ms. A stay in the hospital?

After undergoing treatment for 85 days, she showed partial remission.


[System] Find the positive answer of the given query:

[User] How long did it take for the lymphadenopathy to resolve?

The patient was ultimately followed up and returned to his previous state of health. CT imaging showed eventual spontaneous resolution of lymphadenopathy.


[System] Find the positive answer of the given query:

[User] How long did it take for the patient to be free of PKDL lesions?

About 2 years after the treatment of PKDL, the patient is still free of PKDL lesions.


[System] Find the positive answer of the given query:

[User] How long did it take for the patient to fully recover?

A month follow-up tests showed the patient was fully recovered, with negative CMV-DNA in blood and urine and normal liver function.


[System] Find the positive answer of the given query:

[User] How long did it take for the patient to recover after the revolving door flap procedure?

At 6 months post operation, the patient had satisfactory aesthetic and functional outcomes.


[System] Find the positive answer of the given query:

[User] How long did it take for the patient to regain initial liver function?

However, this decrease was only temporary, as the patient regained initial liver function approximately four weeks after cessation of chemotherapy.


[System] Find the positive answer of the given query:

[User] How long did it take for the patient to return to full training?

One year later, the patient returned to full, pain-free training, but was only able to lift 70-80% of the previous weight he was pressing.


[System] Find the positive answer of the given query:

[User] How long did it take for the patient's CK levels to return to normal?

A follow-up examination revealed that her serum level of CK was still elevated but decreased gradually over time. The patient reported myalgia even 25 days after the ECP competition.


[System] Find the positive answer of the given query:

[User] How long did it take for the patient's pain to resolve?

The pain resolved after a few days.


[System] Find the positive answer of the given query:

[User] How long did it take for the patient's serum biochemistry abnormalities to resolve?

Clinical signs improved within the following week, and resolution of serum biochemistry abnormalities took approximately 2 months.


[System] Find the positive answer of the given query:

[User] How long did it take for the patient's symptoms to resolve?

The patient's nausea, vomiting, and abdominal pain resolved the next day.


[System] Find the positive answer of the given query:

[User] How long did it take for the patient's vaginal cuff to heal after the laparoscopic surgery?

The patient was followed up 2 weeks after discharge from our hospital, and her pelvic examination revealed that the vaginal cuff was healing well. At a 1-month follow-up, her vaginal cuff was completely healed.


[System] Find the positive answer of the given query:

[User] How long did it take for the patient's vision to improve after surgery?

At the one month follow-up, the macular hole had closed, and there was a subjective improvement in the patient's central blind spot. The patient reported continuing symptomatic improvement at each subsequent follow-up visit until 14 months post-surgery.


[System] Find the positive answer of the given query:

[User] How long did it take to see improvement in renal function after treatment?

After eight weeks, renal function improved with a decreased creatinine level of 2.4 mg%.


[System] Find the positive answer of the given query:

[User] How long did the patient experience low back and radiating pain?

The patient had a similar history of low back and radiating pain in both legs three years ago, where he was diagnosed with a huge extruded lumbar disc herniation that was caudally immigrating at L4-5 level. The patient had been nearly symptom-free until the onset of new low back and left leg pain approximately for two and half years.


[System] Find the positive answer of the given query:

[User] How long did the patient experience stable prosthesis function?

The function of the prosthesis has been stable for 6 years, with a single complication 3 years after installation that was resolved with reinforcement of a palatal metal frame.


[System] Find the positive answer of the given query:

[User] How long did the patient experience symptoms before the cytokine panel was performed?

Cytokine panel, performed 36 months after onset of symptoms, showed elevated TNF-α, IFN-γ, and IL-13 with equivocal S100B.


[System] Find the positive answer of the given query:

[User] How long did the patient have a marked clinical and radiological response?

Following the second cycle of treatment, the patient developed autoimmune nephritis with acute kidney injury requiring hospital admission. The treatment was continued with maintenance nivolumab for 17 cycles over 8 months, and there was a marked clinical and radiological response of the primary pituitary carcinoma and all metastatic lesions that was sustained for eight months.


[System] Find the positive answer of the given query:

[User] How long did the patient have a palpable mass in her right breast?

A 49-year-old female presented to our hospital with a two-year history of a palpable mass in her right breast and nipple discharge.


[System] Find the positive answer of the given query:

[User] How long did the patient have chest pain before being diagnosed?

The patient presented with a 3-week history of relapsing chest pain and was diagnosed with severe 95% in-stent restenosis (ISR) lesion of the proximal LAD with thrombus and multiple areas of contrast staining outside the stent contour, compatible with coronary micro-aneurysms.


[System] Find the positive answer of the given query:

[User] How long did the patient have symptoms before seeking medical attention?

The patient presented with chest tightness which had been ongoing for a month.


[System] Find the positive answer of the given query:

[User] How long did the patient need to be monitored after the procedure?

The patient was monitored for six months, which showed satisfactory results with no significant complications.


[System] Find the positive answer of the given query:

[User] How long did the patient need to be monitored after the treatment?

The patient was monitored for one year with regular reviews, in which no further complications were observed


[System] Find the positive answer of the given query:

[User] How long did the patient need to be monitored after treatment?

The patient was monitored and checked every 6 months for 2 years after treatment, and remained symptom-free.


[System] Find the positive answer of the given query:

[User] How long did the patient receive antifungal therapy?

The patient was clinically well in follow-up while receiving antifungal therapy. Her Blastomyces urine antigen level measured 13 months after delivery has decreased.


[System] Find the positive answer of the given query:

[User] How long did the patient receive antitubercular treatment?

After 20 months of antitubercular treatment without any further hepatic adverse drug events, the patient was declared cured.


[System] Find the positive answer of the given query:

[User] How long did the patient receive external beam radiotherapy?

Treatment with combination of external beam radiotherapy (EBRT) (60.8 Gy in 32 fractions over 21 days) and chemotherapy (doxorubicin and cisplatin) was begun 4 weeks postoperatively.


[System] Find the positive answer of the given query:

[User] How long did the patient receive intravenous antibiotic therapy?

The patient received 8 days of strong broad-spectrum intravenous antibiotic therapy, which controlled fever and decreased the CRP level.


[System] Find the positive answer of the given query:

[User] How long did the patient remain relapse-free?

The patient has remained free from relapse for over 7 years after the surgery.


[System] Find the positive answer of the given query:

[User] How long did the patient remain tumor-free after surgery?

Patient experienced no tumor recurrence or metastasis until 20 months following surgery.


[System] Find the positive answer of the given query:

[User] How long did the patient stay in the hospital after surgery?

The patient was discharged after 9 days with no facial nerve deficit.


[System] Find the positive answer of the given query:

[User] How long did the patient stay in the hospital after the operation?

The patient was discharged on the seventh postoperative day.


[System] Find the positive answer of the given query:

[User] How long did the patient stay in the hospital after the transplant?

The patent stayed for several weeks after the surgery for medical management of transplant liver complications, including acute cellular rejection.


[System] Find the positive answer of the given query:

[User] How long did the patient stay in the hospital?

The patient recovered uneventfully post-surgery and was discharged on the seventh day.


[System] Find the positive answer of the given query:

[User] How long did the patient survive after being diagnosed with pulmonary embolus?

After one month, the patient died due to cancer progression.


[System] Find the positive answer of the given query:

[User] How long did the patient survive after the initial diagnosis?

The patient's condition remained stable for 65 months after the initial diagnosis of ovarian cancer FIGO stage IIIC platinum resistant.


[System] Find the positive answer of the given query:

[User] How long did the patient survive after the operation?

The patient has had no local recurrence or distant metastasis during the 14-month follow-up after the operation.


[System] Find the positive answer of the given query:

[User] How long did the patient take IV antibiotics?

The patient was discharged home with two weeks of IV antibiotics.


[System] Find the positive answer of the given query:

[User] How long did the patient take clindamycin?

He was treated with 48 hours of intra-venous clindamycin and discharged with a two-week course of oral clindamycin as guided by the infectious diseases team.


[System] Find the positive answer of the given query:

[User] How long did the patient take to heal from the surgery?

The patient was reviewed after six weeks showing complete healing with a healthy scar and pin tracks. Follow-up radiographs showed good position of the implant.


[System] Find the positive answer of the given query:

[User] How long did the patient take to recover after surgery?

The patient's post-operative course was uneventful, with complete recovery. A postoperative CT scan was performed and was normal.


[System] Find the positive answer of the given query:

[User] How long did the patient take to recover from Fournier's gangrene?

The patient was followed up for 9 years, and a MCU performed six months after surgery showed no contrast leakage or stricture.


[System] Find the positive answer of the given query:

[User] How long did the patient take to recover from HSC?

Leukocyte count, serum ALP, GGT, and CRP levels were normalized within 7 days, and corticosteroid therapy was tapered and stopped. Hypoechoic ultrasound images in the liver disappeared 30 days after initiation of corticosteroid therapy.


[System] Find the positive answer of the given query:

[User] How long did the patient take to recover from Rhodotorula mucilaginosa infection?

After 3 months, the infection was resolved, but the patient experienced a graft failure.


[System] Find the positive answer of the given query:

[User] How long did the patient take to recover from paraganglioma surgery?

The patient was discharged 6 days after surgery... her body weight recovered by 5 kg in 6 months.


[System] Find the positive answer of the given query:

[User] How long did the patient take to recover from severe preeclampsia?

The patient's laboratory tests were normalized within 17 days. She remained asymptomatic and had no complications during 6 months of follow-up.


[System] Find the positive answer of the given query:

[User] How long did the patient take to show improvement after surgery?

Examination after a follow-up of 20 months showed no clinical symptoms.


[System] Find the positive answer of the given query:

[User] How long did the patient wear a plaster cast?

A plaster cast was applied for 2 weeks, and isometric exercises were started 2 days postoperatively.


[System] Find the positive answer of the given query:

[User] How long did the patient's antituberculosis therapy last?

The patient was treated with antituberculosis polytherapy that continued for 6 months.


[System] Find the positive answer of the given query:

[User] How long did the patient's septorhinoplasty surgery last?

The surgical procedure lasted for approximately four hours, and anesthesia was maintained throughout.


[System] Find the positive answer of the given query:

[User] How long did the patient's wound take to heal?

Complete wound closure was achieved nearly 5 months after a combination of treatments. Follow-up at 1-month and one-year after wound closure showed no sign of ulcer recurrence, and the ulcer had not recurred after the next 6-month post-intervention follow-up.


[System] Find the positive answer of the given query:

[User] How long does a patient with D-2-hydroxyglutaric aciduria type I typically stay in the hospital after initial presentation?

The patient was in the hospital for two months after initial presentation for outpatient follow-up.


[System] Find the positive answer of the given query:

[User] How long does a patient with GIST typically stay in the hospital after surgery?

The patient was discharged on postoperative fifth day


[System] Find the positive answer of the given query:

[User] How long does it take for solitary fibrous tumor to recur?

No recurrence was observed after 4 years of follow-up.


[System] Find the positive answer of the given query:

[User] How long does it take to recover from EBV infection?

The patient was instructed to keep hydrated and to avoid contact with others until he had fully recovered.


[System] Find the positive answer of the given query:

[User] How long does it take to recover from PPCM?

Follow-up echocardiograms at 3 months and 12 months showed normalization of her ejection fraction to 64% and 80%, respectively. The patient had shown complete recovery from PPCM and remained asymptomatic.


[System] Find the positive answer of the given query:

[User] How long does it take to recover from botulism?

The patient was weaned from ventilation 4.5 months after ingestion of the toxin and was discharged home after 8 months without any neurological deficit, but with complaints of generalized weakness and muscle pain.


[System] Find the positive answer of the given query:

[User] How long does it take to recover from multiple fractures?

The patient was cleared for discharge in a stable condition and has continued outpatient treatment.


[System] Find the positive answer of the given query:

[User] How long does the patient need to be followed after surgery?

None, but the note provides related information on the patient's status 18 months post-surgery: The patient is currently doing well without recurrence at 18 months post-surgery.


[System] Find the positive answer of the given query:

[User] How long does the patient need to stay in the hospital after the procedure?

The patient stayed overnight in hospital and was discharged without complication.


[System] Find the positive answer of the given query:

[User] How long has the patient been symptom-free after treatment?

In the follow-up period of 33 months since the treatment started, the patient did not have any symptoms of BD or recurrent VT.


[System] Find the positive answer of the given query:

[User] How long has the patient retained allograft function after liver transplant?

The patient has retained allograft function and is now 9 years after liver transplant.


[System] Find the positive answer of the given query:

[User] How long should the patient take carvedilol, enalapril, and bromocriptine?

After surgery, she was given carvedilol, enalapril, and bromocriptine for 2 weeks and 6 weeks.


[System] Find the positive answer of the given query:

[User] How long should the patient wait before experiencing symptoms?

The patient was discharged without any complaints of discomfort, and regular check-ups are recommended.


[System] Find the positive answer of the given query:

[User] How long was the folded intestine in the patient's paraduodenal hernia?

The length of the folded intestine was found to be 100 cm, and the hernia was located on the left side of mesocolon.


[System] Find the positive answer of the given query:

[User] How long was the patient followed up after discharge?

During the follow-up of one year, the patient was in good health with no neurological deficit and very high scholastic achievement.


[System] Find the positive answer of the given query:

[User] How long was the patient followed up after surgery?

Local surgical resection was performed and there was no recurrence during 8 years follow-up.


[System] Find the positive answer of the given query:

[User] How long was the patient followed up after treatment?

The patient has been followed up for 7 years and is healthy without any recurrence.


[System] Find the positive answer of the given query:

[User] How long was the patient given oral corticosteroids?

The patient was given oral corticosteroids for six weeks to reduce the risk of recurrent nasolacrimal obstruction.


[System] Find the positive answer of the given query:

[User] How long was the patient hospitalized after thyroid surgery?

The patient was discharged the next day


[System] Find the positive answer of the given query:

[User] How long was the patient hospitalized?

The patient was hospitalized for a total of 12 months.


[System] Find the positive answer of the given query:

[User] How long was the patient on mechanical ventilation?

He remained on mechanical ventilation for 36 days.


[System] Find the positive answer of the given query:

[User] How long was the patient on potassium drip?

Received potassium drip at 10mEq/hour with close monitoring of potassium every two hours to prevent rebound hyperkalemia. Symptomatic improvement and regaining of muscle strength once potassium levels reached 2.2mmol/L following 40mEq potassium supplementation.


[System] Find the positive answer of the given query:

[User] How long was the patient retained with a urinary catheter after surgery?

After surgery, the patient was retained with a urinary catheter for 3 weeks.


[System] Find the positive answer of the given query:

[User] How long was the patient treated with antibiotics?

The patient was prescribed a 6-week oral antibiotic therapy with cephalexin after the initial 2 weeks of treatment with linezolid for empiric treatment of discitis.


[System] Find the positive answer of the given query:

[User] How long was the patient's follow-up period?

The patient has been under medical supervision as outpatient follow-up for a period of more than 2 years up to now.


[System] Find the positive answer of the given query:

[User] How long will the patient be followed up with the ophthalmologist?

The patient will continue to follow up with the ophthalmologist every 3 months to monitor for any changes in the visual field defect and neovascularization.


[System] Find the positive answer of the given query:

[User] How many days after admission did the patient have a severe episode of hematemesis?

On the sixth day of admission, he had a severe episode of hematemesis, and his hemoglobin levels decreased to 4gm%.


[System] Find the positive answer of the given query:

[User] How many surgeries did the patient undergo to address the pseudoaneurysm and incision infection?

The patient underwent a surgery to resect the pseudoaneurysm and repair the right femoral artery. However, the incision did not heal properly... The patient underwent two more surgeries named “right inguinal debridement and vacuum sealing drainage negative pressure closed drainage and femoral thin muscle flap transfer repair” to address the incision infection.


[System] Find the positive answer of the given query:

[User] How much fluid was aspirated during the laparoscopic procedure?

Eight liters of serous fluid were aspirated.


[System] Find the positive answer of the given query:

[User] How often are routine blood tests performed to monitor the patient's condition?

Routine blood tests are performed every 3–6 months in order to detect any disorder.


[System] Find the positive answer of the given query:

[User] How often should a patient with HCC undergo follow-up CT scans?

After 2 months of treatment, the patient achieved a partial response (PR) according to the RECIST and mRECIST criteria. After 6 months of lenvatinib treatment, CT scans revealed that the main tumor had decreased from 5.2 cm to 2 cm, and no satellite nodules were detected.


[System] Find the positive answer of the given query:

[User] How often should a patient with cone-specific degeneration undergo electroretinography (ERG)?

Repeat electroretinography (ERG) performed four years later showed a bilateral cone dysfunction.


[System] Find the positive answer of the given query:

[User] How often should the patient follow up for dental check-ups?

The patient was advised to follow up for regular dental check-ups and to report to the hospital in case of any complications.


[System] Find the positive answer of the given query:

[User] How often should the patient follow up with cardiology

3. Follow up with the cardiology department in case of any cardiac symptoms.


[System] Find the positive answer of the given query:

[User] How often should the patient follow up with the treating physician?

The patient is advised to follow up with the treating physician on a regular basis to monitor progress in treating ALL and to receive appropriate care as recommended by the physician.


[System] Find the positive answer of the given query:

[User] How often should the patient follow up with their medical provider?

The patient is to follow up regularly with their medical provider to monitor and evaluate their neurological condition and fibrous dysplasia.


[System] Find the positive answer of the given query:

[User] How often should the patient follow up with their primary care physician?

The patient is advised to follow-up regularly with their primary care physician and consider routine screening for cancer.


[System] Find the positive answer of the given query:

[User] How often should the patient follow-up with the pediatrician?

Follow-up with the pediatrician was also recommended.


[System] Find the positive answer of the given query:

[User] How often should the patient return for follow-up appointments?

Follow-up appointments were scheduled for monitoring and adjustment as needed.


[System] Find the positive answer of the given query:

[User] How often should the patient undergo follow-up bronchoscopy?

Schedule follow-up bronchoscopy in 6 months per physician recommendation


[System] Find the positive answer of the given query:

[User] How often should the patient visit a dentist?

The patient should routinely visit a dentist for checkups and comprehensive dental care.


[System] Find the positive answer of the given query:

[User] How often should the patient's mood be monitored after discharge?

The patient's psychiatric physician should continue to monitor the patient's mood and mental status.


[System] Find the positive answer of the given query:

[User] How should the patient's family manage their ongoing condition?

The parents of the patient need to be briefed on the need for prompt medical attention and precautions to be taken to prevent infections. The patient's safety relies on maintaining a sterile environment at home.


[System] Find the positive answer of the given query:

[User] How successful are ICSI procedures for patients with secondary infertility?

The patient underwent intracytoplasmic sperm injection (ICSI) with five unsuccessful procedures, and two unexplained miscarriages.


[System] Find the positive answer of the given query:

[User] How to manage chronic gastritis in children

He is managed on oral iron and is not eliminating any foods from his diet. The endoscopy showed chronically inflamed gastric mucosa with moderate eosinophilia, and patchy subepithelial collagen deposition confirmed by Gomori trichrome stain.


[System] Find the positive answer of the given query:

[User] How to promote bone growth in sacral fractures

A sacral laminectomy was performed at 19 days after the injury to promote further neurological improvement.


[System] Find the positive answer of the given query:

[User] How to properly administer insulin to avoid intradermal injection

The patient was advised to rectify his insulin injection technique. He was instructed to follow the proper insulin injection technique.


[System] Find the positive answer of the given query:

[User] How was the breast mass diagnosed?

Ultrasound imaging demonstrated a 2.4 × 1.0 cm, circumscribed, oval-shaped mass in the skin and subcutaneous fat layer which was categorized as BI-RADS 4, and a core biopsy was performed. Dynamic contrast-enhanced breast-magnetic resonance imaging (MRI) revealed a 2.4 × 2.0 cm circumscribed oval mass with a wide base to the skin, with most sections of the tumor showing rapid initial enhancement with washout kinetics. PET-CT was done to evaluate distant metastasis and showed faint FDG uptake around the mass in the left breast with a standardized uptake value (SUV) of 1.8.


[System] Find the positive answer of the given query:

[User] How was the carbapenem-resistant bacterial infection managed?

P2_O2 was diagnosed with a carbapenem-resistant bacterial infection that was managed effectively with amikacin therapy.


[System] Find the positive answer of the given query:

[User] How was the cysticercosis managed?

Cysticercosis was managed conservatively with oral albendazole therapy.


[System] Find the positive answer of the given query:

[User] How was the diagnosis of blue nevus confirmed?

The final diagnosis was a blue nevus, as confirmed with histopathologic assessment. The distribution of the dendritic melanocytes was confirmed to be in the direction of the streaks with the use of dermoscopy.


[System] Find the positive answer of the given query:

[User] How was the gallstone removed?

Laparotomy was performed to remove the gallstone since endoscopy had failed.


[System] Find the positive answer of the given query:

[User] How was the hepatic mass diagnosed?

Abdominal ultrasonography, plain CT and dynamic CT showed a well-defined, 60mm low-density mass with an irregular margin that revealed early ring enhancement in the peripheral part on the arterial phase and internal heterogeneous enhancement on the delayed phase. EOB-MRI confirmed the diagnosis.


[System] Find the positive answer of the given query:

[User] How was the hydatid cyst diagnosed?

Imaging findings reported a cystic lesion of 200×130mm size with multiple daughter cysts in the adductor brevis, sartorius, and semitendinosus muscles. The lesion was hypointense on T1-weighted images and hyperintense on T2-weighted images, with peripheral uptake of the contrast agent in post-contrast-enhanced images.


[System] Find the positive answer of the given query:

[User] How was the imperforate anus diagnosed in the neonate?

At 30 weeks of gestation, the fetal anus was thought to be visible but, the perineal body appeared to be shorter than that of a normal female fetus, which indicated the probability of imperforate anus diagnosis. However, the low-type imperforate anus accompanied by a vestibular fistula, was not diagnosed during the prenatal period.


[System] Find the positive answer of the given query:

[User] How was the lipoma treated?

Complete excision of the mass was performed without intestinal resection.


[System] Find the positive answer of the given query:

[User] How was the mass treated?

A left maxillectomy was performed under general anesthesia. Resection of the lateral and most inferior aspects of the mass was performed with a Caldwell-Luc procedure, achieving near total resection.


[System] Find the positive answer of the given query:

[User] How was the maxillary multilocular radiolucent lesion diagnosed?

Orthopantomogram and axial computed tomography scan confirmed a large maxillary multilocular radiolucent lesion, extending from left second premolar to the maxillary tuberosity region.


[System] Find the positive answer of the given query:

[User] How was the oligodendroglioma treated?

The patient underwent a left frontal craniotomy with intraoperative motor and speech mapping...A second resection was performed, and the patient was subsequently treated with 12 cycles of temozolomide chemotherapy.


[System] Find the positive answer of the given query:

[User] How was the orbital floor reconstructed during the surgery?

A titanium mesh was used for the reconstruction of the orbital floor.


[System] Find the positive answer of the given query:

[User] How was the parathyroid carcinoma diagnosed?

An ultrasound scan revealed a large tumor with calcifications and cystic changes in the left inferior parathyroid gland. Cytological examination suggested parathyroid carcinoma, and parathyroidectomy was performed. The histological examination confirmed the diagnosis of parathyroid carcinoma with bleeding and necrosis.


[System] Find the positive answer of the given query:

[User] How was the patient diagnosed with LNSS?

H&E staining of skin lesions revealed epidermal hyperkeratosis, acanthosis, papillomatous hyperplasia in the epidermis, numerous mature or immature sebaceous glands in the dermis, and sparse ectopic apocrine sweat glands.


[System] Find the positive answer of the given query:

[User] How was the patient diagnosed with hepatic adenoma?

Based on the CT scan findings and clinical features, the patient was diagnosed with hepatic adenoma in a case of type Ia glycogen storage disease (von Gierke disease).


[System] Find the positive answer of the given query:

[User] How was the patient diagnosed?

MRI brain revealed a heterogeneously enhancing space-occupying lesion in the pineal region, suggestive of a pineal gland tumor.


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[User] How was the patient managed postpartum?

Postpartum management included continuation of itraconazole capsules and biweekly monitoring of urine Blastomyces antigen levels. Blastomyces urine antigen was persistently elevated for 5 months following delivery and a measured serum itraconazole level was <0.3 μg/mL.


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[User] How was the patient monitored after the procedure?

The patient was monitored every month to monitor the retention phase of palatal expansion.


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[User] How was the patient treated for CRPS?

The patient was treated with steroid pulse therapy, physical therapies, and medications including non-steroidal anti-inflammatory drugs, pregabalin, and tricyclic antidepressants for analgesia.


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[User] How was the patient treated for DRESS Syndrome?

The patient received oral prednisone and intravenous NAC to treat her condition during her stay.


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[User] How was the patient treated for NTM endophthalmitis?

Treatment was changed to a combination of intravenous imipenem, levofloxacin, and amikacin, along with levofloxacin eye drops and tobramycin eye ointment. After two weeks, intravenous antibiotics were switched to oral doxycycline, clarithromycin, and ciprofloxacin, with intermittent local injections of amikacin and imipenem.


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[User] How was the patient treated for sarcoptic mange?

Subcutaneous ivermectin had been administered by a veterinarian suspected sarcoptic mange, but skin scrapings and cytological examination were negative.


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[User] How was the patient weaned off the ventilator?

After a subsequent hypothermic and rewarming period, the patient was weaned from the ventilator and tracheal extubation was performed.


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[User] How was the patient's ARHD treated during surgery?

A fundus-first technique was performed to confirm the ARHD after exposure of the inner layer of the subserosal layer at the dorsal and ventral side of Calot’s triangle. ARHD drainage into the cystic duct was confirmed. Preoperative MRCP suggested it was not necessary to preserve the ARHD with the extreme narrow drainage area as it seemed to be closed at the hepatic side without communicating with the major right branch of the intrahepatic bile duct. Intraoperative cholangiography from the cystic duct in the periphery revealed that the ARHD was not confluent with the major right branch of the intrahepatic bile duct and drained a narrow area, so we removed the excessively exposed ARHD.


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[User] How was the patient's DVT treated?

Intravenous unfractionated heparin was administered and the patient was discharged on warfarin.


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[User] How was the patient's Evan's syndrome treated?

To optimize for SDH evacuation, the patient was stopped from taking warfarin and started on tablet prednisolone and phenytoin. Platelets, fresh frozen plasma, and packed red blood cells were transfused to improve the Hb and INR levels.


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[User] How was the patient's airway established?

The anaesthesiologist team established an airway in lateral position, with direct laryngoscopy aided with a flexible stylet given the patient's full stomach, obesity, inebriated state and emergency surgery requirement.


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[User] How was the patient's airway managed?

Topical anesthesia was applied to the airway, and sedatives were given intravenously. A pediatric bronchoscope was inserted into the left nares and guided into the trachea through the glottis to thread the AECS guidewire. Once the FOB was removed, the AECS exchange catheter was inserted over the guidewire into the airway through the anesthesia facemask. The exchange catheter helped in the insertion of a 7.0 mm ID tracheal tube.


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[User] How was the patient's akathisia treated?

The endocrinologist was notified about the patient's akathisia, and the patient was switched to bisoprolol. After a 3-month follow-up, the patient reported subjective improvement in her akathisia, which was rated 1 on the ESRS.


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[User] How was the patient's anemia treated?

The patient received a blood transfusion due to severe anemia.


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[User] How was the patient's anesthesia managed during surgery?

Intraoperatively, remifentanil (1.0 μg/kg/min) and remimazolam (15 mg/h) doses were determined with reference to the patient's clinical depth and the relatively high amplitude slow waves in the electroencephalography.


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[User] How was the patient's anuria treated?

A retrograde ureteral stent was placed by the urologist. The patient regained his baseline renal function and resumed normal diuresis without hematuria.


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[User] How was the patient's atrial fibrillation managed post-ablation?

The patient's atrial fibrillation was well controlled on medical therapy (warfarin, amidarone, perindopril and metoprolol).


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[User] How was the patient's calciphylaxis diagnosed?

The patient was diagnosed with calciphylaxis based on the physical characteristics of the lesions, risk factors, and bone scintigraphy, despite having no histological evidence of microvessel thrombosis or necrosis on the punch skin biopsy.


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[User] How was the patient's condition after the ART regimen change to TDF, FTC and ritonavir-boosted atazanavir?

The patient's HIV viral load was 230 copies/mL 3 months after the ART regimen change to TDF, FTC and ritonavir-boosted atazanavir. Since then, subsequent viral loads have remained below 20 copies/mL.


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[User] How was the patient's condition after the procedure?

The patient was self-ambulatory, performing her normal activities of daily living, and had a complete resolution of pain and some improvement in foot drop (to muscle strength 3/5).


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[User] How was the patient's condition after the surgery?

The patient's postoperative course was uneventful, and periodic menstruation started one month after the surgery. The severe lower abdominal pain was significantly relieved after the operation.


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[User] How was the patient's condition after the surgical resection?

The tumor was extirpated and the patient was stable and asymptomatic.


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[User] How was the patient's condition after treatment?

The stool parasitological examination resulted negative after treatment, and there was partial cutaneous improvement, with complete response achieved after the association of topical clobetasol dipropionate 0.05%.


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[User] How was the patient's condition at discharge?

The patient's postoperative course was without complications, and she was discharged in good condition.


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[User] How was the patient's condition at the one-week follow-up visit?

At his one-week follow-up clinic visit, he was afebrile and with no arthralgias. Sutures were removed and the left arm and right leg were advanced to weight bearing as tolerated with no restrictions after having been non-weight-bearing since operative irrigation and debridement.


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[User] How was the patient's condition at the time of discharge?

At the time of discharge, her sensorium was normal, but her hemiparesis was persisting.


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[User] How was the patient's condition diagnosed?

Imaging studies revealed a large complex septated cyst in the left kidney with a large 7.8-cm heterogenous lesion in the lower pole of the left kidney with perirenal fat stranding, and adjacent enlarged para-aortic lymph nodes.


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[User] How was the patient's condition managed after diagnosis?

A consultation was done, and the patient received appropriate care according to her clinical picture. She was discharged once she was stable, with an appointment for follow-up to ensure continuity of care.


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[User] How was the patient's condition managed after discharge?

The patient returned to the hospital 2 weeks after discharge with bleeding from the left knee incision site and anemia and managed with plasma infusion and OR débridement. One week later (late April), he returned with altered mental status and increased bilateral knee pain.


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[User] How was the patient's condition managed after plasmapheresis?

Plasmapheresis was initiated after the tentative diagnosis, resulting in significant regression of serous retinal detachments in both eyes. OCT examinations 4 months later demonstrated no subretinal fluid.


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[User] How was the patient's condition managed during hospitalization?

The patient was given medication, and her condition improved. The patient was treated with medication to manage the symptoms and improve heart function.


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[User] How was the patient's condition managed in the ICU?

The patient was then transferred to ICU where he was diagnosed with cerebral oedema.


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[User] How was the patient's condition managed while in hospital?

The patient was managed as a potential COVID-19 infection case due to close contact with positive subjects for a long period.


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[User] How was the patient's condition managed?

A dermatology consultation was requested, and the isotretinoin treatment was discontinued, and NSAIDs were prescribed. After six months, the patient reported being free of symptoms, and a follow-up MRI revealed minimal bone marrow edema in the left sacroiliac joint after 1 year.


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[User] How was the patient's condition monitored after the procedure?

The patient's symptoms and ABI remained satisfactory at the eight-month follow-up.


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[User] How was the patient's condition monitored?

The patient was treated with standard supportive care and closely monitored for any changes in condition.


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[User] How was the patient's condition on discharge?

The postoperative course was uneventful, and no neurological damage was detected. The patient was discharged from the hospital on the seventh day after the procedure. Condition on discharge: Stable


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[User] How was the patient's condition treated?

The patient received treatment with oral methylprednisolone and hydroxychloroquine but did not improve and required oxygen under medium-flow mask. An artificial abortion was performed due to worsening respiratory condition. The patient was then treated with combination therapy with methylprednisolone, oral cyclosporine, intravenous cyclophosphamide, and intravenous immunoglobulin.


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[User] How was the patient's condition when discharged from the hospital?

At the time of discharge, the patient was stable with no acute complaints. Follow-up was scheduled with the TB clinic and infectious disease specialist for continued monitoring of his condition and treatment.


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[User] How was the patient's ear injury managed?

The patient had an avulsion injury of the right ear, and the maxillofacial surgeons managed it quickly.


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[User] How was the patient's heart failure symptoms treated?

Digoxin was used, and regular hemodialysis treatment was continuously performed to attempt to improve cardiac function through enhanced ultrafiltration and control of dry weight. The patient's heart failure symptoms were greatly attenuated after one week of treatment and his BP was stabilized.


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[User] How was the patient's hypertriglyceridemia managed?

The patient's mixed hyperlipidemia was addressed using a formula which calculated a corrected sodium value resulting in true hyponatremia in addition to pseudohyponatremia. TG levels decreased to normal within a week after completing induction, and the patient did not experience any complications related to her hypertriglyceridemia.


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[User] How was the patient's hypotension treated?

The patient was started on intravenous fluids to treat his hypotension. He was given intravenous hydration along with a follow-up workup for sepsis and pulmonary embolism.


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[User] How was the patient's infection treated?

The patient underwent a second revision THA via a posterior approach to remove the remaining HO from the posterior hip joint and replace the femoral stem to control the infection. A repeat bacterial culture of fluid from the hip joint revealed the presence of S. caprae again. Antibiotics were prescribed, and the patient finally did not report any left hip pain, and the CRP level remained within the normal range for >3 years.


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[User] How was the patient's infective endocarditis treated?

The patient was treated with antibiotics (vancomycin, gentamicin, and rifampin), and a more appropriate antibiotic regimen (vancomycin and gentamicin) was administered after A. defectiva was identified by MALDI-TOF-MS testing.


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[User] How was the patient's internal hernia treated?

The encased mass of small bowel was initially dusky but became viable after reduction and repair of the mesenteric defect.


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[User] How was the patient's intestinal obstruction treated?

An exploratory laparotomy and right hemicolectomy were performed, as the patient had a thickened pulled-up ileocaecal junction and dilated proximal loops.


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[User] How was the patient's jaw function after the reduction procedure?

The patient was able to easily open and close his jaw without difficulty, crepitus, or clicking.


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[User] How was the patient's liver failure diagnosed?

The patient had previously been diagnosed with non-cirrhotic portal hypertension (NCPH) 20 years ago. The patient’s extrahepatic portal vein had a scar-like stenosis, and the portal flow was completely hepatofugal. Collateral circulation such as the splenorenal shunt was well developed, and dense calcification was observed at the site of splenomesenteric junction, suggesting that the usual portal reconstruction would be impossible.


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[User] How was the patient's nutritional status monitored after surgery?

The patient is scheduled to be followed up for three months in the first year, six months in the second year and annually thereafter, with a focus on surveying nutritional status.


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[User] How was the patient's pain managed during the TURBT procedure?

Four milliliters of a 0.5% hyperbaric bupivacaine solution was diluted with 16 milliliters of normal saline to produce an approximately isobaric 0.1% solution.


[System] Find the positive answer of the given query:

[User] How was the patient's pain managed post-surgery?

Postsurgical instructions were provided to the patient and he was kept on analgesic and antibiotic coverage.


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[User] How was the patient's pain managed?

The patient had a generalized tonic-clonic seizure that was controlled with lorazepam.


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[User] How was the patient's perineal mass treated?

The patient underwent excision of the mass via a perineal midline incision. A nodular structure measuring 23.0 × 14.0 × 8.0 cm and weighing 1,170 g was completely excised without any complications.


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[User] How was the patient's peritoneal carcinomatosis diagnosed?

The upper endoscopy showed gastric cancer of the scirrhous-type with the biopsy result of moderately to poorly differentiated adenocarcinoma. A staging laparoscopy was also performed, revealing the tumor exposure to the serosa of the stomach and massive peritoneal carcinomatosis involving the greater omentum.


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[User] How was the patient's psoriasis vulgaris treated?

The patient was previously treated with systemic methotrexate, leflunomide, sulfasalazine, and topical antipsoriatic therapies. Subsequent treatment with infliximab was associated with a good response and complete clearing of skin lesions.


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[User] How was the patient's recovery after the tick removal?

The patient's recovery has so far been uneventful, and he was subsequently discharged.


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[User] How was the patient's respiratory status improved?

On day 5, fluid infusion was restricted and a diuretic was administered to deplete fluid, and the patient's respiratory condition steadily improved. The VV-ECMO circuit was withdrawn on day 7, and the bronchial block balloon was removed.


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[User] How was the patient's root canal system treated?

Mechanical and chemical debridement was performed using M-two rotary files for the palatal canal and up to 35/0.04, for the buccal canal using the standard technique. Irrigation was performed using 5.25% sodium hypochlorite.


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[User] How was the patient's self-image addressed during treatment?

The patient's self-image was taken care of through behavior management and counseling.


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[User] How was the patient's sepsis managed?

The patient was electively intubated and treated for sepsis with broad-spectrum antibiotics. A blood culture revealed Klebsiella pneumoniae species that were only susceptible to colistin, with subsequent antibiotic therapy for 10 days.


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[User] How was the patient's sub-fascial fluid collection treated?

The patient underwent L5 total laminectomy where a midline durotomy was created and expanded both cranially and caudally. The arachnoid was identified and fenestrated widely with primary suturing of the durotomy site and was covered with fibrin glue.


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[User] How was the patient's tetraparesis characterized?

Grade 4 tetraparesis characterized by diffuse hyperreflexia with bilateral Babinski signs.


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[User] How was the patient's tooth mobility after the procedure?

At 9 years of age, the molar demonstrated normal tooth mobility, a positive reaction to the electrical pulp test, and occlusal contact with the opposing mandibular first molar.


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[User] How was the patient's vital signs stabilized?

She was promptly rehydrated, and her vital signs were stabilized.


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[User] How was the patient's wound healing after surgery?

The patient had a wound on the glabellar region, which was reconstructed with STSG. The wound appeared to be healing well.


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[User] How was the patient's α-thalassemia managed during her pregnancy?

The patient was closely monitored by the obstetric clinic throughout the remaining pregnancy, and the obstetrician and hematologist worked together to provide optimal obstetric and hematological management.


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[User] How was the patient’s condition at the time of discharge?

The patient was discharged in stable condition with instructions to follow up with their primary care physician and continue treatments as prescribed.


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[User] How was the recurrent cyst treated?

The patient had a reoccurrence of a 3 cm cyst on the left supraorbital region, which was removed with 2 mm margins. Pathology was consistent with proliferating trichilemmal cyst with no signs of malignancy and free margins.


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[User] How was the schwannoma resected?

Surgical treatment was proposed and subsequently performed, which involved the resection of the tumor using the medial parapatellar approach.


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[User] How was the scrotal defect restored after excision?

The significant scrotal defect that remained after excision of the hemangioma was restored by repositioning the ventricular part of the scrotum dorsally.


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[User] How was the subcutaneous emphysema diagnosed?

The subcutaneous emphysema diagnosis was based on the sudden onset during air-powder debridement of soft tissue swelling associated with crepitus in the absence of erythema, oedema, significant pain, or lymphadenopathy.


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[User] How was the tooth restored after root canal treatment?

The root canals were obturated with gutta-percha and a zinc oxide eugenol sealer, and the access cavity was restored with composite resin.


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[User] How was the trichobezoar treated?

Eventually, an anterior gastrotomy was performed with the removal of bezoar and biopsy of existent gastric ulcer.


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[User] How was the tumor retrieved during surgery?

The cyst was retrieved in a bag and transected 4 cm above the pubic bone.


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[User] How was the zygomatic bone complex secured in place?

One-point-five-millimeter-thick titanium miniplates were employed to secure the zygomatic bone complex in place.


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[User] How were the patient's facial features relevant to the diagnosis?

The preanesthetic examination revealed facial features associated with SJS, including low-set ears, micrognathia, fixed facial expression with pursed lips, and blepharophimosis.


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[User] How will the patient be advised regarding family planning options?

The patient will be advised regarding family planning options.


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[User] How will the patient's cardiac abnormalities be managed after discharge?

The patient received intravenous sodium bicarbonate to correct her cardiac abnormalities as highlighted by her prolonged QT interval on ECG.


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[User] How will the patient's condition be monitored after discharge?

The patient was advised to follow up with his primary care physician and a hematologist within one to two weeks to monitor his response to treatment.


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[User] How will the patient's growth hormone deficiency be managed at home?

The patient's parents should be educated about the signs and symptoms of GHD and FH, including signs of hyperlipidemia, and provided with instructions on how to manage his conditions at home. Proper diet and exercise are also recommended to manage FH.


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[User] How will the patient's seizures be managed after discharge?

Primary care was advised to ensure the patient receives prompt medical attention if seizures or any other concerning symptoms re-occur.


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[User] How would you describe the patient's oral condition?

The child's oral cavity exhibited severe incisor crowding in maxilla and mandible, moderate overjet, and poor hygiene with fair plaque accumulation. Deep carious cavities were present in both lower primary first molars, and in addition to swallow cavities in the four primary second molars and four first permanent molars.


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[User] Humerus fracture diagnosis with cirrhosis and portal hypertension

During the orthopedic surgery evaluation, the patient reported dyspnea on exertion and increasing abdominal girth, and was then referred to cardiology. Admission labs revealed hemoglobin of 11.8 g/dL, white blood count of 5,700/mm3, and platelets of 115,000/mm3. The patient was diagnosed with cirrhosis with portal hypertension, and CT scans showed four liver lesions, consistent with hepatocellular carcinoma.


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[User] Humerus fracture treatment options

The patient underwent open reduction and internal fixation with narrow dynamic compression plate, along with closed reduction and internal fixation with cancellous bone grafting taken from the iliac crest on the right side.


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[User] Hungarian Viszla pancreatitis symptoms

The patient, a 6-month-old entire male Hungarian Viszla, presented with well-demarcated, ulcerative and exudative skin lesions, smaller lesions of similar appearance on the left thoracic paw and multiple small ulcers on the tongue. Abnormal results from SNAP cPLi test (quantitative value > 2000 μg/L; consistent with pancreatitis).


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[User] Hunter syndrome diagnosis criteria

Examination revealed high rates of renal excretion of heparansulfate and dermatansulfate, a decrease in the activity of I2S in dried blood spots, and a missense variant c.590C>T (p.Pro197Leu) in exon 5 of the IDS gene was found; so the diagnosis was confirmed.