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

[User] Treatment options for intraorbital mass

The patient underwent endoscopic sinus surgery and endoscopic trans-lamina papyracea biopsy of the mass.


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

[User] Treatment options for left M1 middle cerebral artery occlusion

The patient underwent endovascular mechanical embolectomy via direct left common carotid artery puncture.


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

[User] Treatment options for lipid-rich carcinoma

Chemotherapy consisting of epirubicin and docetaxel, radiotherapy, and endocrine therapy.


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

[User] Treatment options for locally advanced tumor in the transverse colon

Due to the advanced state of cancer, he was not eligible for curative resection or palliative chemotherapy.


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

[User] Treatment options for low-risk scorpion sting

The patient was managed with symptomatic treatment, life support, and active observation for six hours.


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

[User] Treatment options for medication-related osteonecrosis of the jaw

The patient was treated with antibiotics and chlorhexidine mouth rinse, but was nonresponsive. He declined surgical debridement.


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

[User] Treatment options for metastatic chondrosarcoma

Craniotomy for lesion resection and biopsy was performed which showed metastatic chondrosarcoma in the resected mass. The patient underwent Gliadel local chemotherapy post-surgery.


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

[User] Treatment options for mitochondrial neurogastrointestinal encephalomyopathy

The patient was managed with supportive treatment during the hospitalization with a focus on the management of gastrointestinal symptoms and pain control.


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

[User] Treatment options for mucinous adenocarcinoma of the colon

The patient underwent a resection of 30 centimeters of ileum with a side-to-side anastomosis, and right hemicolectomy with a side-to-side ileocolic anastomosis due to stage IVa mucinous adenocarcinoma.


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

[User] Treatment options for obstructive hydrocephalus with periventricular ooze

The patient was started on intravenous antibiotics and subsequently developed copious pus discharge from the left ear, followed by improvement in symptoms. Conservative management with intravenous antibiotics was continued, and the patient was referred to the otology department for further management.


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

[User] Treatment options for patient with neck lumps

The patient's condition was monitored and she was referred for further investigations to determine the underlying cause of the multiple neck lumps.


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

[User] Treatment options for patient with persistent pulmonary emboli

The patient was initially treated with rivaroxaban, dabigatran, and apixaban, but persistent PEs were noted on follow-up scans. The patient was initiated on warfarin therapy requiring weekly INR checks with appropriate dosing adjustments.


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

[User] Treatment options for pigmented villonodular synovitis (PVNS)

The patient underwent THA with complete synovectomy and tumor resection using an argon laser.


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

[User] Treatment options for primary adenocarcinoma

The patient was started on first-line chemotherapy with carboplatin, vinorelbine, and bevacizumab, but the disease quickly progressed. The patient was eventually started on second-line treatment with crizotinib, which resulted in a complete remission in the thorax and partial remission in the abdomen and pelvis.


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

[User] Treatment options for proximal myopathy with elevated anti-HMGCR antibodies

The patient declined immunosuppression therapy and instead continued with their daily activities, despite persistent but mild weakness and CK elevations in the range of 2,500 to 5,000 IU/L.


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

[User] Treatment options for recurrent Aneurysmal Bone Cyst

The cyst recurred and required a bicoronal and transcranial approach with reconstruction of the medial orbital wall.


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

[User] Treatment options for recurrent sialolithiasis

- Empiric intravenous antibiotics and oral analgesics, followed by oral antibiotics for a week - Submandibular gland excision


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

[User] Treatment options for relapsed multiple myeloma

The patient received three cycles of daratumumab-based therapy. He had previously received an autologous stem cell transplantation and had been in stable complete remission following lenalidomide maintenance therapy.


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

[User] Treatment options for residual pilocytic astrocytoma

He underwent expansion of the cyst around the tumor, which was treated surgically at 18 years old. At 20 years old, gamma knife radiosurgery was performed, which was repeated at the age of 24.


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

[User] Treatment options for right axillary artery disruption

Diagnostic testing including point-of-care ultrasound and pelvic radiography, and pan-CT scan revealed significant injuries and fractures to the right arm and shoulder region, as well as disruption of the right axillary artery and the need for right axillo-brachial bypass grafting.


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

[User] Treatment options for scar endometriosis

The patient was put on regular follow-up appointments to monitor the condition.


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

[User] Treatment options for sertoli cell tumor

The patient underwent testis-sparing surgery, but due to the size and cystic nature of the mass, a left orchiectomy was performed. The patient made a successful recovery post-surgery, and displayed a regression of gynecomastia symptoms within 3 months following the operation.


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

[User] Treatment options for severe dyspnea in LAM

At this time, the patient agreed to initiate therapy with Sirolimus. After 15 months on Sirolimus, the patient's spirometry improved remarkably, and the patient had no desaturation on the 6-minute walk test.


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

[User] Treatment options for severe focal and eccentric lesions

Thromboaspiration, high-pressure dilation with noncompliant balloon, and DCB angioplasty were performed.


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

[User] Treatment options for small intestinal herniation

An emergency exploratory laparoscopy was performed, which revealed 140 cm of the small intestine herniated into the thorax. A portion of the intestinal tissue was resected due to ischemia, and a primary anastomosis was performed.


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

[User] Treatment options for spinal canal stenosis with degenerative scoliosis

The patient is an 80-year-old female who underwent a two-level TLIF for spinal canal stenosis with degenerative scoliosis.


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

[User] Treatment options for spinocerebellar ataxia type 3

There is no cure or specific treatment for SCA3 yet. The patient was given supportive management to maintain her quality of life. This included physical therapy and counseling.


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

[User] Treatment options for stage IV dedifferentiated high-grade liposarcoma

After discharge, the patient underwent ambulatory, adjuvant radiotherapy... The patient decided against adjuvant chemotherapy for fear of side effects.


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

[User] Treatment options for suprasellar cystic-solid mass recurrence

Although further aspiration of the cystic component via the Ommaya reservoir was advised, she declined any intervention. Repeat imaging revealed a spontaneous decrease in the size of the cystic component that remained stable over time and required no further intervention.


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

[User] Treatment options for suprasellar mass

The patient underwent a four-vessel cerebral angiogram which revealed a left PCoA aneurysm and he underwent an immediate clipping of the aneurysm.


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

[User] Treatment options for third webspace burial neuroma complex

Conservative treatments, including corticosteroid injections, orthotics, physical therapy, and opioid-based analgesics, failed to reduce the patient's symptoms. Resection of the neuroma complex was performed using a dorsal approach.


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

[User] Treatment options for thyroid mass

Total thyroidectomy and bilateral cervical lymph nodes dissection was performed.


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

[User] Treatment options for tumor recurrence

Nivolumab treatment was continued, and a biopsy revealed an NRAS mutation. Six months later, a subtotal tumor removal was anticipated due to progression, which will be followed by treatment with trametinib.


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

[User] Treatment options for unhealed extraction socket

The patient was treated for nearly 1 year through conventional methods such as wound debridement, warm saline irrigation, socket dressing with zinc oxide eugenol, and antibiotic dressing. However, since the complications recurred between periods of conservative treatment and there was no sign of clinical improvement, it was decided to treat the case using stem cell therapy.


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

[User] Treatment options for unicameral bone cyst

The diagnosis of a unicameral bone cyst was made upon the diagnosis and was treated via fenestration of the iliac crest, removal of septa, and β-tricalcium phosphate (TCP) implantation.


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

[User] Treatment options for α-iduronidase deficiency

Although the patient's treatment options are not explicitly stated, the note mentions that the patient will require ongoing monitoring and management of his MPS type I condition, implying a need for ongoing care and possibly treatment.


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[User] Treatment options proposed to the patient

The ideal treatment would have involved an orthodontic therapy to gain back lost space in mesial portion. However, the patient decided not to consider an orthodontic treatment and accepted just the restorative proposal (Class IV restoration).


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

[User] Treatment outcome after three weeks

On subsequent follow-up after three weeks, a significant resolution of the swelling was observed, and the patient remained symptom-free.


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

[User] Treatment outcome for precursor B-cell ALL with Dana-Farber chemotherapy protocol

The patient was later discharged from the hospital. However, no specific outcome or effectiveness of the treatment is mentioned.


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

[User] Treatment outcome of pasireotide in controlling hypoglycemia

The patient was later treated with pasireotide, but it was unable to control the syndrome.


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

[User] Treatment outcome of triamcinolone acetonide intralesional injections

The patient was administered 10 mg/ml triamcinolone acetonide intralesional injections on two occasions with partial improvement, but was subsequently lost to follow-up.


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

[User] Treatment outcomes for Limbal Leiomyosarcoma

At three-month follow-up, our patient continues to be disease-free.


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

[User] Treatment plan after discharge

The patient should follow up with his primary care provider and be advised to avoid direct skin contact with jet fuel spills while on the job. A referral to a nephrologist was given to the patient before discharge for further evaluation of his underlying renal disease.


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

[User] Treatment plan after first-line chemotherapy failure

Palliative radiotherapy with 50 Gy was given for the psoas metastasis and the primary tumour. The patient was started on the EGFR tyrosine kinase inhibitor (TKI) erlotinib, which resulted in a partial remission after 8 weeks of therapy.


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

[User] Treatment plan after surgery

Postoperatively, the patient received IV fluids and antibiotics including sulfamethoxazole/trimethoprim and gentamicin.


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

[User] Treatment plan after tumor recurrence

Following postoperative adjuvant chemotherapy with cisplatin-gemcitabine, the patient later developed tumor recurrence in the left lung with left pleural metastases, leading to a PD-1 inhibitor and docetaxel treatment plan.


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

[User] Treatment plan for AHEI recurrence

The patient had a recurrence of periorbital and extremity swelling and purpuric rash without end-organ involvement three weeks after initial presentation. She had resolution of these symptoms within four days with supportive care only.


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

[User] Treatment plan for Aspergillus species in cavernous sinus

The patient underwent a trans-sphenoidal mass excision and debridement, after which physical and neurological examination showed obvious improvement of headache and visual disturbance.


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

[User] Treatment plan for Behçet's disease

He was treated with colchicine and betamethasone eyedrops. However, attacks of ocular inflammation persisted, occurring six times in 8 months. In May 2008, administration of infliximab was started, reducing the frequency of ocular inflammatory attacks to seven times in 60 months.


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

[User] Treatment plan for CHB patients with normal liver function

PEG IFN α-2a 180 μg treatment once weekly was initiated for the patient. ... Lamivudine 100 mg once daily was planned whenever HBV DNA level exceeded 2000 IU/ml.


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

[User] Treatment plan for COVID-19

The patient was treated with conservative measures, antibiotics, and hydroxychloroquine, at a dose of 200 mg every 12 hours, for five days.


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

[User] Treatment plan for Chiasmatic Mass

The patient underwent the removal of the lesion neuro-endoscopically through the trans-nasal trans-sphenoidal route. After reaching the sella, the dura was opened, and the pituitary gland displaced.


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

[User] Treatment plan for Chorea-Acanthocytosis

The patient received botulinum toxin injection, haloperidol, and vitamin E treatment, which resulted in a prominent remission.


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

[User] Treatment plan for DRIF

The patient received treatment and care for DRIF with appropriate medication and follow-up. The patient and family members were educated on the diagnosis of DRIF and steps to manage the condition.


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

[User] Treatment plan for GATA-2 deficiency

Treatment was stopped, and the patient was further treated with prophylactic antibiotics and antimycotics. Vaccination against human papillomavirus (HPV) was performed.


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

[User] Treatment plan for Hirayama disease

The patient was diagnosed with Hirayama disease and prescribed a cervical collar to prevent neck flexion, thereby reducing further spinal cord injury.


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

[User] Treatment plan for IgG4-related disease

Hormonal therapy with medication for liver protection, bile evacuation, and nutritional support was initiated.


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

[User] Treatment plan for Lyme disease

The patient was treated with IV ceftriaxone for 7 days with complete resolution of his heart block and bradycardia. He was eventually discharged home on doxycycline for 21 days to complete 28 days total with recommendations to follow up with cardiology as an outpatient.


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

[User] Treatment plan for MCAD deficiency

She was treated for the systemic infection and monitored closely throughout her hospital stay.


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

[User] Treatment plan for MWS

The patient was initiated on appropriate management and treatment for MWS. The hospital team offered genetic testing for other family members, but they have not consented for it.


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

[User] Treatment plan for Meniere's disease with amblyopia

It was noted that the patient had left eye amblyopia which may have affected right eye recorded vHIT responses. Further research is needed to investigate the possible effect of contralateral amblyopia on vHIT testing and to consider patient age in saccade and saccade-like response examination during head impulse testing.


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

[User] Treatment plan for Mixed connective tissue disorder

The patient was administered methylprednisolone and cyclophosphamide pulse therapy.


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

[User] Treatment plan for P. vivax malaria infection

She was treated with quinine, doxycycline, and primaquine. Her fever resolved, and she appeared to be clinically stable, leading to her discharge from the hospital on November 23.


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

[User] Treatment plan for PGCG

A multidisciplinary team consisting of a dermatologist, ophthalmologist, geneticist, and maxillofacial surgeon followed the patient. No changes in the patient's clinical status have been observed to date, and the PGCG demonstrated no recurrence.


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

[User] Treatment plan for Pasteurella multocida infection

The patient was started on Imipenem. Laboratory work showed improving leukocytosis and repeat blood cultures were negative the next day.


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

[User] Treatment plan for Pompe disease

The patient was not discharged, and the treatment plan has not been provided.


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

[User] Treatment plan for S. argenteus infection

Intravenous cefuroxime, oral cefuroxime, intravenous piperacillin/tazobactam, oral clindamycin, flucloxacillin


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

[User] Treatment plan for SAPHO syndrome

The patient was administered salazosulfapyridine 1000 mg/day and nonsteroidal anti-inflammatory drugs as required.


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

[User] Treatment plan for T4, N2, M1 adenocarcinoma

The patient was treated with systemic polychemotherapy but passed away 2 months after the initial diagnosis.


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

[User] Treatment plan for UCTD

Prednisolone was started. The patient reported complete resolution of symptomatic and laboratory abnormalities following treatment.


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

[User] Treatment plan for VBDS

The patient was administrated with ursodeoxycholic acid, polyene phosphatidylcholine, and bicyclol.


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

[User] Treatment plan for acute respiratory distress syndrome

The patient's hospital course was marked by ventilation support for 17 days starting from day two of admission.


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

[User] Treatment plan for advanced gastric cancer with HER2 positivity

The patient was treated with capecitabine, cisplatin, and T-mab combination chemotherapy and showed a decrease in tumor markers, AST, and ALT levels.


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

[User] Treatment plan for aspiration pneumonia

Piperacillin/tazobactam was initiated for the treatment of aspiration pneumonia due to P. aeruginosa


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

[User] Treatment plan for cardiac decompensation and valve degeneration

In the course of treatment, Morganella morganii was identified in blood cultures and treated with piperacillin/tazobactam. The patient's condition improved for a time, but on day 27 after surgery, Burkholderia cepacia complex (BCC) was found in respiratory specimens. At this point, the antibiotic treatment was changed to ceftazidime and tobramycin.


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

[User] Treatment plan for carious lesions

A treatment plan was developed to restore the patient's carious lesions.


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

[User] Treatment plan for celiac artery dissection

He was admitted to the vascular surgery department for conservative treatment with intravenous heparin for anticoagulation.


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

[User] Treatment plan for chylous ascites

One day after starting oral intake (4 days after surgery), chylous ascites was drained. After conservative treatment, the patient was discharged 19 days after the surgery.


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

[User] Treatment plan for circumferential HGM in the cervical esophagus

His throat symptoms improved quickly by acid suppression therapy with PPI.


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

[User] Treatment plan for compartment syndrome

Bilateral upper-extremity fasciotomies were performed to relieve pressure and reduce pain. The procedure resulted in immediate pain reduction. The patient was monitored in the ICU for three days before being transferred to the general medical/surgical floor.


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

[User] Treatment plan for congenital heart disease with mitral arcade

No treatment or medication plan was administered. There were no major complications observed or reported during the hospital stay.


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

[User] Treatment plan for coronary artery disease

The patient should follow up with his cardiologist for further management of his coronary artery disease.


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

[User] Treatment plan for dedifferentiating pleomorphic leiomyosarcoma

The patient underwent exploratory laparotomy with excision of the mass, en bloc right hemicolectomy, and small bowel resection.


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

[User] Treatment plan for dengue fever

The patient was advised to continue with supportive care, which included analgesics, bed rest and fluid therapy.


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

[User] Treatment plan for dermatomyositis

The patient was prescribed amoxicillin with clavulanic acid (875 mg/125 mg) by her general practitioner 3 weeks prior to presentation for skin infections due to persistent scratching. Thyroxine 100 µg daily, amitriptyline 35 mg at night, paracetamol with codeine (500 mg/30 mg) one tablet three times a day as needed and fenofibrate 145 mg/day (patient self-commenced 1 week prior to admission following it being prescribed 1 year ago but never commenced) were her medications on admission.


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

[User] Treatment plan for disseminated Nocardia asiatica infection

The patient was started on a treatment plan of imipenem, amikacin, and TMP-SMX for a minimum of 9-12 months.


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

[User] Treatment plan for drug-associated retinopathy

Treatment with prednisolone acetate and cyclopentolate ophthalmic drops were initiated, and the patient's condition improved.


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

[User] Treatment plan for ectopically placed left kidney

No treatment was required, and the patient was discharged in stable condition.


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

[User] Treatment plan for foreign body granuloma

The patient was discharged in good condition after recovery from partial liver resection surgery. Follow-up outpatient visits were scheduled with the specialist for further treatment, as needed.


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

[User] Treatment plan for hepatic abscess

The patient was treated with IV fluids and antibiotics. CT-guided biopsy and Jackson-Pratt drainage tube placement were done.


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

[User] Treatment plan for hereditary metabolic disease

CDCA treatment (250 mg 3 times per day) was initiated for the patient.


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

[User] Treatment plan for high-grade pleomorphic liposarcoma

The patient was discharged on 24 October 2007 with systemic treatment initiated (Ifosfamide 9 g/sqm + epirubicin 120 mg/sqm + G-CSF).


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

[User] Treatment plan for high-risk pregnancy

The patient was referred for routine prenatal care. The patient was advised to follow up with her obstetrician for routine prenatal care.


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

[User] Treatment plan for hypertension and dyslipidemia

The patient was discharged with prescriptions for medications for hypertension and dyslipidemia.


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

[User] Treatment plan for iatrogenic aortic dissection

The patient was assessed by the vascular surgery team in the ED. Blood pressure medications were adjusted and she was admitted to the cardiac intensive care unit.


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

[User] Treatment plan for infant bronchopneumonia

The patient was treated with antibiotic therapy for ten days which improved the symptoms, and the patient was discharged in relatively good condition.


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

[User] Treatment plan for infantile atypical Kawasaki disease

The patient was started on intravenous immunoglobulin but unfortunately passed away on the third day of admission. Further management and treatment plans were not applicable due to the patient's unfortunate outcome.


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

[User] Treatment plan for inoperable hypercortisolemia

The patient participated in a 24-week, phase 3 clinical trial of mifepristone for inoperable hypercortisolemia. The treatment plan was modified, and the patient was provided with a 12-month extension phase with mifepristone therapy and discontinued with octreotide LAR.


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

[User] Treatment plan for malignant melanoma

The patient received combined systemic chemotherapy and nivolumab as first- and second-line treatments, respectively.


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

[User] Treatment plan for malignant mesothelioma

The patient underwent neoadjuvant chemotherapy, but right pleural and fissural thickening was found to have progressed on CT scan. The patient then underwent right extrapleural pneumonectomy.


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

[User] Treatment plan for mandibular tori

The patient was discharged without any medication or follow-up instructions, as the tori had no therapeutical consequence.


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

[User] Treatment plan for non-small cell lung cancer

The patient was educated on ways to improve his memory and advised to follow-up with his oncologist for further management of his NSCLC.


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

[User] Treatment plan for patient with hepatic hemangioma

A regular follow-up was advised. The patient was advised to follow the recommended follow-up schedule.


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

[User] Treatment plan for patient with hepatic metastases

Upon admission, he received gemcitabine by fixed dose rate infusion and docetaxel since he had already approached his lifetime limit of doxorubicin.


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

[User] Treatment plan for periampullary carcinoma

The patient was started on oral steroids for optic neuritis but later found to have periampullary carcinoma. Unfortunately, the patient died before any treatment could be initiated for the carcinoma.


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

[User] Treatment plan for poorly differentiated squamous cell carcinoma in nasal cavity

The patient received postoperative IMRT 60 Gy in 30 fractions to her sinuses and was prescribed to a dose of 60 Gy.


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

[User] Treatment plan for primary hepatic angiosarcoma

The patient was not started on any active treatment due to poor condition.


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

[User] Treatment plan for probable CAA

Throughout the patient's hospitalization, a standard management of ICH was administered. Additionally, cognitive enhancer drugs and rehabilitation were prescribed for follow-up treatment.


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

[User] Treatment plan for progressive neurological disease

Despite extensive testing, no specific etiology was established. The patient was discharged with a diagnosis of progressive neurological disease, based on the observed symptoms and the progression of the illness.


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

[User] Treatment plan for rectal carcinoma with adrenal metastasis

He received 12 cycles of adjuvant chemotherapy with FOLFOX4 schedule. The patient was advised to follow up with the oncologist as per their recommended schedule and to report any symptoms immediately.


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

[User] Treatment plan for septic embolisms

Empirical antibiotic therapy was initiated, but the patient had multiple arterial thromboses and septic embolisms, leading to her unfortunate demise on day 170.


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

[User] Treatment plan for septic shock and multiorgan failure

Treatment with fluid resuscitation and anti-infection therapy was initiated.


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

[User] Treatment plan for sigmoid colon perforation

The patient underwent laparoscopic lavage and diverting ileostomy as the first-stage surgery, laparoscopic sigmoidectomy as the second-stage surgery, and ileostomy closure and incisional hernia repair as the third-stage surgery.


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

[User] Treatment plan for skeletal metastases

Palliative care was initiated to alleviate any pain and discomfort associated with the skeletal metastases.


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

[User] Treatment plan for slow-flow venous malformation

The patient was administered appropriate medications and advised on necessary precautions to manage the symptoms effectively.


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

[User] Treatment plan for solid intraosseous adenoid cystic carcinoma

Considering the size and bilateral extension of the tumor, subtotal mandibulectomy with bilateral suprahyoid neck dissection was planned without complications. Appropriate post-operative radiotherapy was given, and the patient was further advised to follow up regularly after the procedure.


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

[User] Treatment plan for statin-associated myalgia

The patient was treated with prednisone and MTX, with the addition of azathioprine 100 mg/day due to persistent symptoms after four months. Over the following eight months, the patient's weakness worsened, prompting a change to rituximab infusions every two weeks. After the rituximab infusions, the patient was maintained on MMF 2 g and experienced remission for four years, after which symptoms flared again with a CK level of 1,800 IU/L.


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

[User] Treatment plan for subcutaneous swelling on right pinna

The patient was monitored for 24 hours. No medication, surgery or other treatment was required.


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[User] Treatment plan for the patient

Unfortunately, the patient's case report has not provided information on her hospitalization course, her treatment, or prognosis.


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

[User] Treatment plan for the patient's condition

The diagnosis of bilateral ODD was explained to the patient, and she was discharged from the hospital.


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

[User] Treatment plan for the soft palate mass

The mass was resected, and the defect of the soft palate was treated by primary closure without reconstruction.


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

[User] Treatment plan for vertebral osteomyelitis following TRUS

The patient responded well to a six-week course of IV ampicillin and gentamicin, with full resolution of symptoms.


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

[User] Treatment plan for villotubular adenoma with focal adenocarcinoma

The patient's case is being referred to the appropriate medical specialist for further treatment.


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

[User] Treatment protocol for misplaced NG tube

The NG tube had been immediately removed and PEEP was decreased to 5 cmH2O. Over few minutes, the patient became progressively hypotensive and hypoxic, requiring higher doses of norepinephrine infusion and FiO2 of 60% to maintain 95% saturation. Right sided chest tube was inserted and the repeated X-ray revealed new subcutaneous emphysema.


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

[User] Treatment response and outcome

Treatment for CML was initiated, and the patient slowly started to show signs of improvement. The pleural effusion showed a gradual decline and completely disappeared within three months.


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

[User] Treatment to reduce restlessness

The patient was managed with benzodiazepine medication to reduce restlessness. She improved slowly, with serial mental status evaluations.


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

[User] Treatment-resistant mania symptoms

She was readmitted for her fifth episode, which was severe and treatment-resistant. However, after 85 days of hospital treatment, she showed partial remission with a combination of medications.


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

[User] Treatments for Vesicobullous Systemic Lupus Erythematosus

The patient was started on prednisolone, hydroxychloroquine, hematinics, and complete sunprotection. Dapsone was added later when there was only partial improvement and new lesions kept developing.


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

[User] Treatments for left paramedian pontine infarct

Prednisone and clopidogrel were started, resulting in clinical remission


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

[User] Treatments for subarterial ventricular septal defect and high pulmonary hypertension

Palliative surgery (narrowing of the pulmonary artery) was carried out at the age of five months, during which, absence of thymus was found.


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

[User] Treatments options for disseminated blastomycosis

Treatment included Intravenous amphotericin B followed by Amphoteracin-B Lipid complex. The patient was placed on oral itraconazole, 200 mg per day for 18 months as per IDSA guidelines for disseminated blastomycosis, with monitoring for blood levels once per month.


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

[User] Trichobezoar treatment options

The patient was preceded for exploratory laparotomy with gastrotomy and removal of the trichobezoar.


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[User] Trichoblastoma symptoms

The patient presented to our clinic with a scalp lesion that gradually increased in size over the past year.


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[User] Trichophyton rubrum treatment options

Antifungal susceptibility tests revealed the sensitivity to terbinafine, itraconazole, and fluconazole.


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[User] Tricuspid regurgitation diagnosis methods

TTE and TEE showed severe tricuspid regurgitation and a large single vegetation on the atrial surface of anterior leaflet.


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[User] Triple A syndrome symptoms

The patient was admitted with a history of multiple respiratory infections and episodes of nonbloody, nonbilious emesis.


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[User] Trisomy X and Systemic Lupus Erythematosus treatment

She was treated with intravenous methylprednisolone pulse therapy with heparinization, monthly cyclophosphamide treatment, and prednisolone. Belimumab was added for remission maintenance, but no positive effect was observed.


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[User] Tubercular appendicitis symptoms and diagnosis

The patient presented with acute abdominal pain in the right iliac fossa, which was diagnosed as tubercular appendicitis. The patient underwent an appendectomy, which resulted in the identification of an inflamed appendix measuring 6 cm in length. On gross, a fecolith obstructing the lumen was identified. On microscopic examination, tubercular granulomas were observed in the vicinity of serosa.


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[User] Tubercular appendicitis treatment outcomes

The patient demonstrated a positive response to the treatment, and no adverse effects were reported. The patient was discharged in good health.


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[User] Tuberculomata symptoms

The patient experienced significant functional and cognitive impairment, and was unable to live independently due to ataxia, left hemiplegia and expressive dysphasia.


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[User] Tuberculosis of the left trochanteric bursa symptoms

The patient was admitted to the hospital with a complaint of pain and swelling on the lateral aspect of the left hip. A fluctuant swelling with a dimple of healed sinus was present on the lateral aspect of the left hip.


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[User] Tuberculous pleurisy diagnosis criteria

A diagnosis of tuberculous pleurisy was made based on a lymphocytic effusion and positive pleural fluid MTB polymerase chain reaction assay.


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[User] Tuberculous pleurisy treatment options

The patient completed six months of anti-TB therapy.


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[User] Tuberculum sellae meningioma symptoms

The patient was admitted with progressive deterioration of visual function in her left eye. Serial visual field examinations with stimulus V showed loss of three quadrants in the left eye, with only the superonasal quadrant showing a good degree of preservation.


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[User] Tuberculum sellae meningioma treatment options

The patient underwent a left pterional craniotomy, during which the tumor was removed completely, and the visual apparatus was decompressed.


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[User] Tumor marker levels during sorafenib therapy

After four months of sorafenib administration, the patient achieved a complete response, with decreased tumor markers, including normalization of AFP and DCP levels, and disappearance of the lung metastases.


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[User] Tunnel Cluster treatment options

The patient underwent laparotomy to remove the residues of the uterine and cervix and bilateral salpingo-oophorectomy.


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[User] Turner Syndrome complications

She had an enlarged right superior parathyroid gland that was surgically removed. Additionally, the patient had issues with her urinary tract and kidneys that required ureteroscopy and stone extraction. ...The patient also experienced difficulties with bipolar disorder, dyscalculia, bilateral kidney malrotation, steatohepatitis, and an episode of hemorrhagic gastritis.


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[User] Turner syndrome ovarian function

The ovarian reserve was monitored closely, and the patient was informed of the risks associated with TS.


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[User] Turner's hypoplasia of upper central incisors with proximal caries symptoms

The patient presented to the conservative dentistry clinic with complaints of mutilated front teeth compromising esthetics, which was attributed to a history of trauma to the deciduous teeth at one year of age.


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[User] Tympanosclerosis vs cholesteatoma diagnosis

The differential diagnosis included tympanosclerosis, cholesteatoma, or less likely tumor. ... The middle ear and epitympanum were otherwise aerated, and despite its size and contact with the medial bony ear canal, the CT found no evidence of bone erosion.


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[User] Type 1 Myotonic Dystrophy symptoms

The patient, a 41-year-old Hispanic female diagnosed with type 1 myotonic dystrophy, was admitted for ophthalmologic examination due to progressive vision loss.


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[User] Type 1 diabetes management with CGM

The retrospective CGM summary graph of the previous 3 days showed asymptomatic and undetected overnight low blood sugar levels in the 60–80 mg/dL range and low blood sugar levels beginning 1–2 hours after exercise in the evening. The patient and her family were instructed on the intermittent use of CGM which may detect asymptomatic and unrecognized nocturnal hypoglycemia when bedtime blood glucose checks are poor predictors.


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[User] Type 2 diabetes mellitus treatment

Upon admission, the patient's chronic medications were metformin, enalapril, hydrochlorothiazide, and simvastatin. Short-acting human insulin and intravenous fluid were previously administered at each of his primary care physician visits.


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[User] Type 2 diabetes symptoms

The patient presented with symptoms of polyuria, polydipsia, fatigue, and blurred vision, and was diagnosed with type 2 diabetes.


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[User] Type 2 diabetes treatment with sitagliptin

During his hospital stay, sitagliptin was added to the patient's therapeutic regimen, resulting in a net reduction in HbA1c level from 7.5% to 6.5% (1.0% reduction) at six weeks. At that point, the insulin dose was decreased by 2U before each meal and at bedtime.


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[User] Type 2 lung agenesis diagnosis

The patient was diagnosed with Type 2 lung agenesis after undergoing several diagnostic tests including CT thorax, bronchoscopy, bronchogram, and pulmonary angiogram.


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[User] Type A aortic dissection follow-up care

Two years later, another angio-CT was performed which demonstrated a normal perfusion of the distal aorta and normally functioning elephant trunk, totally attached to the native descending thoracic aorta.


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[User] Type A aortic dissection treatment

The patient was treated with cardiopulmonary bypass and retrograde cerebral perfusion during surgery. A Hemashield graft was selected and implanted between the descending thoracic aorta and the circular free edge of the extroverted cuff of the graft.


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[User] Type II CEPS symptoms

There were no relevant symptomatology.


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[User] Type II CEPS treatment plan

The trauma team conducted a series of investigations and imaging studies, including a CT scan to evaluate the traumas. He was subsequently diagnosed with Type II CEPS which was draining into the left renal vein.


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[User] Type II dens fracture treatment

The patient was treated with a rigid neck brace.


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[User] Type II odontoid fracture treatment options

Possible treatment options were nonsurgical management in a halo vest as well as surgical management.


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[User] Type III OI treatment options

The patient underwent bilateral staged femoral reconstructions with humeral nail insertion in three separate operations, between August 2014 and March 2016. The patient had previous bilateral leg deformity and corrective osteotomy.


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[User] Type-1 Thanatophoric Dysplasia symptoms

No specific symptoms were mentioned, but nucleotide sequence analysis of cDNA for twin B revealed a heterozygous 742C->T (R248C) mutation in the FGFR3 gene.


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[User] Types of adenocarcinoma

The final pathology of the resected mass was positive for mucinous adenocarcinoma arising within a cystic hamartoma.


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[User] Types of antibiotics given to the patient before referral

The patient had a history of two courses of antibiotics prior to being referred to our care for the presenting complaint.


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[User] Types of bacteria that caused the infection

The infection was caused by Staphylococcus and Pseudomonas and was treated with antibiotics.


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[User] Types of imaging used for diagnosis

The patient underwent a panoramic radiograph, Doppler USG imaging, and CECT imaging to confirm signs of slow-flow venous malformation with involvement of the left parotid.


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[User] Types of myospherulosis treatments

The patient underwent an operation under general anesthesia, during which an S-shaped incision was made starting from the tip of the 12th rib, curving over the middle of the iliac crest, extending over the gluteal region, and ending just above the greater trochanter. Using iliac osteotomy, the dumble-shaped tumor was removed.


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[User] U500 insulin pump therapy dosage

The use of U500 insulin permitted larger daily amounts to be delivered to overcome the insulin resistance, and required replenishing insulin once every three days rather than daily basis.


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[User] UCTD symptoms and diagnosis

The patient presented to the department with distal myalgia in both forearms, bilateral tibiotarsal arthritis and intermittent fever six months after meningococcal group C vaccination. Due to positive ANA and increased levels of C3, an initial diagnosis of UCTD was assumed.


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[User] UGI series and CT scan results

a marked dilatation of the whole duodenum and an abrupt obstruction


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[User] UKR surgery complications

One year after the first UKR surgery, the patient fell down while getting on a public bus and felt an incredible pain, prohibiting the flexion and/or extension of the medial side of the right knee. She was diagnosed with a grade 3 MCL rupture and the UKR insert dislocation.


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[User] US-guided prostate biopsy results

The patient underwent a US-guided prostate biopsy, which showed granulomatous chronic prostatitis with fungal structures consistent with genitourinary PCM.


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[User] UTROSCT prognosis

The patient has recovered from the surgical procedures and remains asymptomatic one year after the second surgery. The patient's prognosis will continue to be monitored through regular follow-up visits and tomography scans.


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[User] UTROSCT symptoms

A 6-month history of intense vaginal bleeding associated with abdominal pain and vaginal discomfort over the previous week.


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[User] UTROSCT treatment options

The patient underwent vaginal myomectomy followed by a total abdominal hysterectomy with bilateral salpingo-oophorectomy.


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[User] UVB 311 nm phototherapy for granuloma annulare

The patient was treated topically with mometasone and underwent UVB 311 nm phototherapy during hospitalization, which achieved substantial improvement regarding skin lesions associated with granuloma annulare.


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[User] Ulcer treatment and management plan for the patient

The patient was prescribed a brief course of methylprednisolone 4 mg/day for 4 weeks and a preventive antibiotic therapy with amoxicillin/clavulanate acid 1000mg/day for 6 days, which showed some beneficial effects on ulcer healing.


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[User] Ulcerative colitis symptoms

The patient reported intermittent diarrhea of 6 years duration, which increased in frequency and duration recently, characterized by tenesmus, no hematochezia, pus, or worms.


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[User] Ulcerative colitis treatment

The patient received Azathioprine, prednisone, and mesalamine with good compliance. On follow-up, there was improvement in bowel condition as well as observed hair re-growth.


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[User] Ultra-Short Hirschsprung Disease diagnosis procedure

A water-soluble contrast enema was performed to evaluate the segments of the bowel and rectum.


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[User] Ultra-Short Hirschsprung Disease treatment options

Treatment consisted of transanal myectomy of the internal anal sphincter.


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[User] Ultrasonography in pulmonary embolism treatment

In the cardiac catheter laboratory, a single ultrasound catheter was inserted into the left pulmonary artery, and a total of 14 mg of alteplase was infused over 24 h through the device.


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[User] Ultrasound scan results for the patient's eyes

Ultrasound scan of the patient's eyes showed a large retinal detachment in the left eye with no macular sparing. No vitreous hemorrhage was detected on the same scan, and there were no elevated intracranial pressure findings.


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[User] Ultrasound-guided biopsy complications

One day after confirming the CT results, an ultrasound-guided biopsy of the tumorous infiltration of the greater omentum was performed. The fine needle aspiration revealed malignant mesothelial cells, which were similar to the aspirated cells in the right pleura.


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[User] Umbilical catheter placement complications

The placement of an umbilical catheter was attempted which was later determined to be in an unusual position via radiology and ultrasound imaging.


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[User] Undifferentiated carcinoma diagnosis

Vaginal tumors were biopsied, and the histological examination showed undifferentiated carcinoma of unknown origin with possible adenocarcinoma. Serum levels of tumor markers were elevated.


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[User] Undifferentiated embryonal sarcoma treatment options

Segmentectomy (segments 5 and 6), along with cholecystectomy and resection of the omentum, and MAID chemotherapy initiated for the recurrent mass on segments 6 and 7 on the remnant right hepatic lobe.


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[User] Unexplained loin pain diagnosis

No specific cause for the pain was identified. Physical examination revealed severe tenderness in the subcostal area, which was reproduced by the hooking maneuver.


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[User] Unilateral Vogt-Koyanagi-Harada disease symptoms

A 14-year-old male with sudden decrease in vision in the right eye was admitted to the hospital. SLE showed disc edema and serous retinal detachment with subretinal precipitates at the posterior pole in the right eye.


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[User] Univacuolated adipocytic cells characteristics

The specimen was tested with immunohistochemical staining for S100 and Ki-67, which showed the adipocytic and hibernoma cells to be immunoreactive for S100, while Ki-67 immunoreactivity was virtually absent.


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[User] Upcoming follow-up appointment details

A follow-up appointment with her primary care physician was scheduled in two weeks to assess her condition.


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[User] Upper bile duct cancer diagnosis

Multidetector computed tomography scan, abdominal ultrasonography, and magnetic resonance cholangiopancreatography also revealed abnormalities consistent with an upper bile duct cancer extending to the hepatic hilum.


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[User] Ureteral stone treatment options

The patient underwent ureteroscopy to remove the obstructing stone, and a DJ stent was inserted.


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[User] Urethral hemangioma recurrence rate

At 1 year and 5 years of follow-ups, no bleeding occurred during or after penile erection, no gross hematuria recurred, and penile erection and voiding were normal.


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[User] Urethral hemangioma treatment options

Pingyangmycin was injected into the lumen and basal side of the tumor under the urethroscope.


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[User] Urgent thoracotomy procedure

A diagnosis of esophageal perforation was established, and the patient was immediately prepared for an urgent thoracotomy. Preoperative esophagoscopy confirmed the presence of the dentures in the middle part of the esophagus. Esophagotomy was performed at the perforation site, and the dentures were removed.


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[User] Uric acid-lowering medication side effects

No specific information about side effects is provided in the note, but the patient was restarted on his uric acid-lowering medication upon discharge.


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[User] Urinary retention treatment options

The patient underwent a percutaneous nerve evaluation, which failed. The patient proceeded to a staged implant and postoperative programming was performed using bipolar settings under ECG monitoring.


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[User] Urinary tract infection treatment

The patient was diagnosed with an appendiceal abscess and an associated urinary tract infection. The patient's condition improved following surgery and treatment with anti-inflammatories, analgesics, and antibiotics.


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[User] Use of corticosteroids in treatment

The patient's symptoms progressively improved with continued anti-Toxoplasma therapy, ART and a corticosteroid taper (initially dexamethasone 4 mg every 6 hours for days, tapered to oral prednisone 2.5 mg per day, over a six-week period).


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[User] Usher syndrome symptoms

The patient presented to our clinic with a referral for suspected Usher syndrome. She has a history of concomitant high frequency hearing loss and mild loss in visual acuity.


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[User] Uterine carcinosarcoma treatment options

She underwent laparotomy with surgical excision of the masses, hysterectomy, omentectomy, and salpingo-oophorectomy. The final pathology report showed a poorly differentiated endometrial adenocarcinoma with myometrial invasion and involvement of cervix. She completed six cycles of adjuvant chemotherapy consisting of carboplatin and paclitaxel.


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[User] Uterine carcinosarcoma with involvement of the cervix symptoms

The patient was admitted to the emergency department with vaginal bleeding and associated symptoms of dizziness, nausea, fatigue, and dyspnea on exertion. The biopsy report confirmed a high-grade uterine carcinosarcoma with involvement of the cervix and extensive spindle cell proliferation suggesting a sarcomatous component.


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[User] Uterine didelphys diagnosis

Sonographic imaging of the pelvis showed double cervix and uterus suggestive of uterine didelphys. The right uterus was bulky and contained minimal endometrial collection, and complex right adnexal mass was visualized.


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[User] Uterine didelphys symptoms

The patient presented with gradually progressive, continuous, and dull-aching right lower quadrant abdominal pain, right hip joint pain, and fever associated with chills.


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[User] Uterine dysplasia symptoms

The patient presented with lower abdominal pain that had gradually worsened over the course of one year.


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[User] Uterine fibroid and fetal development

During a routine ultrasound in the 16th week of gestation, a pregnant patient was found to have decreased fetal movements and fetal malformation consisting of postural deformity of both lower limbs associated with a uterine fibroid. An ultrasound investigation verified the presence of two intramural uterine myomas.


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[User] Uterine fibroids treatment options

The uterus was removed by total abdominal hysterectomy with bilateral salpingo-oophorectomy. The weight of the uterus was 3.8 kg.


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[User] Uterine septum treatment options

Laparoscopic resection of a functioning non-communicating left rudimentary horn and salpingectomy were performed.


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[User] Uterine torsion diagnosis

Imaging studies revealed calcified uterine fibroids consistent with a myomatous uterus. Transvaginal ultrasonography revealed a thin endometrium, and endometrial biopsy was deemed unnecessary. An emergency surgery was performed, revealing uterine torsion and total infarction as a result of a 360-degree clockwise rotation of the uterus at the isthmus level.


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[User] Uterus bicornis unicollis diagnosis

The patient underwent abdominal hysterectomy due to persistently abnormal Pap smears with difficult colposcopy, revealing a uterus bicornis unicollis with no endometrial tissue or lumen identified in fused portion and separate cornua of the uterus.


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[User] Uterus didelphys anomaly symptoms

The patient presented to the maternity ward at 38 weeks’ gestation with a spontaneous rupture of membranes. Gynaecological examination revealed a longitudinal septum separating the vagina and two cervixes.


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[User] Uterus didelphys anomaly treatment options

Sixteen hours after admission, delivery was continued via Caesarean section due to irregular birth activity.


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[User] VA-ECMO complications in pediatric patients

She was started on venoarterial extracorporeal membrane oxygenation (VA-ECMO) but developed left limb ischemia, requiring revision of the reperfusion catheter.


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[User] VATS left upper lobectomy complications

The patient had an uneventful recovery and was discharged home on postoperative day 4.


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[User] VATS right middle lobectomy post-operative care plan

The patient was instructed to return for follow-up appointments as scheduled. The patient was discharged with appropriate medications and a follow-up plan was developed.


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[User] VIP-secreting pheochromocytoma symptoms

Persistent and progressive watery diarrhea for six months with elevated white blood cell count, hypercreatinemia, hypokalemia, metabolic acidosis, hypoxia, and loss of consciousness.


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[User] VKH diagnosis criteria

The patient was diagnosed with VKH based on the presence of meningeal irritation, serous retinal detachment, and no history of ocular trauma or surgery.


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[User] VLCAD deficiency diagnosis

The patient underwent a comprehensive analysis, which suggested VLCAD deficiency as the cause of rhabdomyolysis precipitated by exercise.


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[User] VOC exposure limits at the workplace

Tests for volatile organic compounds (VOC) at her workplace were carried out on November 19, 2015, and revealed that three out of 18 air samples of different work task sites at the manufactory exceeded the Belgian time-weighted average (TWA; 8 hours) of 77 mg/m3 for toluene (90, 94, and 113 mg/m3).


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[User] VP shunt complications

The diagnosis of abdominal CSF pseudocyst was highly suspected, and the distal segment of the peritoneal shunt catheter was located within the cystic mass. The shunt malfunction was diagnosed during the operation.


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[User] VP shunt insertion complications

The patient presented with increasing pain in the right upper quadrant and a skin lump since the insertion of a VP shunt 9 months prior to treat normal pressure hydrocephalus.


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[User] VP shunt operation complications

The patient underwent a VP shunt operation despite underlying MSA, which led to improvements in gait and cognitive parameters.


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[User] VPS catheter extrusion treatment

A prophylactic antibiotic regimen was commenced and the entire shunt system was replaced with a Strata VPS. The distal peritoneal catheter was found to be adherent to the greater omentum and was detached through a small laparotomy by the pediatric surgeon.


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[User] VSD symptoms in adolescents

On the parasternal long axis view, the VSD was confirmed and a septation in the left atrium was noted. According to post-mortem autopsy results, the patient had a large VSD, CTS, and evidence of biventricular heart failure.


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[User] VT ablation complications

During the VT ablation, the catheter moved freely until it became stuck. Fluoroscope suggested an extracardiac position. Contrast injection via the irrigation port of the catheter confirmed pericardial staining, but it only became apparent on further withdraw of the catheter that the catheter was inside a coronary vein. Transthoracic echocardiography confirmed the intubation of basal LV wall with the catheter tip which exited into the epicardial space. The catheter was removed without any further sequelae.


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[User] VT ablation with 3D-EAM under general anaesthesia post-operative care

The patient was discharged in stable condition. The patient underwent a VT provocation test at 5-month follow-up with a negative result.


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[User] VT provocation test follow-up

The patient underwent a VT provocation test at 5-month follow-up with a negative result.


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[User] Vaccination recommendations for KLS patients

The patient was counseled on potential risks and benefits of routine vaccinations, and advised to seek expert medical guidance for the administration of any future vaccinations.


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[User] Vaccination treatment for NSCLC

The patient was treated for seven months with CIMAvax EGF plus nimotuzumab for NSCLC. Re-immunizations with CIMAvax EGF were given monthly.


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[User] Vaccine-associated adverse event symptoms

The patient presented with symptoms of fever, chills, non-productive cough, dyspnea, sore throat, and diarrhea, along with a morbilliform skin rash of the chest after receiving yellow fever, hepatitis A, and meningitis A, C, Y, W135 vaccination on both arms on the same day.


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[User] Vaginal intraepithelial neoplasia management

The patient will require continued follow-up with a gynecologist for management of vaginal intraepithelial neoplasia (VAIN) III.


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[User] Valsalva action causing pre-retinal hemorrhage

The patient was diagnosed with pre-retinal hemorrhage due to Valsalva action by the ophthalmology team.


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[User] Vancomycin dosage

The patient was continued on Vancomycin and underwent a 12-week course of intravenous Vancomycin.


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[User] Variations in the neck arteries of an 88-year-old Japanese male

During the procedure, variations in the neck arteries were observed. The right subclavian artery (SCA) originated at 19.7 mm from the origin of the brachiocephalic artery and showed branching of the vertebral artery and the inferior thyroid artery.


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[User] Varicella infection treatment with compromised liver function

Immediate intravenous therapy with acyclovir (30 mg/kg BW/d) was started and prednisolone was discontinued, but the patient's condition worsened with decreasing liver function tests and signs of disseminated intravascular coagulation.


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[User] Vascularization of PED treatment options

Despite ongoing anti-vascular endothelial growth factor therapy, the findings on FA and composite OCT scan indicated persistent vascularization of the PED.


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[User] VeIP regimen side effects

The patient experienced severe abdomen pain and constipation, which he was treated for with laxatives, enema and pain relief medication, including fentanyl infusion.


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[User] Venous Stent Surgery complications

The patient's symptoms of headaches and tinnitus immediately improved after the procedure. She was discharged home on postoperative day 1 in good condition.


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[User] Venous-arterial extracorporeal membrane oxygenation ECMO indications

Venous-arterial extracorporeal membrane oxygenation (ECMO) support was initiated in the emergency room due to the sustained VF.


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[User] Ventilator weaning process

The patient failed withdrawal from mechanical ventilation due to ICUAW and persistent atrial fibrillation and suffered from ventilator-associated pneumonia. However, the patient was successfully weaned from ventilation on day 74.


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[User] Ventilator-associated pneumonia treatment

The patient was diagnosed with ventilator-associated pneumonia (VAP) with Klebsiella pneumoniae and Pseudomonas otitidis detected in the sputum culture test. The patient's antibiotic was changed from ampicillin/sulbactam to meropenem to treat the VAP.


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[User] Ventricular septal defect treatment in infants

Echocardiography showing a ventricular septal defect, pericardial effusion, and persistent pulmonary hypertension of the newborn (PPHN).


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[User] Ventricular tachycardia symptoms after ablation

Unfortunately, the patient died of incessant VT a year after the ablation procedure. Postmortem examination of the heart revealed a 6 cm × 5 cm × 2 mm anterior aneurysm with nontransmural fibrosis within two-thirds of the aneurysmal endomyocardium, corresponding to the ablation lesion.


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[User] Verruca vulgaris vs dermatofibroma symptoms

She underwent a complete excision of the lesion under the diagnosis of verruca vulgaris or dermatofibroma.


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[User] Vertebral fracture treatment options

Underwent vertebroplasty and posterior fixation surgery on day 6 of admission.


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[User] Vesicobullous Systemic Lupus Erythematosus symptoms

The patient presented with vesicobullous lesions involving head and neck, upper limbs, and trunk over both photo-exposed and unexposed areas. The patient also had painful oral ulcers and a history suggestive of Raynaud's phenomenon, arthralgias, photosensitivity, and intermittent episodes of mild to moderate fever.


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[User] Vesicoureteric reflux diagnosis

Vesicoureteric reflux was excluded based on a normal VCUG.


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[User] Vestibular rehabilitation therapy plan

A referral was made for vestibular rehabilitation therapy to help the patient manage any residual balance and dizziness problems.


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[User] Viral load monitoring in hepatitis B treatment

The patient's HBV DNA titer was high. However, after 43 months, the viral load had increased, and the levels of AST and ALT were also elevated. The patient was subsequently switched to entecavir with a regimen of 0.5 mg once daily, which lowered his viral load and normalized his AST and ALT levels.


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[User] Viscum Album injections benefits

She received supportive care including injections of Viscum Album, and reported significant improvement in symptoms.


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[User] Visible hematuria treatment

A robotic-assisted excision of the lesion and a partial cystectomy was performed after a repeat CTU showed the lesion contained thick calcified walls.


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[User] Visual acuity after endophthalmitis treatment

The patient's visual acuity improved from hand motions to 0.5 at the last visit 10 months post-treatment.


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[User] Visual acuity improvement after BDUMP diagnosis

Visual acuity progressively improved despite development of fibrotic lesions in the posterior pole of both eyes.


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[User] Visual acuity improvement post-injection

Follow-up showed ... improved visual acuity from 20/70 OD and 20/50 OS to 20/40 OU.


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[User] Visual field deficits symptoms

The patient was admitted for evaluation after presenting with visual field deficits while on a chronic hydroxychloroquine regimen for lupus erythematosus.


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[User] Visual symptoms in severe pallor in both optic discs

The patient's visual acuity was 20/100 in both eyes, with mydriatic pupils and decreased light reflex. Optic nerve head cup to disc ratio of 0.25 was observed in both eyes, and both optic discs showed severe pallor.


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[User] Vitamin B12 injection schedule

The patient received intramuscular 1 mg injections of vitamin B12 daily for 7 days and received injections every week for 3 weeks while hospitalized. The patient continued to receive injections every week for 2 weeks and every 2 weeks for another 4 weeks as an outpatient.


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[User] Vitamin C deficiency treatment

The patient was prescribed oral ascorbic acid (vitamin C) 250mg once daily alongside a tablet multivitamin. The family was introduced to behaviour modification strategies to broaden the patient's diet.


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[User] Vitamin D deficiency treatment in patients with parathyroid carcinoma

The patient was later referred to the endocrinology department for further testing. Blood tests revealed an increased serum intact parathyroid hormone level and vitamin D deficiency.


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[User] Vitreous hemorrhage treatment options

The patient underwent pars plana vitrectomy combined with lens extraction by phacoemulsification and artificial intraocular lens (IOL) implantation four months after her first visit, as medical management was refractory.


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[User] WHO Grade 2 ependymoma diagnosis procedure

The patient underwent a posterior cervical laminectomy, which revealed a glial neoplasm with hyalinized perivascular pseudorosettes with mild pleomorphism, consistent with a WHO Grade 2 ependymoma diagnosis.


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[User] WHO recommendations for yaws treatment

The patient has been treated with one dose of azithromycin (30 mg/kg body weight) by the study physicians as per WHO recommendations.


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[User] WNV fever treatment options

Treatment was not successful under multiple specialties. A trial of TNF-α-blocking agents was ordered, but this treatment was denied by the insurance company.


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[User] Waardenburg syndrome type 1 diagnosis

The patient was diagnosed with Waardenburg syndrome type 1 based on a confirmed PAX3 mutation in exon 2 on chromosome 2q35 and clinical features exhibited by the patient.


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[User] Waardenburg syndrome type 1 symptoms

The patient presented with lateral displacement of the inner canthus of both eyes with a medial eyebrow and a high broad nasal bridge. His best corrected vision was 20/25 on the right and 20/20 on the left with myopic correction.


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[User] Waldenstrom's Macroglobulinemia chemotherapy treatment

The patient underwent multiple cycles of chemotherapy for over a year, which helped to stabilize his blood counts.


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[User] Waldenstrom's Macroglobulinemia symptoms

The patient was diagnosed with Waldenstrom's Macroglobulinemia 2 years ago when he presented with complaints of diminution of vision. Further testing revealed serous retinal detachments in both eyes and retinal hemorrhages.


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[User] Waldenström macroglobulinemia treatment options

The patient underwent a treatment with 6 courses of R-mini Cyclophosphamide + Hydroxydaunorubicin + Onconvin + Prednisone (CHOP) chemotherapy.


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[User] Warfarin dosage after discharge

After a two-week hospital stay, the patient was discharged on warfarin 5 mg once daily, and the INR was maintained at 2.5.


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[User] Warfarin dosage during hospitalization

Upon admission, the patient was started on warfarin, and the dose was increased on day 3. ... The patient was discharged with instructions to continue taking 3 mg of warfarin daily.


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[User] Warfarin therapy for Löffler endocarditis

Intravenous heparin administration was started immediately after admission, followed by maintenance warfarin therapy. The dose of warfarin was adjusted to the therapeutic PT-INR range from 2.0 to 3.0.


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[User] Warm autoimmune hemolytic anemia symptoms

The patient was admitted with malaise, exertional breathlessness, night sweats and a headache. All investigations demonstrated severe anaemia with parameters consistent with haemolysis, which was confirmed to be warm autoimmune hemolytic anemia (AIHA).


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[User] Was adjuvant chemotherapy recommended by the oncologic consultation?

Oncologic consultation did not recommend adjuvant chemotherapy.


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[User] Was any follow-up care planned?

Considering this patient was a cadaver, no follow-up is necessary.


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[User] Was follow-up care provided to the patient?

No follow-up care was provided as the patient passed away.


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[User] Was the lesion malignant?

There were no features suggestive of malignancy, such as cytological atypia, atypical mitoses or necrosis.


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[User] Was the patient diagnosed with Marfan syndrome?

There were no signs of Marfan syndrome or homocystinuria. The criteria for Marfan syndrome and homocystinuria were ruled out.


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[User] Was the patient prescribed any medications at discharge?

Discharge Medications: Not Applicable.


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[User] Was the patient prescribed any medications upon discharge?

Discharge medications: None prescribed.


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[User] Was the patient screened for malignancy?

The patient's entire body was evaluated to exclude the possibility of melanoma at any other site.


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[User] Was the patient treated for any medical conditions during hospitalization?

No treatments were administered during the hospitalization.


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[User] Was the patient's condition fatal?

The patient's clinical status continued to deteriorate despite treatment and the patient died a month after admission due to respiratory insufficiency caused by pleural effusion.


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[User] Was the patient's condition improved after the first round of IVIG?

Following the first round of IVIG, the patient exhibited significant improvement and was discharged to closely follow-up in clinic.


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[User] Was the patient's condition resolved after treatment?

He developed no remarkable cognitive dysfunction. His mini-mental state examination (MMSE) score was 26.


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[User] Was the patient's condition stable during the caesarean section?

Patient's vitals were stable during the caesarean section.


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[User] Was the patient's family history relevant to the diagnosis?

The patient had no relevant family or medical history.


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[User] Was the patient's vision fully restored after treatment?

The patient was treated and followed up after 2 months, revealing a minimal self-perceived improvement in vision, with persisting scotoma.


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[User] Was there any follow-up care scheduled for the patient?

This patient did not survive to follow-up after hospital discharge.


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[User] Watson Jones approach technique

The surgery was performed by exposing the hip using an anterolateral (Watson Jones) approach. The femoral neck fracture was reduced and stabilized through the insertion of an angle blade plate inferiorly in the femoral neck and head under fluoroscopy.


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[User] Watson-Jones type IIIB avulsion fracture symptoms

None explicitly stated


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[User] Wegener's granulomatosis treatment options

The patient received pulse therapy of intravenous methylprednisolone and oral CP. This resulted in a subsidence of ocular inflammation and peripheral corneal ulceration with gutter appearance in the right eye.


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[User] Wells Syndrome symptoms

The patient was diagnosed with Wells Syndrome (WS), characterized by urticarial plaques, erythematous nodules, and vesicles.


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[User] Wernicke's encephalopathy symptoms

The patient presented to the department of surgery with persistent vomiting six weeks after private gastric sleeve surgery. She was found to have nystagmus, imbalance, and gait disturbance, which was severe enough to interfere with her activities of daily living.


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[User] Wernicke's encephalopathy treatment options

A prolonged course of high dose IV vitamin B1 (Pabrinex) was administered, which caused a gradual improvement in symptoms.


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[User] Wernicke-encephalopathy diagnosis criteria

Neurological examination revealed ophthalmoplegia, nystagmus, and ataxia. Blood tests showed a low thiamine concentration. Brain magnetic resonance imaging (MRI) revealed high-intensity lesions in specific brain regions.


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[User] West Nile Virus IgM test results

The patient was empirically treated for bacterial and viral meningitis, however, all cultures and tests were negative except for WNV IgM in CSF on day 7.


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[User] West Nile Virus meningitis symptoms

The patient presented with fever, chills, rigors, myalgia, worsening hand tremors, lower extremity weakness, and difficulty in walking.


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[User] What abnormalities were observed in the patient's facial nerves?

Both facial nerves exhibited abnormal lateral courses.


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[User] What activities should the patient avoid after surgery?

The patient was instructed to continue with non-weight-bearing walking with a crutch. The patient is advised to be cautious while engaging in physical activities. She should rest often and avoid long periods of standing or sitting in one position.


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[User] What adjustments can be done to improve the patient's quality of life?

He is now relatively stable with tracheostomy and GI tube for feeding and restarted very recently treatment with miglustat 200 mg every 8 hours.


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[User] What adjustments should the patient make to his diet after discharge?

The patient is to continue his diet-controlled Type II diabetes mellitus and gout management.


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[User] What adjustments were made to the patient's antidiabetic regimen?

The patient's antidiabetic agents were adjusted to include 750 mg metformin orally twice a day and 3 mg glimepiride orally twice a day to control blood glucose.


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[User] What adjustments were made to the patient's master formula?

There were no alterations in the concentration of the master formula, and the family reported no errors in the administration schedule.


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[User] What adjustments were made to the patient's medication doses during discharge?

The patient was discharged from the hospital after achieving stable remission; her medication doses were adjusted accordingly.


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[User] What adjustments were made to the patient's medication regimen?

At the initial appointment, fluoxetine and hydroxyzine were added to her medication regimen, and during the second visit, fluoxetine was increased to 20 mg daily because it seemed to be improving symptoms related to mood and anxiety. Although the patient reported improvement in her symptoms related to anxiety, she experienced more stiffness and tremors when attempting to eat. Clonazepam was changed from as-needed dosing to scheduled for panic disorder and anxiety-triggered spasms. Propranolol was added to treat the patient's tremors and high blood pressure, but she self-discontinued it due to edema.


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[User] What adjustments were made to the patient's tacrolimus dose?

Tacrolimus dose was adjusted to a lower therapeutic index.


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[User] What advice was given to the patient during follow-up?

The patient was counseled regarding smoking cessation.


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[User] What allergy tests were conducted during the patient's hospital stay?

Skin prick tests (SPT) and serum IgE (sIgE) were conducted, confirming hypersensitivity to house dust mites, pellitory pollen, and cat dander in addition to cow's milk products.


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[User] What alternative treatments were explored for Kyle's ADHD?

No specific alternative treatments are mentioned in the note, but it is stated that 'Further medication management options may be explored if deemed necessary by his provider.'


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[User] What antibiotic therapy was prescribed?

Antibiotic therapy based on Augmentin and ofloxacin was given during treatment, and the patient was discharged with a combination antibiotic therapy.


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[User] What antibiotic treatment was the patient given?

Treated with high-dose intravenous meropenem with addition to teicoplanin as a new peripherally inserted central catheter (PICC) was placed.


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[User] What antibiotic was administered to the patient?

The patient was started on antibiotics while in the emergency room (ertapenem 1 g)


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[User] What antibiotics did the patient receive post operation?

The patient received tazobactam/piperacillin until day 3 and clavulanic acid/amoxicillin between days 4 and 11.


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[User] What antibiotics were prescribed to the patient?

Antibiotics: 2 g of ampicillin intravenously, 4 times a day for 4 days followed by oral amoxicillin.


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[User] What antibiotics were the patient started on initially?

The patient was started on ceftriaxone and azithromycin for community-acquired pneumonia, and vancomycin and oseltamivir were added due to concern for methicillin-resistant Staphylococcus aureus pneumonia and a preceding influenza-like illness.


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[User] What antibiotics were used to treat the patient's UTI?

Cefaclor was administered for two days with no improvement. The patient was switched to panipenem/betamipron after cefazolin proved ineffective.


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[User] What antibiotics were used to treat the patient's spondylodiscitis?

Ampicillin plus sulbactam were used to treat the patient's spondylodiscitis.


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[User] What antifungal medications is Filobasidium magnum sensitive to?

Antifungal susceptibility tests showed sensitivity to itraconazole, fluconazole, ketoconazole, and amphotericin B.


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[User] What approach is recommended for managing the patient's condition?

Given the patient's condition and the results of the examination and radiology tests, the medical team has recommended a watchful waiting approach and close monitoring of her condition with routine surveillance.


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[User] What approach was used to address the patient's inappropriate behavior?

The treatment team utilized a novel way of communication to address the patient's inappropriate behavior. By incorporating pictorial communication with verbal communication, the team successfully modified its ways to meet his needs and to make communication more effective.


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[User] What are alternative treatment options for severe cases with CNS and thrombocytopenia involvement?

More clinical research is also advisable to look into alternative treatment options for severe cases with CNS and thrombocytopenia involvement.


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[User] What are the activity restrictions after acromioclavicular joint surgery?

She has been counseled on the importance of following recommended activity restrictions and completing any prescribed physical therapy.


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[User] What are the aftercare instructions for the patient?

The patient was discharged with a plan of further rehabilitation through the outpatient clinic in the rehabilitation medicine department of the hospital in the other city. The patient was advised to avoid further exposure to CO gas and follow up with their primary care provider.


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[User] What are the alarming signs that the patient should return to the hospital for?

The patient was advised to return to the hospital if any alarming signs such as severe bleeding or gastrointestinal problems occur.


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[User] What are the benefits of early desensitization for food allergy?

Ultimately, the decision to pursue early desensitization should be based on the parents’ preferences and tolerance to risk. Patient and family educated about the possibility of early desensitization for food allergy and advised to discuss the risks and benefits of OIT with their healthcare provider to make an informed decision on whether to pursue it immediately or continue with strict avoidance and observe for spontaneous resolution.


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[User] What are the benefits of radial artery anastomosis in carotid artery bypass surgery?

The patient underwent surgical intervention, including an end-to-side bypass with the radial artery (RA) anastomosed to the M2 segment of the middle cerebral artery (MCA). The bypass was confirmed to be patent, and a post-operative DSA showed the disappearance of the pseudomedian arcuate of the left ICA.


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[User] What are the benefits of the surgical procedure for the patient?

The transverse carpal ligament was divided, and the hypertrophied and anomalous muscle belly of FDS of the index finger was resected, resolving the patient's symptoms.


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[User] What are the care instructions for Mr. A's caregivers?

It is recommended that Mr. A be closely monitored for any signs of worsening of his symptoms and that medical attention be sought promptly should that occur. Caregivers should ensure that he continues his medication regimen as prescribed, ensuring that the medications are administered at the correct time intervals. Additionally, caregivers should promote and encourage a healthy lifestyle, including stress-reduction techniques, regular exercise, and a healthy diet.


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[User] What are the chances of local recurrence, cervical lymph node, or distant metastasis?

For a postoperative follow-up period of five months, good wound healing and no evidence of local recurrence, cervical lymph node, or distant metastasis have been exhibited.


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[User] What are the characteristic features of Turner Syndrome?

While the patient grew along the 75th-90th percentiles of the TS height-for-age growth chart, she required special education classes for learning disabilities, particularly in mathematics. The patient also experienced difficulties with bipolar disorder, dyscalculia, bilateral kidney malrotation, steatohepatitis, and an episode of hemorrhagic gastritis.


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[User] What are the classic signs of Klippel-Trenaunay syndrome?

Subtle hypertrophy of the right upper extremity and light red-colored port wine stains on the trunk and lateral aspect of the lower extremities met the classic triad of KTS.


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[User] What are the common causes of persistent hip pain in adolescents?

Initially, the patient had suffered from type A streptococcal angina two weeks prior, without any temperature. Blood serologies showed positive antibodies for Mycoplasma pneumonia, following which treatment with clarithromycin was started.


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[User] What are the common complications of intussusception at the jejuno-jejunal anastomosis?

Laparoscopic exploration revealed dilated small bowel loops around the jejuno-jejunal anastomosis and intussusceptions on a fibrous adhesion encircling the jejunum proximaly to the common channel. Reduction of the intussusception was achieved, and no further complications were reported in the post-operative course.


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[User] What are the common complications of rheumatoid arthritis?

Her medical history is significant for seropositive RA, which had been well-controlled on abatacept 500mg every 4 weeks combined with methotrexate 4 mg per week and prednisolone 2 mg daily for 3 years. The patient's right foot showed severe hindfoot valgus, rocker bottom deformity, and hyperextension of the hallux IP joint in the standing position.


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[User] What are the common diagnostic tests for Landau-Kleffner syndrome?

Diagnostic Tests: Laboratory investigations, including complete blood count, renal function tests and liver function tests, were all normal. CSF studies revealed no abnormalities. MRI of the brain with contrast appeared normal. EEG revealed abnormal findings of generalized seizure discharge with more spikes found in bilateral frontal and temporal regions.


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[User] What are the common presentation and diagnosis of lipid storage disease?

The patient was admitted with complaints of abdominal pain and was diagnosed with hepatosplenomegaly. A liver biopsy revealed hepatocyte dilatation due to lipid accumulation, lipid-filled histiocytes, and broadening of portal spaces, suggesting lipid storage disease.


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[User] What are the common side effects of autologous HSCT?

The patient developed intermittent nausea and diarrhea on post-engraftment day +20.


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[User] What are the common sites of metastasis for atypical lung carcinoid?

Chest CT showed two right hilar masses, right hilar and pretracheal adenopathy, a 1.8 cm right middle lobe solitary lung nodule, and a 4.9 x 4.4 cm hypermetabolic mass in the pelvis.


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[User] What are the common symptoms of ASD?

The patient presented with mild exertional dyspnea and had a mildly enlarged heart detected on chest radiograph.


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[User] What are the common symptoms of Granulomatosis with Polyangiitis?

The patient was admitted due to swelling and pain on her left arm, along with fatigue, bloody nasal discharge, and cough.


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[User] What are the common symptoms of arthrogryposis multiplex congenita?

A thirteen-year-old male patient with common deformity in joints, movement restrictions, and difficulty walking was admitted to the outpatient clinic. On examination, the patient had ptosis of the left eyelid, poorly defined conchae in ears, generalized muscle atrophy, weak body parts, webs (pterygium) of the neck, elbows, wrists, and fingers, semiflexed position in the elbows and knees, flattening of the lumbar lordosis, C-type scoliosis, and winged scapula.


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[User] What are the common symptoms of sebaceous lymphadenoma?

The patient presented with a left parotid mass that was painless with no overlying redness of the skin, fever or any drainage from the area.


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[User] What are the common symptoms of spinal cord lesions in cats?

Further neurologic examination revealed paresis of the pelvic limbs, spinal pain, increased patellar, and tibialis cranialis reflexes, with the presence of a cross extensor reflex in both pelvic limbs.


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[User] What are the complications of left ventricular septal rupture?

Cardiac catheterization demonstrated complete occlusion of the distal posterior descending artery, with evidence of a left ventricular septal rupture. Transthoracic echocardiography demonstrated hypokinesis of the basal inferior wall of the left ventricle with left to right shunting across the interventricular septum on color Doppler.