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

[User] What were the results of the patient's cranial ultrasound and MRI?

A cranial ultrasound was performed, indicating a fourth-stage IVH in the occipital areas, and posthemorrhagic hydrocephalus was identified in subsequent ultrasounds. MRI showed intracerebral hematoma and significant asymmetric dilation of the lateral ventricles.


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[User] What were the results of the patient's cytology tests?

Cytology of nipple discharge showed negative results for malignancy. Fine-needle aspiration cytology results revealed a proliferative breast lesion with atypia.


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[User] What were the results of the patient's diagnostic studies?

An ultrasound B-mode examination showed a shadow that appeared to be a cluster of ABs concentrated in the anterior vitreous cavity. Spectrum domain optical coherence tomography (SD-OCT) was attempted but the resulting images were blurred and indistinct.


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[User] What were the results of the patient's diagnostic testing?

CT-guided aspiration of the L2-L3 disc was performed for culture and histopathology, revealing fibrocartilage with degenerative changes and acute inflammation suggestive of discitis. Gram stain showed Gram-variable rods, and the organism was identified as Streptobacillus moniliformis by matrix-assisted laser desorption ionization time-of-flight mass spectroscopy (MALDI-TOF).


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[User] What were the results of the patient's diagnostic tests?

Cultures on Lowenstein-Jensen and Middlebrook 7H10 for mycobacteria were positive three weeks later. A biopsy specimen obtained from the lesion on the left leg revealed dermal granulomatous inflammation with caseous necrosis. The strain isolated from the abscesses was Mycobacterium gordonae, and the diagnosis was confirmed by microarray assay (LCD-Array Myco) DNA based identification of Mycobacterium tuberculosis complex (MTUB) and other Mycobacteria (MOT).


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[User] What were the results of the patient's diagnostic workup?

The patient underwent a complete workup that included blood counts, electrolytes, calcium, thyroid functions, vasculitic workup, magnetic resonance imaging (MRI) brain, and electroencephalogram (EEG). All the tests were within normal limits.


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[User] What were the results of the patient's echocardiogram after 40 days?

After 40 days, the patient had an echocardiogram, which revealed improved ejection fraction. Spironolactone was discontinued.


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

[User] What were the results of the patient's echocardiogram?

A follow-up echocardiogram on day 6 demonstrated recovery of left ventricular systolic function, and a repeat ECG showed resolution of all ST–T wave abnormalities.


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

[User] What were the results of the patient's echocardiographic examinations?

During the course of treatment, weekly echocardiographic examinations demonstrated a gradual decrease in thrombus size, from 15.0mm×17.0mm to 6.8mm×6.0mm after two weeks. No thrombus was detected after three and four weeks of treatment.


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[User] What were the results of the patient's echocardiography?

Echocardiography showed abnormal apical ballooning and akinesis, and CK, CK-MB, and troponin levels were elevated during the course of hospitalization.


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[User] What were the results of the patient's electroencephalogram?

An electroencephalogram showed relatively slow background and no epileptiform discharges. A subsequent electroencephalogram revealed posterior dominant rhythm of mixed alpha and theta activity with superimposed fast beta in the frontal regions, normal sleep architecture, and infrequent high amplitude epileptic discharges in the right frontocentral area during sleep.


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[User] What were the results of the patient's endometrial tissue samples histopathology?

Histopathology of endometrial tissue samples indicated polypoid fragments of squamous mucosa with acute chronic inflammation suggestive of Asherman syndrome.


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[User] What were the results of the patient's enhanced computed tomography (CT) scans?

Enhanced computed tomography (CT) scans of the chest showed a thickened esophageal wall and enlarged peripheral lymph nodes, suggesting esophageal cancer with peripheral lymph node metastasis. In addition, the increased density of the lower lobe of both lungs might be caused by inflammation.


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[User] What were the results of the patient's fetal examination after surgery?

Fetal examination showed normal movements, and the patient's vitals remained stable post-surgery.


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[User] What were the results of the patient's first-month follow-up?

At the first-month follow-up, BCVA in the right eye improved to 20/25, and only a small amount of residue blood was observed at the lower edge of the detached ILM.


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[User] What were the results of the patient's follow-up CT scan?

A control CT scan showed no recurrence, and the external appearance was excellent.


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[User] What were the results of the patient's follow-up MRI scans?

The patient's MRI scans taken after 2 months and 5 months of conservative treatment showed gradual improvement in the pituitary apoplexy.


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

[User] What were the results of the patient's follow-up MRI?

The follow-up MRI showed no rice bodies in the T1- and T2-weighted sequences.


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[User] What were the results of the patient's follow-up TEE?

Follow-up TEE showed no signs of mass or complications.


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[User] What were the results of the patient's follow-up Technetium bone scan?

After treatment, the bone scan did not have evidence of osteomyelitis and 8 months later, the patient had normal shoulder function without arm edema.


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[User] What were the results of the patient's follow-up after the procedure?

At his 12-month follow-up, he reported no recurrent episodes of priapism. However, he reported occasional morning erections that were not sufficient for vaginal penetration.


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[User] What were the results of the patient's follow-up appointment five years after surgery?

Examination revealed a tender point at the medial joint line with a palpable lump and good range of flexion, and no changes were observed on a repeat X-ray.


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[User] What were the results of the patient's follow-up appointments?

The patient was treated symptomatically with dietary changes and gastroprokinetic drugs combined with close follow-up for more than a year. Her left liver lobe gradually took over the function of her right liver lobe which became progressively atrophic.


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[User] What were the results of the patient's follow-up at 6 months?

Follow-up at 6 months indicated a pain free athlete, capable of performing base training without symptoms. Radiography documented callus reabsorption and bone remodeling, with fracture consolidation.


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

[User] What were the results of the patient's follow-up care?

The patient is doing well without any sign of recurrence 3 years after surgery.


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[User] What were the results of the patient's follow-up catheterization?

The patient underwent a new catheterization 16 months after the surgery, where a pharmacological stent was implanted to treat the increase in the degree of obstruction in the anterior descending coronary artery. Angiographically, LMCA patency had improved when compared to pre-operative control.


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

[User] What were the results of the patient's follow-up echocardiography?

Follow-up echocardiography performed after three months showed an improvement of ejection fraction from 30% to 60% with no regional wall motion abnormalities.


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[User] What were the results of the patient's follow-up examination?

On March 17, 2020, the patient returned for a recheck after 2 weeks of isolation observation. A chest CT scan showed that the bilateral lung ground glass opacities had almost completely disappeared.


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

[User] What were the results of the patient's follow-up examinations?

Follow-up documents confirm the successful exclusion of the aneurysm. The patient was discharged in good health and referred for regular follow-up examinations.


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[User] What were the results of the patient's follow-up exams?

The most recent follow-up (August 4, 2020) showed no metastasis. At present, 2 years and 1 month after surgery, the patient continues to be asymptomatic.


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[User] What were the results of the patient's follow-up imaging studies?

Follow-up imaging studies showed no evidence of metastatic disease in the eighth month after surgery.


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[User] What were the results of the patient's follow-up labs?

Follow-up labs showed normal results in antithrombin III, protein C and protein S activity, antiphospholipid antibodies, factor V Leiden mutation, JAK2 mutation, prothrombin gene mutation, and flow cytometry for CD55 and CD59.


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[User] What were the results of the patient's follow-up tests after the procedure?

A CAG at 4 years showed widely patent grafts with excellent run-off and occluded coronary aneurysms. A myocardial perfusion SPECT revealed a localized perfusion defect in the anterior wall and no residual ischaemia with an LVEF of 74%.


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

[User] What were the results of the patient's follow-up visits?

Follow-up visits were conducted to check for possible complications and to monitor the patient's progress.


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

[User] What were the results of the patient's follow-up?

The patient was discharged one week later with a 6 month follow-up showing no recurrence or ischemic complications.


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[User] What were the results of the patient's gait endurance tests?

The patient was able to walk using a walker, but experienced pain during gait endurance tests. The patient's ability to perform the 6-minute walk test (6MWK) and gait endurance test both significantly improved, as did sALP levels.


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

[User] What were the results of the patient's genetic analysis?

Genetic Analysis: It was determined by targeted sequencing that both tumors possessed identical TP53 mutations. Of note, the variant allele frequency of the TP53 mutation in the NEC was higher than in the SCC component. Besides such allelic imbalance, only tumor cells from SCC harbored the SMAD4 mutation.


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

[User] What were the results of the patient's genetic test?

The test revealed that the patient was a compound heterozygote for two missense variants in exon 15 of PKD1 gene.


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

[User] What were the results of the patient's genetic testing?

Whole exome sequencing revealed a variant in the KCNH1 gene which was verified by Sanger sequencing.


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[User] What were the results of the patient's histological exam?

The histological exam revealed a clear cell renal cell carcinoma.


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[User] What were the results of the patient's histology?

Histology of the samples taken during the arthroscopy were positive for lipoma arborescens, a rare benign synovial disorder characterized by villous lipomatous masses and hyperplasia of the synovial membrane.


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[User] What were the results of the patient's histopathological evaluation?

Histopathological evaluation of the thyroid specimen showed nodular hyperplasia. Seven regional lymph nodes were free of metastasis.


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[User] What were the results of the patient's histopathological examination?

Histopathological examination showed Brunn's nests with glandular metaplasia and cystitis glandularis, coexistence of cystitis cystica in the part, with invasion of inflammatory cells, but no malignant cells were identified.


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

[User] What were the results of the patient's histopathology report?

The histopathology report excluded malignancy.


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[User] What were the results of the patient's imaging studies?

Imaging studies were conducted, and a distal branch occlusion of the left middle cerebral artery and two cerebral aneurysms were incidentally discovered. A CT scan was conducted, which showed no evidence of hemorrhage or other acute changes. A 24-h CT scan of the head was conducted, which showed no hemorrhagic transformation or subarachnoid hemorrhage.


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

[User] What were the results of the patient's initial physical exam?

The initial physical exam was unremarkable, and all growth parameters were appropriate for her gestational age.


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[User] What were the results of the patient's investigations?

All routine investigations were normal except for a raised ESR. The lipid profile and liver function tests, serum calcium, serum ACE were normal. Chest radiograph showed features of healed tuberculosis, and the Mantoux test was negative.


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

[User] What were the results of the patient's karyotypic analysis?

The karyotypic analysis was 46, XY.


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[User] What were the results of the patient's kidney biopsy?

He underwent a kidney biopsy that confirmed the diagnosis of AL amyloidosis.


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[User] What were the results of the patient's knee MRI after infliximab treatment?

Three months after the last injection, a knee MRI was performed to assess the treatment effects.


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[User] What were the results of the patient's lab tests?

Laboratory investigations showed elevated levels of AFP, βHCG, and LDH.


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

[User] What were the results of the patient's laboratory findings?

Laboratory findings showed anemia, elevated alkaline phosphatase, and elevated C-reactive protein. Arterial blood gas analysis showed mild hypoxemia.


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

[User] What were the results of the patient's laboratory investigations?

Laboratory investigations revealed leukocytosis with neutrophilia and elevated CRP and serum amyloid A (SAA) levels. Whole-body bone scintigraphy also showed increased radiotracer uptake in some areas.


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

[User] What were the results of the patient's laboratory studies for detecting islet antibodies and C-peptide levels?

Further laboratory studies to detect islet antibodies and C-peptide levels were performed, revealing elevated anti-glutamic acid decarboxylase antibody and insulin autoantibody levels. Additionally, significantly low C-peptide levels were also noted.


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

[User] What were the results of the patient's laboratory tests?

Blood tests showed a white blood cell count of 6800/mL, hemoglobin level of 12.8 g/dL, platelet count of 214,000/mm3, an aspartate aminotransferase level of 262 U/L, an alanine aminotransferase level of 196 U/L, and a C-reactive protein level of 38 mg/dL.


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

[User] What were the results of the patient's laparoscopic appendectomy?

The patient underwent a successful laparoscopic appendectomy.


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

[User] What were the results of the patient's laparoscopic left adrenalectomy?

The patient underwent laparoscopic left adrenalectomy, and the tumor was seen to extend from the left suprarenal region up to the esophageal hiatus of the diaphragm. It was well encapsulated, and compressed adrenal tissue was seen towards the inferolateral aspect of the tumor.


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

[User] What were the results of the patient's liver biopsy?

The patient underwent biopsy of the liver lesion, revealing a hepatic perivascular epithelioid cell tumor or PEComa. The tumor was positive for Melan-A and HMB-45 and negative for S-100, Hepar-1, ER, PR, desmin, CK7, CK20, CD10, CD117, CD31, synaptophysin, and vimentin.


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

[User] What were the results of the patient's liver function test and ultrasound?

On admission, the patient's liver function test and ultrasound revealed no significant abnormalities of the gastrointestinal tract.


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

[User] What were the results of the patient's liver function tests?

Liver function tests were within normal limits.


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

[User] What were the results of the patient's magnetic resonance arthrography (MRA)?

The patient underwent a thorough examination, radiological evaluations, and magnetic resonance arthrography (MRA), revealing adhesions between the labrum and joint capsule, joint capsule, and cam osteochondroplasty site.


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[User] What were the results of the patient's microbiology cultures?

After transferring to the University of Chicago Medical Center, the microbiology cultures showed Kocuria kristinae.


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[User] What were the results of the patient's molecular profiling?

The biopsy sample of the lesion showed positive staining for glial fibrillary acidic protein, vimentin, P53, and synaptophysin, with Ki67 positive staining in up to 65% of tumor cells.


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

[User] What were the results of the patient's most recent echocardiography?

The most recent echocardiography performed on April 2, 2019, only showed dilatation of LMCA.


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[User] What were the results of the patient's nerve conduction/electromyography studies?

Serial nerve conduction/electromyography studies demonstrated bilateral CPN palsies and a background generalized myopathy.


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

[User] What were the results of the patient's neurological evaluation?

Neurological and urological evaluations did not reveal any underlying issues.


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

[User] What were the results of the patient's neurological examination?

Neurological examination was conducted and normal physical examination was observed upon admission.


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[User] What were the results of the patient's neuropsychological assessment?

A neuropsychological assessment revealed that she had retrograde and anterograde amnesia.


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

[User] What were the results of the patient's neuropsychological testing?

On neuropsychological testing, she demonstrated a verbal IQ of 102, performance IQ of 104, full scale IQ of 104 and Boston naming score of 44.


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[User] What were the results of the patient's one-year follow-up?

The serum uric acid level was 0.25 mmol/L at the one-year follow-up with a corresponding serum creatinine of 85 μmol/L, confirming that he did not have renal hypouricaemia.


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

[User] What were the results of the patient's ophthalmic examination?

The ophthalmic examination showed normal extraocular motility and pupillary responses without anisocoria.


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[User] What were the results of the patient's ophthalmologic exam?

A mild conjunctival fluorescein staining was observed in the patient's left eye.


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[User] What were the results of the patient's parathyroidectomy?

Surgical parathyroidectomy resulted in decreased intact and whole PTH levels with normalization of the reversed whole PTH/intact PTH ratio.


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

[User] What were the results of the patient's partial pericardiectomy?

Samples taken from the pericardium revealed fibrohyalinized tissue without granuloma or malignancy.


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[User] What were the results of the patient's pathology report?

Pathology showed a solid-appearing, glioneuronal neoplasm composed of monotonous cells with round nuclei in a neuropil-like background. It was concluded that the pathology was diagnostic of RGNT, WHO Grade I.


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[User] What were the results of the patient's pharmacogenetic counseling?

The patient was discharged with a referral for pharmacogenetic counseling which showed a DPYD *1/*1 genotype, suggesting normal 5-FU drug metabolism.


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[User] What were the results of the patient's physical examination?

Physical examination of the patient at the age of 13 revealed a normal exercise tolerance and academic achievement, with a ratio of sitting height to height that ranged in the 90th percentile.


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[User] What were the results of the patient's physical medicine and rehabilitation (PMR) program?

Improvements of 10–15 degrees in passive ROM measurements of both shoulders and knees and improvements in gait and balance functions have been obtained.


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[User] What were the results of the patient's polysomnography?

An overnight polysomnography showed sleep efficiency of 84%, REM phase comprised 6.7% of the sleep, AHI was 23.1%, ODI was 21.8%, minimum SaO2 was 82%, and mean saturation was 94%.


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[User] What were the results of the patient's postmortem examination?

Postmortem examination revealed gross lesions limited to the heart, with the shunt between pulmonary artery and aorta being confirmed.


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[User] What were the results of the patient's postoperative CT scan?

Postoperative CT scan showed reduction of the mass in the bladder and only an enhanced thickness of the left wall three months after TUR.


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

[User] What were the results of the patient's pulmonary function testing?

Pulmonary function testing indicated impaired diffusion, and a bronchoalveolar lavage fluid analysis showed a lymphocytic cellular pattern.


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

[User] What were the results of the patient's pulmonary function tests?

Preoperative pulmonary function tests, complete blood count, and biochemistry analysis results were all normal.


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[User] What were the results of the patient's radiation therapy?

Chemotherapy and radiation therapy were administered and the patient remained stable post-treatment.


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[User] What were the results of the patient's re-admission in June 2016?

The patient was readmitted in June 2016 with complaints of swelling over the left cheek that had been present for 2 months. Physical examination revealed a 4 × 3 cm UPG involving the left lower gingivobuccal sulcus (GBS) and adjacent buccal mucosa.


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

[User] What were the results of the patient's renal biopsy?

A renal biopsy revealed complete ischemic necrosis of the renal parenchyma, affecting the proximal and distal tubules, glomeruli, and interstitial oedema.


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

[User] What were the results of the patient's renal function tests?

Renal function tests were normal, but the 24-hour urinary protein excretion was elevated.


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[User] What were the results of the patient's repeat X-ray after treatment?

The patient showed clinical improvement on the anti-tuberculosis treatment, with healing of the radiolucent area without any periosteal reaction detected on repeat X-ray.


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[User] What were the results of the patient's serological studies?

Serological studies conducted on the patient were negative for HIV, syphilis, hepatitis A and C, hepatitis E, Ebola virus, and Lyme and showed protective post-vaccinal immunity for hepatitis B.


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

[User] What were the results of the patient's serology tests?

Serology for HIV virus was negative, and chest Xray as well as Thelper/T-suppressor lymphocytes ratio were normal.


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[User] What were the results of the patient's six-month follow-up?

At six-month follow-up, the patient's symptoms completely resolved, and CT scan of the abdomen and pelvis showed improvement and decrease in size of the retroperitoneal and peritoneal lymph nodes.


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[User] What were the results of the patient's sputum examination in February 2009?

Upon sputum examinations, AFB was detected, and ATT treatment was recommenced in category 2 regime as per the WHO (World Health Organization) guidelines.


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

[User] What were the results of the patient's sputum examination?

Sputum examination revealed gram-positive beaded, branching, thin filamentous bacteria resembling Nocardia spp.


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

[User] What were the results of the patient's sputum smear examination?

Sputum smear examination was negative for acid fast bacillus and showed growth of Staphylococcus aureus.


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[User] What were the results of the patient's subsequent MRI pulmonary angiography?

Subsequent MRI pulmonary angiography continues to show previously described narrowing and occlusion of the pulmonary arteries, presumably representing burnt out vasculitis.


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[User] What were the results of the patient's surgery?

Surgery was performed, which revealed neutrophils and eosinophils infiltration at the vessel wall.


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[User] What were the results of the patient's surgical procedures?

The patient has demonstrated complete control of her disease since having multiple surgical procedures, including surgical resection, laser, and sclerotherapy of GI lesions, during her overseas visit in 2012.


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[User] What were the results of the patient's systemic examination?

Further systemic examination was normal. Complete blood count, erythrocyte sedimentation rate, peripheral blood smear, stool, and urine examinations showed no abnormalities.


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[User] What were the results of the patient's three-month follow-up scans?

CT angiography at three months showed no migration of the stents, no endoleaks, and a widely patent right IIA.


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[User] What were the results of the patient's transoesophageal echocardiography?

A 3-dimensional transoesophageal echocardiography was also performed which identified a large irregular mass in the right atrium.


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[User] What were the results of the patient's treatment after three months?

After three months of treatment, the patient's ability to swallow normally had improved, but dysphonia, rightward displacement of the palate, lowering of the right shoulder, and atony of the right side of tongue remained unaltered.


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[User] What were the results of the patient's treatment with Hydrea and dasatinib?

Treatment was initiated with Hydrea and subsequently, FLA-IDA and dasatinib were added. The patient responded well to treatment with complete cytogenetic response and major molecular response (MR4.5), and disappearance of splenomegaly and cutaneous lesions.


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[User] What were the results of the patient's tuberculin skin test?

The patient’s TST (tuberculin skin test) was 24 mm. Annual TST testing remained high in two repeated determinations (25, respectively 30 mm). After 30 months of biologic therapy, the TST was 35 mm.


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[User] What were the results of the patient's ultrasound investigations?

Ultrasound of the neck was performed the next day revealing dilatation of the right submandibular duct, with calculi lodged in the distal Wharton’s duct. Abdominal ultrasound was negative for calculus in the kidneys, gallbladder, and pancreas.


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[User] What were the results of the patient's upper endoscopy?

A bedside upper endoscopy was performed that showed evidence of a blackened esophagus. Biopsies revealed necrotic debris without viral inclusion bodies or fungal hyphae.


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[User] What were the results of the patient's urine culture after surgery?

One week after surgery, the patient developed low-grade fever, and urine culture showed Staphylococcus species.


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[User] What were the results of the patient's urology evaluation?

Genitourinary examination showed an empty scrotal sac, bilateral inguinal scars, a small palpable gonad in the distal left inguinal canal, and a 20cc smooth prostate gland.


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[User] What were the results of the patient's venous Doppler ultrasound?

The patient's venous Doppler ultrasound demonstrated occlusive thrombus in the right subclavian and brachial veins, leading to the decision of administering PMT.


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[User] What were the results of the patient's viral marker tests?

The patient was thoroughly evaluated, and all viral markers for hepatitis B, hepatitis A, hepatitis C, and hepatitis E were negative.


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[User] What were the results of the patient's workup?

An extensive workup was unremarkable except for bilateral thalamic hyperdensities on T2 FLAIR MRI.


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[User] What were the results of the patient's wrist surgery?

Surgical examinations revealed extensive and moderate synovitis, respectively, and bone atrophy around the joints. The patient was diagnosed with wrist tenosynovitis caused by acute ATL type after pathological analysis revealed the diffuse proliferation of medium-sized atypical lymphocytes.


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[User] What were the results of the pelvic MRI?

Pelvic MRI showed a tumor apparently originating from the right ovary and measuring 65 mm × 35 mm. There were no signs of invasive disease, and no continuity was observed between the tumor and the gastrointestinal tract.


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

[User] What were the results of the percutaneous nerve evaluation?

The patient underwent a percutaneous nerve evaluation, which failed.


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[User] What were the results of the pleural biopsy?

Pleural biopsy by thoracoscopy was performed (talc) with histological examination of the pleura revealing a proliferation of epithelial-like atypical cells arranged in glands, nests, and cords with moderate anisocytosis, anisokaryosis, macronucleoli, and scattered mitoses.


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

[User] What were the results of the pleural fluid examination?

Pleural fluid examination did not reveal any pathogenic organism or acid-fast bacilli, and culture was sterile.


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[User] What were the results of the point-of-care ultrasound?

Point-of-care ultrasound was performed, revealing a hyperdynamic left ventricle and an inferior vena cava diameter of less than two centimeters with more than 50% inspiratory collapse.


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[User] What were the results of the positron emission tomography/computed tomography examination?

Positron emission tomography/computed tomography examination in January 2017 found a mass in the sigmoid colon with local lymph nodes invasion and a mass in the right upper lobe of the lung.


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[User] What were the results of the post-mortem biopsy?

Histopathology of the lungs showed both exudative and organizing diffuse alveolar damage (DAD). In addition, they revealed intra-alveolar haemorrhage and reactive type II pneumocytes. Vasculitis, thrombosis, and the other pathogens were absent. In the liver, several micro-abscesses due to sepsis were detected. Real-time reverse transcription PCR and immunostaining of these biopsy specimens for COVID-19 were performed, all of which were negative.


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[User] What were the results of the post-operative follow-up?

Postoperatively, the patient's complaint of floaters resolved. He maintained his vision in both eyes and experienced no recurrence of the worm during the 3 months of follow-up.


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[User] What were the results of the postoperative MRI?

Postoperative MRI revealed no residual tumor burden.


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

[User] What were the results of the postoperative biopsy?

Postoperation biopsy confirmed the mass to be adenomatous ectopic PT tissue.


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

[User] What were the results of the postoperative follow-up?

Postoperative follow-up was uneventful, and the patient did not experience any complications. The postoperative MRI revealed no residual tumor.


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[User] What were the results of the postoperative imaging tests?

Postoperative imaging confirmed no evidence of recurrence of GCT or any metachronous lesions or pulmonary metastasis.


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[User] What were the results of the postoperative ultrasound examination?

A postoperative transabdominal ultrasound examination did not show any remains of the retrovesical mass.


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[User] What were the results of the potassium hydroxide preparation?

A potassium hydroxide (KOH) preparation under direct microscopy revealed numerous spores and pseudohyphae, and Candida albicans was isolated by cultivation on the ATG-agar medium.


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[User] What were the results of the proliferation analysis after RFITT treatment?

The results showed that the EPI slightly decreased, the PEPI increased 10 months after RFITT, and there was an increase in microvessel density (MVD) and proliferating capillary index (PCI).


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[User] What were the results of the radiographic diagnosis?

The radiographic diagnosis of coronal Dens invaginatus Type III was considered. The extracted tooth showed normal enamel on the crown and cementum on the outer surface of the root.


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[User] What were the results of the radiology-based musculoskeletal ultrasound?

A radiology-based musculoskeletal ultrasound was performed and showed a large fluid collection deep to the subcutaneous tissue and superior to the gluteal musculature. The fluid collection had increased in size from the previous examination. Internal echoes and fat globules were found within the hypoechoic fluid collection.


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[User] What were the results of the rechallenge with metformin?

On the night when metformin was reintroduced, the abnormal dreams ensued. Although it did not affect his overall sleep quality and daily life, his abnormally vivid dreams continued for 4 following nights as the metformin was rechallenged.


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[User] What were the results of the renal biopsy?

He was diagnosed with mesangial proliferative glomerulonephritis (MsPGN), based on immunofluorescence and electron microscopy analysis of a renal biopsy.


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[User] What were the results of the routine hematological and biochemical investigations?

Routine hematological and biochemical investigations were performed, and the results were normal.


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[User] What were the results of the sentinel lymph node biopsy?

The patient underwent right modified radical mastectomy (MRM) with sentinel lymph node biopsy which revealed an invasive ductal carcinoma and encapsulated papillary carcinoma arising in MGA.


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[User] What were the results of the serologic studies conducted on the patient?

Serologic studies were conducted and concluded normal for known autoimmune diseases with viral markers testing negative.


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[User] What were the results of the serological investigations?

Serological investigations were positive for double-stranded deoxyribonucleic acid (DNA) and antimitochondrial antibody; however, his erythrocyte sedimentation rate (ESR) levels were normal.


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[User] What were the results of the serological tests for B. burgdorferi?

The serological analyses revealed IgG antibody test for B. burgdorferi negative and IgM positive. The follow-up serological test after 1 month showed the same level of IgG antibodies and a decrease in the level of IgM for Borrelia.


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[User] What were the results of the serological tests?

Serological tests were negative for syphilis and human immunodeficiency virus (HIV).


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[User] What were the results of the serum protein electrophoresis?

Serum protein electrophoresis detected a duplication of the β-2 globulin fraction and an increase in concentration to 7.4 g/L, as well as a shoulder of β-1 globulin.


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[User] What were the results of the six-month follow-up?

Six-month follow-up showed no evidence of relapse or lung inflammation.


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[User] What were the results of the skeletal survey?

The skeletal survey revealed diffusely increased bone density, loss of medullary cavity in the long bones, and a 'bone within bone' appearance.


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[User] What were the results of the skin biopsy?

The skin biopsy showed full-thickness cellular atypia with mitotic figures, similar to Bowen's disease, and prominent acantholysis with nests of Paget cells in the cavity.


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[User] What were the results of the spinal tap and CSF analysis?

A spinal tap with CSF analysis was positive for Cryptococcus antigen with a 1:1280 titer.


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[User] What were the results of the sputum acid-fast bacilli laboratory test?

The sputum acid-fast bacilli laboratory test was positive.


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[User] What were the results of the sputum analysis?

Her sputum analysis revealed Mycobacterium simiae lung disease.


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[User] What were the results of the thoracentesis?

The biochemical analysis established an exudative etiology with cytopathology and bone marrow biopsy confirming the diagnosis of Acute Myeloid Leukemia (AML) with Trisomy 21 karyotypic abnormality, with intermediate to unfavorable cytogenetic prognosis.


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[User] What were the results of the thoracic high-resolution-computed tomography scan?

A thoracic high-resolution-computed tomography scan showed bilateral diffuse thickening of interlobular and perivascular septa compatible with lymphangitic carcinomatosis and a small poorly defined nodule in the right lower lobe.


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[User] What were the results of the thrombophilia screening?

Thrombophilia screening and family history of thrombosis were negative, excluding cancer as the cause of thrombosis.


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[User] What were the results of the transesophageal echocardiogram?

A transesophageal echocardiogram indicated moderate regurgitation of the mitral valve and a vegetation on the anterior leaflet.


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[User] What were the results of the tumor biomarkers?

The levels of tumor biomarkers, including CA-125 were normal.


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[User] What were the results of the tumor marker analysis during follow-ups?

Tumor markers were evaluated during regular follow-ups, with abdominal-pelvic sonography conducted annually. No signs of relapse have been detected so far.


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[User] What were the results of the ultrasonography of the left eye?

Ultrasonography of the left eye highlighted dense vitreous floaters, which obscured the view of the fundus.


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[User] What were the results of the ultrasonography test?

Ultrasonography revealed two well-circumscribed and low-echo masses in the subcutaneous fat tissue of the aforementioned locations.


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[User] What were the results of the ultrasound and specialist consultations?

The patient underwent an ultrasound of abdomen and consultations with neurologist, cardiologist, ophthalmologist, and rheumatologist, showing no pathological signs of visceral involvement.


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[User] What were the results of the ultrasound-assisted fine needle aspiration?

a 23.4 x 14 x 9 mm hypoechogenic nodular lesion in the left thyroid lobe was identified and classified as follicular lesion with oxyphilic cells of undetermined significance (category III according to the Bethesda system, 2009) through an ultrasound assisted fine needle aspiration.


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[User] What were the results of the ultrasound-guided fine needle aspiration?

After undergoing an ultrasound-guided fine needle aspiration (FNA) that showed fragments of fibrocollagenous connective tissue and scattered spindle cells, the patient underwent a complete thyroidectomy and neck mass excision.


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[User] What were the results of the urgent bedside ultrasound?

Urgent bedside ultrasound indicated intrauterine fetal death, with no abnormalities in the placenta. Plenty of fluid was found in the abdominal cavity.


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[User] What were the results of the urine and blood culture?

The culture results showed the presence of Shigella flexneri... The second urine culture showed the presence of Escherichia coli. A third urine culture was requested and revealed no significant growth after 48 hours of incubation.


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[User] What were the results of the vacuum-assisted core needle biopsy (VACNB)?

Pathology finding was a xanthogranulomatous inflammation and necrotic tissue with scar formation without any evidence of malignancy. Additional VACNB was performed, which showed no malignancy.


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[User] What were the results of the vasopressin challenge test?

A diagnosis of partial nephrogenic DI was made.


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[User] What were the results of the video fluoroscopic swallowing study?

A video fluoroscopic swallowing study (VFSS) showed rhythmic tremor of the soft palate and epiglottis. There were also displayed residues in the vallecula and pyriform sinuses.


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[User] What were the serum testicular tumor markers at diagnosis?

Serum testicular tumor markers, including lactate dehydrogenase, human chorionic gonadotropin, and alpha-fetoprotein, were negative.


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[User] What were the short-term outcomes of the patient's treatment?

The penis edema began to resolve after the ring's removal, and no signs of necrosis or damage to the penis were noted.


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[User] What were the side effects of SLIT treatment?

The patient experienced only transient nausea, abdominal pain, and aggravation of rhinitis as side-effects.


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[User] What were the side effects of the corticosteroid injections, and how did the treatment plan change?

However, the patient complained of weight gain due to the corticosteroids and opted for Traumeel and Marcaine solution as an alternative.


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[User] What were the side effects of the patient's chemotherapy?

The patient developed grade 2 peripheral neuropathy, and capecitabine monotherapy was administered from the 3rd course onwards. Grade 3 hand-foot syndrome developed during the 6th course.


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[User] What were the side effects of the patient's treatment?

The patient was hospitalized for dehydration and acute renal failure, which most likely resulted from her side effects, including somnolence, fatigue, nausea, dysgeusia, anorexia, and weight loss.


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[User] What were the side effects of vismodegib therapy?

After a year of treatment, the patient experienced alopecia, muscle cramps and dysgeusia, which led to substantial weight loss.


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[User] What were the significant findings from the bone marrow aspiration?

Bone marrow showed normocellular marrow, with severe suppression of erythroid series and normal myeloid and megakaryocyte series. The presence of neutralizing anti-epoetin antibodies was confirmed by immunoprecipitation test.


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[User] What were the signs and symptoms of hepatic sinusoidal obstruction syndrome (HSC) in this patient?

Multiple hypoechoic millimetric hepatic nodules were noted on abdominal ultrasonography. Combination of clinical, laboratory, and radiological findings following neutrophil recovery led to the diagnosis of possible hepatic sinusoidal obstruction syndrome (HSC).


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[User] What were the signs and symptoms of hypoglycemia that the patient was educated on?

Although the note mentions that the patient was educated on the signs and symptoms of hypoglycemia, it does not provide specific details on what those signs and symptoms are.


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[User] What were the signs of maxillary hypo-growth?

Further examination revealed maxillary and mandibular hypo-growth, maxillary arch length discrepancy, acute nasolabial angle (90°), and protruded upper lip.


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[User] What were the surgeon's final assessment and recommendation for the patient?

Overall, the patient's surgery appeared successful, resulting in a smooth and natural earlobe with clearly defined morphologic features. She was discharged in a stable condition, and the surgeon recommended a follow-up plan for monitoring.


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[User] What were the symptoms and complications of the tumor?

The patient had a malignant germ cell tumor with predominance of yolk sac elements, which led to multiple liver secondaries, para-aortic and bilateral para-ileac lymph node involvement, thrombosis in the infrarenal aspect of the IVC and bilateral common ileac veins, and associated left side hydronephrosis.


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[User] What were the symptoms of septic shock in the patient?

The patient presented at the emergency room with sudden intense leg pain, malaise, hyperaemia, and swelling of the thighs and right abdominal flank.


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[User] What were the symptoms of the patient on admission?

Physical examination revealed a Glasgow Coma Scale score of 4, a positive bilateral Babinski sign, a positive Kernig sign, and neck stiffness.


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[User] What were the symptoms of the patient's condition?

The patient underwent surgical synovectomy followed by radioactive synovectomy (RSV) with good initial results. One year later, the symptoms recurred, and another RSV was performed, which induced remission for another 15 months.


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[User] What were the symptoms of the patient's disease progression?

The patient suffered from burning, warmth, pruritus, stinging, and painful sensation at lesion sites simultaneously.


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[User] What were the symptoms of the patient's grade 2 colitis?

He developed a persistent grade 2 colitis which was corticosteroid-resistant.


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[User] What were the symptoms of the patient's initial presentation?

The patient initially presented in 2007 with right supraclavicular lymphadenopathy and SCLC was diagnosed.


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[User] What were the symptoms of the patient's intracranial metastasis?

The patient presented with progressive numbness and left sided hemi-paresis in the upper extremities.


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[User] What were the symptoms of the patient's knee condition?

The patient presented with a 10-year history of right knee pain. Physical examination revealed right-sided knee pain in the medial joint line, exacerbated by end range flexion and extension, and without swelling or bruising.


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

[User] What were the symptoms of the patient's metastatic carcinoma?

The patient presented symptoms of dysphonia and laryngeal stridor.


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[User] What were the symptoms of the patient?

The patient was febrile with significant bilateral cervical lymphadenopathy, clubbing, and hepatosplenomegaly.


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[User] What were the symptoms of tumor rupture?

The patient presented with a sudden increase in abdominal distension, severe pallor, and shock, and abdominal ultrasonography revealed gross ascites probably due to tumor rupture.


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[User] What were the symptoms presented by the 11-year-old male child?

The patient presented with bilateral ptosis, ataxia, and headache.


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[User] What were the symptoms presented by the patient before hospital admission?

The patient presented with progressive dysphagia for five years and a protrusion of a mass in the oral cavity provoked by Valsalva maneuver or intra-abdominal pressure increase.


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

[User] What were the symptoms reported by the patient before the second admission?

Eleven months after termination of the oncological treatment, the patient was admitted to our outpatient clinic because of a left-sided painful neck mass.


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[User] What were the symptoms that led to the patient's admission?

Signs and Symptoms: mild pain in both knees, pitting edema in lower leg, high neutrophil count, high C-reactive protein level, high blood urea nitrogen level, high creatinine level, and a history of diarrhea and pasty stools


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[User] What were the symptoms that necessitated oxygen supplementation?

Two hours later, the patient became drowsy and his blood pressure dropped. Oxygen supplementation was given, and the patient was closely monitored.


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[User] What were the symptoms that the patient presented with?

A 4-year-old boy presented with a 3-week history of intermittent vomiting and a past-year history of polyuria and polydipsia. Physical examination revealed high blood pressure, decreased skin turgor, and laboratory studies revealed significant electrolyte abnormalities.


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[User] What were the symptoms when the patient's condition worsened?

The patient's condition suddenly worsened both clinically and radiologically after two months of treatment. On physical examination, two soft lumps were detected in the left paravertebral region near the level of thoracic vertebra 11 and pus was extracted.


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[User] What were the test results that helped diagnose the underlying disease?

The patient underwent several tests, including abdominal ultrasonography, gastroscopy, abdominal computed tomography (CT), and laparotomy. Two transjugular liver biopsies were performed which were consistent with primary hepatic angiosarcoma.


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[User] What were the transthoracic echocardiography results?

Ten days later, transthoracic echocardiography showed left ventricular ejection fraction of 40-45% with apical hypokinesis.


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[User] What were the treatment options explored for the patient’s PEH?

Surgical resection or chemotherapy were among the options explored for the patient’s condition.


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[User] What were the treatment options for the patient's dental conditions?

Treatment options were attempted root canal treatment (RCT) of mandibular central incisors, left lateral incisor, and maxillary left central incisor, and extractions of maxillary left second premolar and first permanent molar or full clearance and provision of a prosthesis.


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[User] What were the treatment options for the patient's root coverage?

The patient was informed of treatment options for root coverage and signed a consent form. However, the patient was not willing to undergo a subepithelial CTG, and therefore, it was determined that a CAF with amnion membrane would be the best treatment option considering the presence of multiple recession defects.


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[User] What were the treatment outcomes?

The treatment was successful, and the patient was discharged in good condition.


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[User] What were the treatments initiated for SARS-CoV-2 infection?

Treatment was initiated with oxygen supply, hydroxychloroquine, azithromycin, and ceftriaxone.


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[User] What were the warning signs of the patient's condition?

She tested positive for dengue fever with warning signs and was diagnosed with coinfection when tested positive for COVID-19 on the second day of stay.


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[User] When can the patient return to full activity after ECU tendon dislocation surgery?

The patient was allowed to fully participate in her team’s schedule four months postoperatively.


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[User] When can the patient return to work?

Return to work or regular activities can be initiated once the plastic surgery team releases the patient to do so.


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[User] When did the patient return to sports after MPFL reconstruction?

He returned to practice in 3 months and to professional sports in 4 months.


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[User] When did the patient start experiencing symptoms of tuberculous pleurisy?

No specific information is available in the note, but the patient was admitted for complex right pleural effusion.


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[User] When did the patient's nerve fiber layer edema subside?

The nerve fiber layer edema subsided. Various diagnostic procedures, including ocular coherence tomography, fluorescein angiography, and systemic investigation, were conducted to determine the underlying cause of the patient's condition. No therapy was undertaken, and the patient was followed for four months.


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[User] When does the patient need to follow up with her primary care physician?

The patient is to attend all scheduled follow-up appointments as recommended by the Obstetric team.


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[User] When is the follow-up appointment?

Scheduled for follow-up appointment in six weeks.


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[User] When should the patient follow up with the orthodontist?

The patient is discharged with instructions... follow up with the orthodontist on a regular basis...


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[User] When should the patient follow up with their cardiologist?

The child should follow up with their treating physician for further management and be advised to maintain a heart-healthy lifestyle. A comprehensive cardiology evaluation should be planned at regular intervals.


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[User] When should the patient seek emergency medical attention?

The patient was advised to return to the hospital or call 911 in case of any new or worsening symptoms.


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[User] When to seek immediate medical attention for asthma symptoms

Additionally, the patient will be advised to seek medical advice immediately if symptoms persist or worsen.


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[User] When to seek medical attention for Guillain Barre Syndrome?

The patient was advised to seek medical attention if there were any signs or symptoms of respiratory distress, bowel or bladder dysfunction, or any worsening of his neurological symptoms.


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[User] When was the chest drain removed?

Chest drain was removed on day 2, and the patient was discharged on day 3 with relief of dyspnea.


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[User] Which medication was administered to the patient and what was the dosage?

Fluconazole (Diflucan, 50 mg 1 time/die for 14 days) was administered systemically based on molecular findings, and complete regression of the tongue lesion was observed after 2 weeks.


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[User] Whipple procedure post-operative care

The patient remains free of disease and is leading a normal life at 24 months after the operation.


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[User] White blood cell count in chronic myeloid leukemia

Peripheral blood analysis showed a white blood cell count of 32.7 × 10^9/L with 1% blasts, 0.5% promyelocytes, 5.5% myelocytes, 1% metamyelocytes, 64% neutrophils, 8% lymphocytes, 2% monocytes, 3.5% eosinophils, and 14.5% basophils.


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[User] Who should be contacted for further testing of the patient's siblings?

Her parents were encouraged to contact her biological family to discuss the genetic testing results and whether any further testing of her siblings was warranted.


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[User] Why did the doctors decide to perform angiography and BRTO or DBOE?

The patient subsequently developed hematemesis, and laboratory examinations revealed anemia with liver function being graded as Child-Pugh B. Endoscopic injection sclerotherapy did not lead to any improvements. As a result, written informed consent was obtained for angiography and BRTO or DBOE.


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[User] Why did the patient decline chemotherapy?

The patient decided not to undergo chemotherapy.


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[User] Why did the patient decline further diagnostic procedures?

The patient declined incisional biopsy to establish the diagnosis of the lesion as she was asymptomatic and unwilling to take the risk of paresthesia postbiopsy.


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[User] Why did the patient experience a drop in blood pressure during the surgery?

No specific reason was mentioned in the note, but the patient received ephedrine for a drop in blood pressure during the surgery.


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[User] Why did the patient experience cardiac arrest?

One year later, the patient experienced a cardiac arrest after strenuous exercise.


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[User] Why did the patient experience difficulty with tube placement?

Duodenum had rotated posteriorly and was compressed between the liver, portal vein, and IVC causing acute angulation and inability to negotiate the tube beyond the first part of duodenum.


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[User] Why did the patient have abdominal ultrasounds?

The patient had a documented history of chronic hepatitis B and was attending the gastroenterology clinic for regular abdominal ultrasounds to assess her liver.


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[User] Why did the patient have enlarged inguinal lymph nodes?

On examination, the patient had enlarged inguinal lymph nodes that were found to be inflammatory on biopsy.


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[User] Why did the patient have surgery?

Due to the patient's discomfort, surgical fenestration and ablation of the remaining cyst wall were recommended.


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[User] Why did the patient need a second opinion?

She presented for a second opinion to discuss alternatives to amputation when her sinus tract persisted.


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[User] Why did the patient refuse cardiovascular surgical options?

Although alternative hemodialysis access routes were suggested, the patient refused any cardiovascular surgical options.


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[User] Why did the patient refuse further treatment?

The patient was readmitted two months later after the tumor recurred and refused treatment due to economic problems and poor knowledge of the tumor.


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[User] Why did the patient require intensive care?

The patient had an eventful hospital course due to his complicated medical history. His hospital stay was characterized by urgent cardiac surgery, support with clotting factors and platelets, and complications due to his medical comorbidities.


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[User] Why did the patient require intubation and mechanical ventilation?

He required intubation and mechanical ventilation due to hypoxic and hypercarbic respiratory failure.


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[User] Why did the patient undergo re-evacuation of the chronic subdural hematoma?

However, the patient developed DIC and mild right hemiparesis. A repeat CT scan revealed a significant recurrent left-sided chronic subdural hematoma with mass effect and midline shift.


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[User] Why did the patient undergo surgery?

The patient underwent surgery due to a subocclusion, revealing peritoneal carcinomatosis and an 11 cm caecal tumor classified pT4aN2b with nodal and peritoneal metastases.


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[User] Why did the patient's condition deteriorate despite initial improvement?

However, the patient complained of recurrence of back pain on the 10th hospital day, which evolved into coma and severe hypotension refractory to vasopressors, and the patient died on the 12th hospital day due to multi-organ failure.


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[User] Why did the patient's condition worsen?

The autopsy revealed macroscopic signs of spinal cord necrosis extending along the entire cervical spinal cord to the mid-thoracic region. The microscopic examination showed diffusely scattered large eosinophilic degenerating neurons in a background of disintegrating glial tissue consistent with ischemic necrosis.


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[User] Why did the patient's tumor worsen despite treatment?

Despite multiple courses of chemotherapy, the patient's tumor worsened.


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[User] Why is regular dialysis important for this patient?

The patient has an underlying ESRF on regular dialysis. ... The patient was advised to continue regular dialysis sessions.


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[User] Why was Denosumab discontinued?

Denosumab discontinued due to medication-related osteonecrosis of the jaw (MRONJ) stage 2


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[User] Why was EEG monitoring performed on the patient?

EEG monitoring was performed due to suspected seizures.


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[User] Why was PD treatment stopped for the patient?

PD treatment was stopped 6 months ago due to peritoneal ultrafiltration failure and the PD catheter was removed by the 'pull technique'.


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[User] Why was a below-knee cast given to the patient?

Below-knee slab was given in plantar flexion. Suture removal took place on day 14, and below-knee cast in plantar flexion was given for two more weeks.


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[User] Why was a hymenectomy performed?

A hymenectomy was performed through a cruciate incision followed by re-approximation of hymen edges with Vicryl 2-0 sutures. More than 500mL of viscous old blood was drained from the vagina, uterus, and the right salpinx.


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[User] Why was a tracheostomy deemed unreasonable?

The tumor was determined to be surgically unresectable, and a tracheostomy was deemed unreasonable. Chemotherapy and radiotherapy were considered less desirable options since the patient was now requiring aggressive ventilator and hemodynamic supports.


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[User] Why was adjuvant chemoradiation therapy recommended?

The patient was subsequently recommended for adjuvant chemoradiation therapy due to the close surgical margin at the lateral extent of the mass.


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[User] Why was an autopsy declined?

The patient's family declined an autopsy.


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[User] Why was bevacizumab discontinued?

Laboratory investigations showed an issue with creatinine levels resulting in discontinuation of bevacizumab.


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[User] Why was cefoperazone/sulbactam ineffective?

The patient was initially treated with cefoperazone/sulbactam for 3 weeks, which did not improve the symptoms.


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[User] Why was dasatinib preferred over imatinib for this patient?

Dasatinib was preferred over first generation TKI imatinib due to factors such as a high risk of central nervous system involvement and extramedullary localization which have been observed in AML cases.


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[User] Why was emergency surgery performed?

A computed tomography (CT) scan of the abdomen indicated the presence of gas within the bladder wall and extravasation of contrast solution in the peritoneal cavity. Emergency surgery was decided and a partial cystectomy with debridement of the necrotic tissue, preservation of both ureters, and peritoneal lavage were performed.


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[User] Why was empirical antibiotic therapy administered?

Due to neurologic deterioration, empirical antibiotic therapy initially consisted of intravenous cefpiramide and isepamicin.


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[User] Why was fresh frozen plasma (FFP) administered?

Following the infusion of fresh frozen plasma (FFP), the INR value decreased to 1.8, after which right partial C4–C7 and C5-C6 total laminectomy was performed.


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[User] Why was genetic testing not done?

The patient received recommended genetic counseling, but due to the unavailability of genetic testing, none was done.


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

[User] Why was infliximab continued after the whole lung lavage?

The patient received whole lung lavage to improve respiratory symptoms, and infliximab was continued for the active intestinal BD.


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

[User] Why was infliximab discontinued?

The frequency of ocular attacks increased from December 2011, and oral ulcers and abdominal pain occurred in the same period. After 4 years and 8 months, intestinal lesions with bleeding were identified, and infliximab was judged inadequate to control intestinal lesions.


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

[User] Why was insulin and dextrose infusions administered to the patient?

Insulin and dextrose infusions were administered to control the potassium level, which was difficult to maintain.


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

[User] Why was percutaneous nephrostomy performed?

Percutaneous nephrostomy was attached to the left kidney under USG guidance. Contrast material administered through the catheter was not transmitted to the bladder in the ureterovesical junction.


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

[User] Why was surgery not considered for this patient?

Our surgeons did not consider surgery due to the patient's previous history of multiple surgeries, severe weakness, and multiple metastases of renal cancer.


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

[User] Why was surgical intervention necessary for the patient?

An initial treatment plan of supportive care and rehabilitation for the patient was not sufficient to stop the decline in neurologic status due to the continuous episodic hemorrhage of the lesions. Surgical intervention was necessary to evacuate the hematoma and cavernous malformation.


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

[User] Why was the antibiotic-loaded spacer implanted?

Upon assessment, we detected no infection, and all the blood tests, biopsy, and cultures resulted negative. In April 2015, we removed all hardware and implanted an antibiotic-loaded spacer.


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

[User] Why was the gastroenterology service consulted?

The gastroenterology service was consulted due to worsening LFTs, which were not responding to treatment.


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

[User] Why was the laparoscopic procedure converted to an open procedure?

The patient underwent a laparoscopic procedure, however, it was converted to an open procedure due to the length of the defect, which was too long to be bridged with a tension-free end-to-end anastomosis.


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

[User] Why was the patient administered infliximab?

After the third RSV, treatment effects lasted only 6 months. At that point, another RSV was not recommended, and the patient did not consent to surgical intervention. Therefore, the patient was administered infliximab, which is a TNF-alpha inhibitor used to treat PVNS.


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

[User] Why was the patient admitted to the emergency department?

The patient was admitted to the emergency department due to the crushing trauma.


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

[User] Why was the patient admitted to the hospital?

The patient was admitted to the hospital with a compressed air insult caused by perverted friends inserting the nozzle of a tire air pump into the patient's anus and inflating it.


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

[User] Why was the patient admitted?

The patient was admitted with severe right iliac fossa pain, increased urination frequency, and recurrent episodes of fever.


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

[User] Why was the patient advised to discontinue medroxyprogesterone?

The patient discontinued the medroxyprogesterone injections and began proton pump inhibitor treatment for the esophagitis.


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

[User] Why was the patient advised to follow up with her primary care physician?

The patient is advised to follow up with her primary care physician for further evaluation and management of her cardiac conditions.


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

[User] Why was the patient advised to follow up with prosthodontics?

The patient has been advised to follow up with prosthodontics for new denture construction.


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

[User] Why was the patient advised to maintain a supine position after discharge?

To prevent further air embolus, he was advised to maintain a supine position and be alert while undergoing medical procedures.


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

[User] Why was the patient advised to maintain good eye hygiene?

The patient is advised to maintain good eye hygiene and avoid rubbing the eyes.


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

[User] Why was the patient deemed unsuitable for surgery?

No specific reason was mentioned, but the patient was deemed unsuitable for surgery and underwent microwave ablation instead.


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

[User] Why was the patient discharged in stable condition?

The patient was discharged from the hospital in stable condition.


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

[User] Why was the patient discharged without medication?

Discharge Medications: None prescribed at the time of discharge.


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

[User] Why was the patient experiencing significant sinus bradycardia?

The patient had significant sinus bradycardia and required pacemaker placement due to post-conversion pauses.


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

[User] Why was the patient instructed to rest and recover as directed?

1. Rest and recover as directed and avoid engaging in any strenuous physical activity.


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

[User] Why was the patient intubated?

The patient received oxygen therapy and antibiotics, but respiratory deterioration ensued, prompting intubation and transfer to the intensive care unit.


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

[User] Why was the patient lost to follow-up?

The patient was advised to return as an outpatient for further follow-up, but he did not return, and he was lost to follow-up.


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

[User] Why was the patient not given corticosteroids?

Corticosteroids were deferred in light of an ongoing infection and normal renal functions in this patient.


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

[User] Why was the patient placed in hospice care?

CT abdomen and pelvis showed widespread metastasis with lung, liver, and bone lesions. He was not eligible for further systemic treatment for HCC and was placed in hospice care.


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

[User] Why was the patient prescribed a high dose proton-pump inhibitor regimen?

The patient is advised to follow a high dose proton-pump inhibitor regimen for four weeks. Although the note doesn't explicitly mention why, it's likely related to their history of oesophagectomy and gastric pull-up for adenocarcinoma.


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

[User] Why was the patient prescribed an antidepressant?

As a result, the patient became depressed, and heart palpitations occurred. An antidepressant, as well as medications for insomnia and indigestion, were prescribed.


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

[User] Why was the patient prescribed bed rest?

Bed rest for 3 months along with antiosteoporosis treatment was advised.


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

[User] Why was the patient prescribed haloperidol?

A psychiatric consult was performed, and the patient was prescribed haloperidol due to delirium and agitation.


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[User] Why was the patient prescribed multivitamins and antacids

The patient underwent hemicolectomy and was treated with Amoxyclav, Linezolid, and Levofloxacin, which were administered in appropriate dosages along with antacids and multivitamins.


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

[User] Why was the patient prescribed no medications at discharge?

Discharge Medications: None specified.


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

[User] Why was the patient prescribed trifluoperazine?

The patient was on trifluoperazine for the treatment of schizoaffective disorder.


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

[User] Why was the patient previously admitted to the local hospital?

Further history revealed that the patient was previously admitted to her local hospital for bronchiolitis at one month and received supportive therapy.


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

[User] Why was the patient re-admitted to the hospital?

The patient then experienced massive weight loss, dyspnea, stridor, and difficulty swallowing, and was re-admitted to the hospital 10 months later. The radiological diagnostics showed a large tumor mass of the esophagus with infiltration of the trachea and several osseous metastases.


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

[User] Why was the patient readmitted to the hospital?

Three weeks post-transplant, the patient was brought to the emergency department due to sudden onset of severe abdominal pain and lightheadedness.


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

[User] Why was the patient referred for a laparoscopic sigmoid colectomy?

The patient was referred for a laparoscopic sigmoid colectomy due to concerns for ongoing bleeding and the size of a remaining polyp that was not successfully removed during colonoscopy.


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

[User] Why was the patient referred to a geneticist?

A referral to a geneticist may be necessary for further evaluation and management.


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

[User] Why was the patient referred to the hematologic service?

The patient was diagnosed with cyclic neutropenia based on his medical history and serial complete blood count (CBC) tests, which showed episodic neutropenia. The patient was discharged after completing the course of antibiotics and was referred to the hematologic service for further management, including granulocyte colony-stimulating factor and prophylactic antibiotics.


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

[User] Why was the patient referred to the hospital?

Patient Information: A 46-year-old male of Georgian descent who was referred to our hospital in October 2004 due to thrombocytopenia, elevated transaminase levels, and γ-glutamyl transpeptidase.


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

[User] Why was the patient rehospitalized?

However, several weeks later, the patient again experienced fever and intense weakness.


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

[User] Why was the patient rejected as a candidate for heart transplantation?

He was screened and rejected as a candidate for heart transplantation due to irreversible PH.


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

[User] Why was the patient started on enteral feeds?

The patient was started on enteral feeds with close monitoring for signs of refeeding syndrome.


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

[User] Why was the patient started on warfarin and enoxaparin?

The patient was started on enoxaparin and warfarin, as per American Heart Association guidelines.


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

[User] Why was the patient switched from doxycycline to ciprofloxacin?

On the third day of treatment, new skin lesions on both lower limbs were observed, along with fever, lassitude, and visual floaters. The therapy was switched to ciprofloxacin 500 mg twice daily, and the patient responded within 24 hours.


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

[User] Why was the patient switched from risperidone to tDCS therapy?

Mrs. K was admitted following an exacerbation of symptoms of thought alienation, auditory and olfactory hallucinations, bizarre delusions and formal thought disorder over the past 3 months, despite being regular on 6 mg/day of risperidone treatment.


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

[User] Why was the patient taken off topiramate?

He was subsequently started on topiramate 50 mg twice a day, but he developed thrombocytopenia thought to be related to levetiracetam. Topiramate was stopped, and one session of hemodialysis was performed.


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

[User] Why was the patient transferred to the ICU?

The patient was persistently tachycardic, had an elevated white blood cell count, and had an abnormal thyroid hormone panel. She was diagnosed with thyroid storm and transferred to the ICU, where she was treated with propranolol, PTU, and solumedrol.


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

[User] Why was the patient's A1AT level checked?

Bronchoscopy helped exclude a tracheal diverticulum, and there were no signs of complications related to alpha-1 antitrypsin (A1AT) deficiency. Seric levels of A1AT were higher than normal, and RCP was slightly increased, which is coherent with an inflammatory condition.


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

[User] Why was the patient's ERCP performed?

Gastroenterology was consulted, and the patient underwent an endoscopic retrograde cholangiopancreatography (ERCP) that revealed a biliary leak at the cystic duct.


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

[User] Why was the patient's antiepileptic medication changed?

The patient's antiepileptic medication was switched from carbamazepine to brivaracetam due to the latter's non-ictal aetiology of the event.


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

[User] Why was the patient's condition not improving despite treatment?

Despite aggressive management and treatment, the patient's condition did not improve, and she passed away on the sixth day due to severe intracerebral hemorrhage.


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

[User] Why was the patient's condition stabilized during his stay?

The patient's vital parameters were monitored closely, and his condition was stabilized.


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

[User] Why was the patient's conservative treatment approach changed?

However, the hematoma continued to enlarge, and two weeks into the hospital course, the patient exhibited sudden bright red blood per rectum (BRBPR) and hematemesis with a drop in hemoglobin from 9.2 g/dL to 4.1 g/dL.


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

[User] Why was the patient's dasatinib dose escalated?

The patient's dasatinib dose was escalated to the maximum tolerated dose (100 mg/d) after temporary withdrawal due to diarrhea related to dasatinib.


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

[User] Why was the patient's immunosuppressive medication adjusted?

The immunosuppressive medications, cyclosporine and mycophenolate mofetil (MMF), were discontinued and the dose of everolimus was tapered off due to high blood levels and suspicion of a pre-renal cause.


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

[User] Why was the patient's kidney biopsy performed?

In 2015, routine screening revealed albuminuria and proteinuria accompanied by oscillatory hypertension and occasional ankle edema. A kidney biopsy revealed IgA nephropathy (IgAN) class II with a MEST-C score of M1, E1, S1, T2, and C0.


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

[User] Why was the patient's mesalazine treatment discontinued?

Mesalazine and AZA were discontinued after the patient was diagnosed with atypical pneumonia and eosinophilia.


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

[User] Why was the patient's mitral valve replacement surgery postponed?

The surgery was postponed for another 2 weeks due to a COVID-19 case in the department of cardiac surgery.


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

[User] Why was the patient's optical colonoscopy unsuccessful?

A failed optical colonoscopy was also noted. A further optical colonoscopy was attempted two months later, which also failed to enter the sigmoid colon citing severe diverticular disease as the reason.


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

[User] Why was the patient's previous scabies treatment unsuccessful?

The patient was previously treated with permethrin 5% cream but was referred to our facility due to a generalized pruritic eruption.


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

[User] Why was the patient's radiation therapy not modified?

No additional treatment was recommended for the vascular malformation possibly associated with the lesion since this would not have impacted her remaining lifetime.


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

[User] Why was the patient's serology for TB-Quantiferon done?

Serology for TB-Quantiferon was done, and infliximab was tried, but there was no improvement in her symptoms.


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

[User] Why was the patient's total knee arthroplasty contraindicated?

Due to anemia of unknown etiology, total knee arthroplasty was contraindicated as per orthopedic surgery.


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

[User] Why was the patient's treatment changed from imatinib to sunitinib?

In May 2012, a new solid paracaval lesion was identified, and the patient switched to sunitinib second line treatment.


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

[User] Why was the patient's tricuspid valve not repaired?

The patient underwent TV replacement surgery as TV repair was difficult and late results of valvuloplasty were poor in CCTGA.


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

[User] Why was the peritoneal dialysis catheter removed?

A communication between the abdominal cavity and the bowel lumen was suspected, which was confirmed by colonoscopy. The peritoneal catheter was removed by open surgery, and peritoneal dialysis was discontinued.


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

[User] Why was the treatment changed to AZA and infliximab?

Under the suspect of CNS involvement, the patient's treatment was changed to AZA and infliximab.


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

[User] Why was trabeculectomy performed for the left eye

Interestingly, for the left eye, the highest registered IOP was over 40mmHg with significant IOP fluctuation, despite the apparently reasonable IOP control in the office. Medical treatment was attempted; however, a trabeculectomy was ultimately performed in the left eye as well.


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

[User] Why were both patients initially treated with radiofrequency ablation?

Patient 1 and Patient 2 initially underwent RFA due to their clinical presentations and individual preferences. Patient 1 had a high surgical risk and Patient 2 was unwilling to undergo surgery.


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

[User] Wide excision surgery

The patient underwent a wide excision of the involved cortex with no apparent corticomedullary continuity with the mass. The interphalangeal joint was not found to be involved in the surgery.


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

[User] Will the patient need radiation therapy after surgery?

The patient will be advised to follow-up with an oncologist for further radiation therapy. Additional follow-up appointments will be scheduled with the department for further monitoring and treatment.


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[User] Will the patient require ongoing medication after discharge?

Aspirin was started for antiplatelet effect. The patient will continue taking aspirin for antiplatelet effect.


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[User] Wilms' tumor diagnosis

The child was diagnosed with a stage III left Wilms' tumor and underwent left nephroureterectomy with lymph node sampling.


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

[User] Wilson's Disease symptoms in children

The patient had generalized tonic-clonic seizure, ataxia, intention tremor, and disturbance of gait and speech. The symptoms had started insidiously and progressed gradually over time.


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

[User] Wilson's disease in pregnancy treatment

The patient was being treated with Metalcaptase (D-penicillamine) and Zinco (50 mg zinc) throughout her pregnancy for her Wilson's disease, however, stopped treatment for the last three days.


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

[User] Wilson's disease symptoms in children

The patient, a 14-year-old girl, presented with complaints consistent with the diagnosis of Wilson's disease. She had no prior medical history, and her developmental milestones were normal.


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[User] Withdrawal of care after brain death diagnosis

It was determined that further medical interventions would not be beneficial for the patient's care. As a result, the patient's family was notified of the patient's condition and the decision to withdraw care was made. The patient expired shortly thereafter.


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

[User] Worm in the eye symptoms

The patient presented with complaints of pain and redness in the right eye for one month. He had taken a short course of oral steroids 15 days ago, and was better during that time but the symptoms reappeared after discontinuing the medication.


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

[User] Wound closure after neck mass removal

The incision was closed in subcutaneous and cutaneous planes.


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[User] Wrist tenosynovectomy post-operative care plan

The follow-up period after these treatments was brief, and the patient's RA progression since remains unknown.


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[User] Wuchereria bancrofti symptoms

The patient presented with a painless swelling on the lateral aspect of her left upper arm which had been present for five months. There was no antecedent history of injury or trauma, or history of similar swelling elsewhere in the body or of constitutional symptoms associated.


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[User] X-linked ichthyosis symptoms

The patient displayed mild mental retardation as well as impulsive and hyperactive behavior. He had not yet attained puberty, and his ophthalmological examination revealed iris transillumination, hypopigmentation of the fundus, and macular hypoplasia in both eyes.


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[User] XDR-TB symptoms

The patient presented with a smoking history of 20 pack-years and a past history of alcohol dependence.


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

[User] XDR-TB treatment

Treatment for XDR-TB was initiated on November 1, 2013. The patient demonstrated significant improvement during his stay at the hospital and was eventually discharged.


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[User] Xanthogranulomatous Pyelonephritis treatment options

A percutaneous drain was placed in the left kidney, which drained about 100 ml of purulent fluid daily. The patient was found to have a nonfunctioning left kidney, and subsequently underwent a left open subcapsular nephrectomy.


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[User] Xanthogranulomatous cholecystitis symptoms

The patient presented with fever, chills, nausea, vomiting, and sharp, cramping pain in the right upper abdomen.


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[User] Y-90 radioembolism complications

Further follow-up of the patient revealed mild worsening of hepatic lesions, and she received two more doses of Y-90 radioembolism.


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[User] YNS and CRS symptoms

The patient was admitted with suspected YNS, which had been causing yellowing and thickening of the nails and bronchitis for several years. The patient had a medical history of CRS approximately 10 years previously.


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[User] Yellow fever vaccine side effects

The patient's symptoms were consistent with a yellow fever vaccine-associated adverse event.


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[User] Yersinia enterocolitica symptoms

The patient was admitted to the hospital due to diarrhoea associated with fever and griping abdominal pain.


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

[User] Yersinia enterocolitis diagnosis

The final diagnosis of Yersinia enterocolitis was made a few weeks after onset.


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[User] Yoga therapy benefits for headache

The patient was advised to undergo yoga therapy to manage stress, which was identified as a major contributory factor for headache.


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[User] Yokukansan side effects

The patient experienced a hypomanic state and was treated with Yokukansan, resulting in a stable mood without side effects.


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[User] Zafarullah Khan technique for impression making indications

A Zafarullah Khan technique for impression making was planned for the patient.


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[User] Zolpidem withdrawal syndrome symptoms

The patient was admitted to the Emergency Department with symptoms of restlessness, agitation, anxiety, impatience, loss of energy, irritability, physical symptoms, and increased craving for opium following the abrupt discontinuation of zolpidem.


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[User] Zotarolimus-eluting stent implantation procedure

Further percutaneous coronary intervention was performed, and a zotarolimus-eluting stent was implanted due to suboptimal revascularization flows.


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[User] Zygomaticomaxillary complex fracture treatment

The initial surgery focused on treating the fracture of the right zygomaticomaxillary complex due to avulsive injuries at the mandible. This was done after general anesthesia and hemicoronal and subciliary incisions to access the lateral orbital wall, body of zygoma, zygomatic arch, and infraorbital rim and floor with two four-hole miniplates and Medpor prosthesis to reconstruct the defect.


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[User] _DIAGNOSTIC CRITERIA for neurofibromatosis

A formal diagnosis of neurofibromatosis was entertained but could not be made clinically based on published criteria.


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[User] abdominal CSF pseudocyst symptoms

The patient presented with progressive abdominal pain and distention.


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[User] abdominal CT scan findings

The patient underwent a CT scan of the abdomen and pelvis, which showed a mixed density collection around the region of the pancreas and adjacent mesentery, displacing the stomach anteriorly.


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[User] abdominal aortic aneurysm symptoms

The patient presented with an asymptomatic abdominal aortic aneurysm.