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

[User] What are the consequences of not treating the impacted incisor?

On intraoral examination, a missing left maxillary central incisor (tooth no. 21) was observed, and a space deficiency in the maxillary anterior area was noted due to migration of number 11 into the space that would have been occupied by tooth number 21.


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

[User] What are the current medications for the patient's seizure disorder?

Although the note doesn't explicitly state the current medications, it lists several medications that have been tried for the patient's seizure disorder, including valproic acid, oxcarbazepine, phenobarbital, phenytoin, atomoxetine, aripiprazole, quetiapine fumarate, haloperidol, sertraline, pregabalin, olanzapine, topiramate, levetiracetam, mirtazapine, and ethyl loflazepate.


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

[User] What are the diagnostic criteria for autoimmune hepatitis?

The patient was diagnosed with autoimmune hepatitis based on ANA speckled and cytoplasmic pattern, anti-SMA, and anti-SLA positivity. HLA genotyping showed HLA-DRB1* 04; DR B1* 07 genotype. Tumoral markers were negative except for CA 19.9 elevation.


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

[User] What are the discharge instructions for a neonate with macrocephalus?

The parents were advised to continue monitoring the patient's temperature and to keep the patient's head elevated while sleeping. They were instructed to avoid exposure to sick persons and to seek medical attention immediately if they notice any changes in the patient's condition.


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

[User] What are the discharge instructions for a patient after partial neurectomy?

The patient was discharged with appropriate instructions on wound care and pain management. The patient was instructed to avoid activities that may cause discomfort at the surgical site.


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

[User] What are the discharge instructions for a patient with rectal carcinoma?

The patient was advised to follow up with the oncologist as per their recommended schedule and to report any symptoms immediately. All medication prescriptions and instructions were given along with the need for adherence to their regimen. The patient was instructed to maintain a healthy diet, refrain from smoking or consuming alcohol, as well as to resume daily activities as tolerated.


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

[User] What are the discharge instructions for a patient with severe acute cholecystitis?

The patient was discharged with instructions to follow up with her primary care physician. She was advised to continue taking her medications as prescribed and to attend all future scheduled appointments. She was instructed to monitor for any symptoms of abdominal pain, fevers, or chills, and to seek immediate medical attention if they occurred.


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

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

The patient is advised to follow up with her primary care physician and to continue taking her prescribed medications as directed. She should also monitor her symptoms and notify her physician if she experiences any further vomiting or melena.


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

[User] What are the discharge requirements for T-ALL patient?

The patient's condition has improved, and she is ready for discharge with prophylactic acyclovir, sulfamethoxazole/trimethoprim, and prednisone as part of her chemotherapy regimen and outpatient retina clinic follow-up.


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

[User] What are the expected outcomes for patients with syringoma?

The above clinical and histopathological picture resulted in a diagnosis of syringoma.


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

[User] What are the expected outcomes for the patient's condition?

The patient is expected to recover well with adequate follow-up and management of the May-Thurner syndrome.


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

[User] What are the expected outcomes of anti-vascular endothelial growth factor therapy for PED?

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


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

[User] What are the expected outcomes of root submergence?

The procedure was successful, and healing was uneventful. The patient was evaluated after 18 months, and radiographic evaluation showed normal retained roots with regard to surgical success, periodontal support, lamina dura presence, and absence of periapical pathosis.


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

[User] What are the follow-up appointments for this patient?

Follow-up appointments were scheduled, including cystoscopy and CT urogram at 3 months, and ureteroscopy was performed at 6 months, which demonstrated minimal residual or recurrent disease (5 mm in upper pole calyx) that was successfully ablated (thulium laser).


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

[User] What are the follow-up care instructions for the patient?

The patient was given instructions for follow-up care, including appointments with oncology and radiology departments, mammography, and self-breast examination education.


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

[User] What are the follow-up care instructions for this patient?

The patient is advised to follow up with their primary care provider immediately. The patient should continue to maintain good ophthalmological hygiene and attend routine check-ups.


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

[User] What are the follow-up care instructions for vitiligo in dogs?

The client is advised to continue routine health care and provide the pet with a balanced diet and adequate hydration. The veterinarian recommends regular dermatological examinations to monitor for any changes or progression in the condition.


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

[User] What are the follow-up care plans for the patient?

Appropriate follow-up was arranged with the Hematology department.


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

[User] What are the follow-up care recommendations for the patient?

The patient should continue to follow up with his healthcare provider for regular checkups and medication management. The patient was advised to schedule follow-up appointments with various specialties including Neurology, Cardiology, and Hematology/Oncology.


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

[User] What are the follow-up instructions for COVID-19 pneumonia patients?

The patient is advised to follow all the COVID-19 guidelines, including social distancing, wearing a face mask, and washing hands frequently. In case of any respiratory illness symptoms, the patient is advised to contact her healthcare provider immediately.


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

[User] What are the follow-up instructions for Meesmann corneal dystrophy?

The patient was discharged and provided with follow-up instructions.


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

[User] What are the follow-up instructions for a patient with cone-specific degeneration?

The patient was advised to periodically visit the Neuro-Ophthalmology Service at the Massachusetts Eye & Ear Infirmary for continued vision screenings and follow-up appointments as per his healthcare provider's recommendation. The patient was advised to contact his primary care physician if he experienced any changes in his condition or symptoms.


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

[User] What are the follow-up instructions for a patient with primary fallopian tube cancer?

The patient should continue her follow-up care and appointments with her primary care doctor. The patient should be aware of the risks and symptoms associated with primary fallopian tube cancer, and contact her doctor immediately if she experiences any concerning symptoms.


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

[User] What are the follow-up instructions for the patient after discharge?

The patient should have a follow-up visit with their primary care physician one week after discharge. They should continue their prescribed medications and report any new symptoms or concerns to their primary care physician. Additionally, the patient should schedule an appointment with their surgeon for one month after discharge.


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

[User] What are the follow-up instructions for the patient with B. cereus necrotizing pneumonia?

No follow-up is necessary as the patient has passed away.


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

[User] What are the follow-up instructions for the patient's condition?

The patient was advised to continue to seek infertility consultation and treatment from qualified healthcare professionals.


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

[User] What are the follow-up instructions for the patient?

The patient was provided with follow-up appointments with his primary care physician and cardiologist to monitor his recovery. The patient was advised to continue to take care of the surgical site to prevent infection and to report any change in the condition of the wound.


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

[User] What are the follow-up instructions for this patient?

The patient showed normal physical examination results and had stable electrolyte levels during her last follow-up at 12 months. There are no discharge instructions for this summary.


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

[User] What are the follow-up plans for Mr. A?

Follow-up appointments with the prescribing physician or other designated mental healthcare professional should be scheduled every 3 months for medication adjustment as required, and more frequently if there are any concerns or changes in his condition. Family and caregivers should be vigilant for any signs of worsening of Mr. A's condition and seek prompt medical attention.


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

[User] What are the follow-up plans for a patient with scleromyxedema?

The patient is advised to seek regular follow-up care with a physician to monitor the progression of the disease.


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

[User] What are the follow-up plans for malignant pleomorphic tumour?

The patient underwent an outpatient PET scan showed no residual intra-abdominal or distant disease.


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

[User] What are the follow-up plans for the patient after discharge?

The patient will be referred to an oncology specialist for further management and treatment.


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

[User] What are the follow-up plans for the patient's retinal oedema?

The patient will have regular follow-up appointments with an ophthalmologist who will monitor her retinal oedema and progress.


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

[User] What are the follow-up plans for the patient's tricuspid regurgitation?

Tricuspid valve replacement was considered in the future, as pediatric TV replacement has a poorer prognosis and rates of higher failure than in adults.


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

[User] What are the follow-up plans for the patient?

The patient is scheduled for a follow-up appointment with the colorectal surgeon.


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

[User] What are the follow-up recommendations for the patient's rectal cancer?

The patient has been advised to follow up regularly with their oncologist to ensure appropriate cancer surveillance.


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

[User] What are the follow-up recommendations for the patient?

Schedule regular follow-up appointments to monitor the patient's condition and ensure that there is no recurrence of abnormal vaginal bleeding. Discuss lifestyle changes that could potentially reduce the patient's hypertension and obesity.


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

[User] What are the follow-up requirements for the patient?

The patient requires regular follow-up with medical oncology and radiology assessments to monitor for further tumor recurrence.


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

[User] What are the further assessments required for the patient?

The patient has been referred to the department of obstetrics and gynaecology for further assessment.


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

[User] What are the genetic implications of progeria?

A provisional diagnosis of progeria was made which was confirmed genetically by detection of mutations (G608G) in the laminin A gene (Lmna). The patient was referred to genetic counseling and discharged to follow up with their primary care physician for continued treatment.


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

[User] What are the implications of a positive family history for contortionism, easy bruising, and tendency to arterial hypotension?

The patient had a positive family history for contortionism, easy bruising, and tendency to arterial hypotension. The patient was diagnosed with a hereditary connective tissue disorder, which explains her history of trigger fingers, orthodontic therapy, rectal prolapse, easy bruising, and tendency to arterial hypotension.


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

[User] What are the implications of a quadricuspid aortic valve during pregnancy?

The patient underwent an uneventful vaginal delivery without any peri- or postpartum complications and was discharged home after three days of hospitalization. Ongoing follow-up with a cardiologist was recommended to monitor the post-partum complications of quadricuspid aortic valve in the setting of aortic regurgitation.


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

[User] What are the implications of discontinuing anticoagulant therapy during sepsis?

The patient's anticoagulant medication was discontinued following this episode.


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

[User] What are the implications of koilocytosis and p53, Ki-67, and p16 expressions in anal canal SCC?

Pathological analysis of the resected tumor exhibited koilocytosis and strong expressions of p53, Ki-67, and p16, indicating that the patient was likely infected with HPV.


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

[User] What are the implications of multiple peritoneal metastatic nodules on the jejunal serosa?

Total gastrectomy including the lower esophagus was performed to treat GIST with achalasia, despite the presence of multiple peritoneal metastatic nodules on the jejunal serosa.


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

[User] What are the implications of the PIK3CA E545K mutation on treatment planning?

Testing of primary breast tumor demonstrated a PIK3CA E545K mutation, which was also taken into consideration for treatment planning.


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

[User] What are the implications of the chromosome 22q11.2 deletion?

FISH analysis on metaphase plates confirmed the chromosome 22q11.2 deletion. The patient had no palate abnormalities or characteristic facial features. Auxological parameters were normal, as was serum calcium level and the absence of seizures. Developmental disabilities were absent.


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

[User] What are the implications of the novel heterozygous mutation of the PRX gene with K1062N (s1062Asn)?

Hereditary neuropathy panel through GeneDx was sent, which reported the presence of a novel heterozygous mutation of the PRX gene with K1062N (s1062Asn).


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

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

The intraoperative frozen section was negative for sentinel lymph metastasis, and a lymph node dissection was not performed. The final pathology was negative for residual disease, and a partially normal ductal component was present.


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

[User] What are the indications for biopsy in NF1 patients?

Because both patients had a previous history of NF1 and biopsy of these lesions is usually reserved for cases in which the diagnosis of NF1 is in question, the procedure was not performed.


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

[User] What are the indications for liver biopsy in this case?

In view of the radiological and biochemical derangements, a percutaneous liver biopsy was also performed.


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

[User] What are the instructions for follow-up care?

Avoid strenuous activities for two weeks. Maintain good fluid intake. Monitor urinary volume and pay attention to any signs of UTI, including fever, burning, and the frequency of urination.


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

[User] What are the long-term effects of IgG4-related disease on the patient's quality of life?

The patient adhered well to the therapy and no severe side effects occurred.


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

[User] What are the long-term effects of the nasal mass removal surgery?

The patient was asymptomatic for 12 months with completely healed lining of the nose.


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

[User] What are the long-term implications of a Grade IV intraventricular hemorrhage (IVH) in a neonate?

Brain MRI on the sixth day of life confirmed left Grade IV and right Grade III IVH with midline shift. The parents were counseled on guarded prognosis while long-term follow-up will reveal any neurological deficits.


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

[User] What are the long-term implications of chronic suppurative inflammation in the cervical spine?

Anterior debridement, biopsy, spinal canal decompression, iliac bone graft fusion, and internal fixation were performed, and the postoperative pathological result confirmed chronic suppurative inflammation.


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

[User] What are the long-term neurological outcomes of patients with bilateral frontal lobe contusions?

At 6 months follow-up, patient had no neurological deficit and no signs of rhinorrhea and meningitis


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

[User] What are the long-term outcomes for a patient with Aneurysmal Bone Cyst?

Currently, the patient remains well with near total resolution of the proptosis. The patient's visual acuity is normal and the ophthalmoplegia has resolved. Post-operative imaging has demonstrated good clearance and removal of the cyst.


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

[User] What are the long-term outcomes of C1 posterior arch removal?

At 2 years postoperatively, the patient had sustained motor function with no new symptoms. No occiput-C1-2 joint instability was noted on the cervical spine flexion and extension radiography and CT performed at the 2-year mark.


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

[User] What are the long-term prognosis and potential complications of Leigh Syndrome?

Long-term prognosis for this patient is difficult to predict and may involve neurological complications, which will require continuous management.


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

[User] What are the long-term risks associated with CO2 embolism during surgery?

The patient was ultimately found to be stable, with no adverse neurological sequelae.


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

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

The patient presented with symptoms of poor educational performance at the age of 8 years, followed by gait abnormalities and facial abnormal movements at the age of 12 years. Subsequent symptoms included dysarthria, frequent falls, ataxia and dystonia of right limbs, supranuclear vertical gaze palsy, and swallowing difficulties.


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

[User] What are the main symptoms the patient presented?

The patient was admitted with Raynaud's phenomenon, finger skin thickness, and induration followed by digital pitting scars on the right index finger.


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

[User] What are the next steps for genetic testing for Usher syndrome?

Formal genetic testing was discussed, but access to clinical testing is generally problematic, and research testing has yet to be initiated.


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

[User] What are the next steps for managing the patient's papillary carcinoma?

At the time of this report, the patient has been followed up for ∼16 months and had no recurrence or metastasis. The patient may continue pharmacotherapy with levothyroxine for thyrotropin-suppressive therapy under the care of their primary care physician.


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

[User] What are the next steps in managing the patient's LADA?

The patient should follow up with her primary care provider and endocrinologist for further management of LADA and diabetes. She should continue insulin therapy as directed and monitor her blood glucose regularly.


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

[User] What are the next steps in the patient's treatment plan?

The patient is expected to continue follow-up treatment with an endocrinologist.


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

[User] What are the outcomes of left radical nephrectomy for RCC?

The patient underwent left radical nephrectomy, which revealed a biphasic tumor with areas of sarcomatoid differentiation. The tumor also contained areas of hemorrhage and coagulative necrosis with extensive bony hard calcification.


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

[User] What are the patient's chances of recovery?

The patient showed a significant reduction in serum IgG4 levels after 8 weeks of treatment. Repeat CT revealed a 50% reduction in paraspinal, orbital, and renal mass, and the patient was relieved of pressure symptoms.


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

[User] What are the patient's current cognitive abilities?

Cognitively, he is able to count from 1-10 in a stable sequence, which is a skill normally seen at approximately 34 months.


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

[User] What are the patient's current cognitive function scores?

The patient showed moderate clinical improvement, including improvement in cognitive function scores. However, four years after the first consultation, the patient has severe executive dysfunction on neurocognitive testing suggestive of a frontal profile dementia.


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

[User] What are the patient's current limitations?

The patient also experienced tremors and excessive sweating of both palms, limiting several activities of daily living such as writing and playing cricket.


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

[User] What are the patient's current medications for HCC surveillance?

The patient was prescribed everolimus monotherapy and half-dose sorafenib therapy (200 mg twice per day).


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

[User] What are the patient's current status and follow-up plan?

The patient has not yet been discharged and is under observation for follow-up.


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

[User] What are the patient's current treatment options?

Infiltration and viscosupplementation were proposed but refused by the patient. The patient is now waiting for a unicompartmental knee replacement.


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

[User] What are the patient's dietary needs?

Although not explicitly stated, the note mentions that the patient is receiving solid foods orally and liquids by gastrostomy, which indicates a need for alternative feeding methods.


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

[User] What are the patient's discharge instructions?

The patient is advised to follow up with their oncologist for recommendations regarding further treatment. The patient should follow a healthy diet and exercise plan to maintain a healthy lifestyle. It is recommended to avoid smoking and alcohol consumption.


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

[User] What are the patient's discharge medications?

None.


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

[User] What are the patient's expected outcomes?

The patient was discharged in stable condition and has been advised to follow up with a geneticist to further discuss the CACNA1S gene mutation. He is expected to have routine follow-ups to monitor for any future episodes of CACNA1S-related disorder.


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

[User] What are the patient's family medical history?

According to the patient's family, the patient's older brother and mother are mentally disabled.


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

[User] What are the patient's follow-up appointments for?

Follow-up appointments have been scheduled for further evaluation and management of the patient's condition.


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

[User] What are the patient's follow-up care instructions?

The patient will continue to be monitored through clinical and instrumental surveillance.


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

[User] What are the patient's follow-up care recommendations?

The patient will schedule follow-up appointments with the appropriate healthcare providers in his community to monitor his condition.


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

[User] What are the patient's follow-up instructions after being discharged?

The patient was given instructions to avoid heavy lifting or strenuous activity for at least six weeks after surgery. Any signs of infection, bleeding, or fever should be reported to the medical team immediately.


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

[User] What are the patient's follow-up instructions?

The patient was provided with instructions to follow up with a primary care physician or an oncologist to discuss further treatment options. The patient should be advised on lifestyle modifications to improve overall health and wellbeing.


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

[User] What are the patient's follow-up plans after discharge?

The patient should follow up with a gastroenterologist for evaluation and management of jejunal diverticulitis and be advised regarding the potential for additional complications.


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

[User] What are the patient's follow-up plans?

Given a CT/MRI and hematological index every 3 months.


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

[User] What are the patient's impacted teeth?

Impacted maxillary supernumerary teeth were found palatal to 21 and 22, and impacted 36, 37, and 38 were found on the left mandibular area. Also, horizontally placed 37 and 38 were in a sleeping position, while in the mandibular right region, 47 and 48 were impacted.


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

[User] What are the patient's main complaints?

Inability to Walk, Falling Over Backward, Memory Loss, Increased Episodes of Spontaneous Laughing


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

[User] What are the patient's main symptoms?

The patient presented with recurrent episodes of rhabdomyolysis since childhood. At the age of 25 years, the patient presented with acute muscle pain and weakness following prolonged fasting and strenuous exercise.


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

[User] What are the patient's medication allergies?

None mentioned.


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

[User] What are the patient's other known medical conditions

Patient: 77-year-old male veteran with chronic obstructive pulmonary disease, coronary artery disease status post coronary artery bypass graft, dyslipidemia, hypertension, and gastroesophageal reflux disease.


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

[User] What are the patient's past medical history and current medications?

Her past medical history included hypertension, pulmonary embolism and diverticulitis. She took regular amlodipine, losartan and apixaban with no relevant family history.


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

[User] What are the patient's past medical history and current symptoms?

This 58-year-old Caucasian female with a past medical history of Hashimoto thyroiditis was admitted to our hospital for dermatologic evaluation and treatment. She presented with a widespread, indurated, waxy, erythematous, and thickened skin throughout her entire body, with erythematous, confluent papules measuring 2–4 mm most visible on the face and chest.


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

[User] What are the patient's presenting symptoms?

The patient presented with an asymptomatic skin eruption, unexplained weight loss of 60-70 pounds, acute onset back pain, and intermittent rectal bleeding.


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

[User] What are the patient's recommended follow-up appointments?

The patient should schedule follow-up appointments with her primary care physician as recommended.


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

[User] What are the patient's symptoms?

The patient was admitted to our department with symptoms of menorrhagia and dysmenorrhea along with multiple intramural leiomyomas and a left ovarian endometrioma.


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

[User] What are the patient's visual acuity and intraocular pressure readings?

Her visual acuity was 30/200 OD and 60/200 OS, Goldmann applanation intraocular pressure was normal (OD13 mmHg, OS12 mmHg)


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

[User] What are the patient's vital signs?

The patient's vital signs were stable upon admission.


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

[User] What are the plans for follow-up care?

The patient was discharged and will continue to receive follow-up care.


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

[User] What are the plans for the patient's follow-up care?

The patient will follow up with primary care physician for further management of his type 2 diabetes mellitus and hypertension.


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

[User] What are the possible complications of Amplatzer septal occluder?

A minor leakage was noted initially. However, further imaging revealed two separate devices, though this was not a significant complication.


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

[User] What are the possible complications of Generalized Congenital Melanocytic Nevus?

GCMN is often benign but can in rare cases lead to malignant melanoma.


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

[User] What are the possible complications of Paget's disease of vertebra?

Computed tomography scan and magnetic resonance imaging (MRI) findings were consistent with lysis in the marrow region with peripheral sclerosis. Biopsy results revealed Paget's disease of vertebra and showed a benign fibro-osseous pattern with osteoclastic giant cells and fine strands of fibrosis.


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

[User] What are the possible complications of a pathological odontoid fracture?

CT revealed a pathological odontoid fracture and atlantoaxial dislocation. ... CT after closed reduction showed an absent right transverse sinus and a prominent occipital venous sinus.


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

[User] What are the possible complications of anaplastic astrocytoma?

Currently, John has cerebral ataxia and no evidence of acute lymphoblastic leukemia. The tumor cells displayed moderate nuclear pleomorphism and frequent mitotic figures, including atypical forms.


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

[User] What are the possible complications of encapsulated spindle formation?

There were no signs of calcification, and there was a mild and inhomogeneous uptake of the contrast. The bone underneath the lesion was eroded.


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

[User] What are the possible complications of ileo-ileal intussusception?

The patient should be monitored regularly to evaluate the possibility of recurrence.


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

[User] What are the possible complications of intraabdominal lymphangioma surgery?

The patient underwent a successful operation for tumor excision resulting in no postoperative complications.


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

[User] What are the possible complications of myopic subretinal hemorrhage?

SD-OCT OD showed partial reabsorption of the intraretinal hemorrhage, with normalization of retinal profile and restoration of the foveal pit. Hyper reflective material was still present in the subfoveal region, with disruption of the outer retinal layers.


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

[User] What are the possible long-term outcomes for the patient's condition?

Infectious disease suspected inflammatory flare-ups because of chronic bilateral PJIs and noted that the patient may require lifelong antibiotic management. He may additionally require amputation in the future if the infections cannot be managed conservatively.


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

[User] What are the possible outcomes of a standard wide bilateral suboccipital approach?

The patient had an unremarkable postoperative course and was discharged to home on POD #4.


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

[User] What are the possible outcomes of ectopic pregnancy treatment?

The patient was then treated for this condition and was discharged after a normal pregnancy, parturition, and birth of a healthy baby.


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

[User] What are the possible treatments for lung adenocarcinoma?

The patient was treated with icotinib, but after six months, the left lung tumor expounded. Further, the patient was tested positive for EGFR exon20 p.T790M by ddPCR in plasma ctDNA. The patient was shifted onto osimertinib treatment, which recorded a partial response along with a progression-free survival (PFS) of five months.


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

[User] What are the post-discharge care instructions for the patient?

The patient is advised to continue taking oral albendazole therapy as per the instructions. The patient should avoid chewing on the right side of his mouth until further advised by the dentist.


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

[User] What are the post-discharge instructions for the patient?

The patient is advised to continue their regular medications and comply with their prescribed hemodialysis schedule. The patient should follow up with their primary care physician and nephrologist as recommended.


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

[User] What are the post-operative care instructions for the patient?

The patient must avoid any strenuous activity to not disturb the surgical site, take proper care of her nutritional and hygienic needs to ensure speedy recovery, and schedule regular check-ups with a physician to ensure proper recovery and maintenance of health.


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

[User] What are the post-operative care plans for the patient?

Follow-up care will be scheduled with the patient's oncologist and a pain management specialist. The patient will also receive regular counseling to manage any emotional issues that may arise due to her condition.


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

[User] What are the post-operative instructions for the patient?

The patient should report any increase in abdominal pain or abnormal bleeding to their primary care provider. The patient should avoid strenuous activity for two weeks following the surgery and follow up with their primary care provider if any complications arise.


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

[User] What are the post-procedure instructions for the patient?

The patient is advised to maintain oral hygiene by brushing twice daily with fluoride toothpaste and flossing daily, as recommended by their dentist. The patient should avoid eating hard or sticky foods for a few days to allow the prostheses to bond properly.


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

[User] What are the potential complications after umbilical hernia surgery?

Follow-up appointments have been scheduled for evaluation of the surgical site and to monitor for any potential complications.


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

[User] What are the potential complications of DRESS syndrome?

It is important that the patient understands the severity of DRESS syndrome and its potential fatal complications.


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

[User] What are the potential complications of bare metal stents?

The patient had a history of ischemic heart disease and had undergone PCI with the implantation of bare metal stents and a sirolimus-eluting stent due to stenosis of the proximal left anterior descending and the proximal right coronary artery three years prior.


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

[User] What are the potential complications of ear reconstruction surgery?

A follow-up appointment in 4 weeks is recommended to check for any complications or healing issues.


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

[User] What are the potential complications of electron beam therapy for angiosarcoma?

He was discharged in good condition without any significant complications.


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

[User] What are the potential complications of gastric perforation in infants?

The patient developed mild surgical site infection on day 6, which was treated with daily dressing and systemic antibiotics. The patient was advised to follow up with a pediatrician after discharge to ensure continued recovery and monitor any potential complications.


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

[User] What are the potential complications of immunosuppressive therapy for membranous nephropathy?

Due to complications, the patient discontinued the immunosuppressive therapy after about a month.


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

[User] What are the potential complications of myocarditis with severe left ventricular dysfunction?

Cardiac magnetic resonance imaging showed midwall fibrosis of the interventricular septum and basal inferior wall, and the second endomyocardial biopsy showed the presence of inflammation with lymphomonocytic infiltration. The patient had constant and notably increased creatine kinase levels. Serial electrocardiogram and Holter recordings demonstrated stable first-degree atrioventricular block, complete left bundle branch block, polymorphic premature ventricular complex, non-sustained ventricular tachycardia, and sustained ventricular tachycardia.


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

[User] What are the potential complications of osteochondroma excision?

None explicitly mentioned in the note.


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

[User] What are the potential complications of parathyroid adenoma?

The patient experienced a period of hypocalcemia which resolved over a period with injection calcium gluconate, followed by oral calcium and activated Vitamin D (rocaltrol) replacement within a month.


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

[User] What are the potential complications of retroperitoneal abscess?

The patient's condition should be monitored regularly due to her history of CAD and high RVSP.


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

[User] What are the potential complications of right clavicle fracture in children?

The medical staff ensured that the patient did not develop any complications during the stay, and the patient remained stable throughout the hospital course.


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

[User] What are the potential complications of submandibular gland surgery?

There were no postoperative complications and the patient had an unremarkable postoperative recovery.


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

[User] What are the potential complications of tectal low-grade astrocytoma?

This was completely obstructing the aqueduct of Sylvius, causing extensive supratentorial hydrocephalus, periventricular hyperintensive area, effacement of cortical sulci, dilatation of lateral ventricles, and intracranial hypertension with important narrowing of transverse sinuses.


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

[User] What are the potential complications of teratoma surgery?

Teratomas of the peritoneal cavity can show multifocality and close followup would be needed to ensure that there is no local recurrence. Recurrences can be either as teratomas or yolk sac elements. Retroperitoneal teratomas with immature elements in infants need not be given chemotherapy unless there is raised alfa-fetoprotein, but becomes mandatory whenever there is tumor spill.


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

[User] What are the potential complications of the perianal fistula?

Regular follow-up is recommended to monitor any potential changes in the mass or the development of any new symptoms. It is also essential to monitor for potential complications related to the perianal fistula.


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

[User] What are the potential risk factors associated with the patient's condition?

The patient had a history of betel nut chewing for 30 years (10 betel nuts/day) and a family history of oral cancer, with his father passing away from the disease 15 years back.


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

[User] What are the potential risks for a patient who self-harmed?

An impression of attempted suicide by cutthroat injury in a depressed man was made. He was commenced on setraline tablets. The patient was closely monitored, with all potential harmful objects removed from his bedside, and his family members were always present to watch him.


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

[User] What are the potential risks of Deep Brain Stimulation (DBS) surgery?

She had a history of slowing of movements, stiffness, speech disturbance, and tremors controlled only after DBS implantation 8 years ago.


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

[User] What are the potential risks of falling from a height for a patient with hypoplastic left ventricle?

The patient was already medicated with warfarin and aspirin due to a hypoplastic left ventricle when he was admitted to the hospital.


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

[User] What are the potential risks of wisdom tooth surgery?

The detailed cross-section on the right side showed that the lowest canal had no relation with the root's apical part. The upper canal was lingually positioned to the root, indicating a high risk of nerve damage.


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

[User] What are the radiographic findings for the patient's condition?

Panoramic radiograph showed an ill-defined multilocular radiolucency with a large cystic lesion extending from the left upper central incisor to the premolar area. Periapical radiograph showed an ill-defined multilocular radiolucency with a cystic lesion and thick trabeculae on the left anterior maxilla.


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

[User] What are the recommendations for follow-up care?

Mr. B. should continue with proper follow-up and medication management to help prevent a relapse of HYPO or SCH disorder.


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

[User] What are the recommendations for patients with adenosquamous carcinoma?

Close monitoring of patients treated for adenocarcinoma and post-surgical molecular analyses are advised to detect any recurrence early. The findings underpin the recommendation to conduct EGFR mutation analysis in patients with adenosquamous carcinoma, even though it is not standard clinical protocol.


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

[User] What are the recommendations for the patient after discharge?

Continue follow-up with oncologist for further treatment and monitoring, continue close monitoring for any recurrence or progression of the disease, quit smoking to reduce the risk of complications and improve overall health, maintain a healthy diet and regular exercise routine to support recovery and improve overall health, and avoid dusty or polluted environments to minimize potential irritation of the airway.


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

[User] What are the recommendations for the patient's follow-up care?

The patient was provided with instructions regarding medication adherence and advised to continue regular follow-up appointments with the healthcare team. Any symptoms or concerns should be immediately reported to the healthcare team.


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

[User] What are the recommendations for the patient's parents?

The patient’s parents are advised to schedule regular follow-up visits to monitor the patient’s growth and development. Genetic counseling is also recommended for the parents considering their consanguineous relationship.


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

[User] What are the recommended follow-up appointments for patients with subdural hemorrhage?

The patient's primary care physician will continue to monitor the patient's recovery process and manage any further medical issues that may arise, if necessary. It is recommended that the patient receives follow-up appointments with appropriate specialists as needed.


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

[User] What are the recommended follow-up appointments for the patient?

The patient is advised to attend regular follow-up appointments with the gynecologic oncologist and medical oncologist to monitor her condition.


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

[User] What are the recommended follow-up instructions for the patient?

The patient was discharged with instructions to follow up with his primary care provider. Routine follow-up with imaging studies was recommended.


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

[User] What are the recommended follow-up procedures for patients with similar symptoms in the future?

A close follow-up examination is recommended to monitor the efficacy of the treatment. The possibility of IBD should be reconsidered in the future, if the patient presents with similar symptoms.


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

[User] What are the recommended follow-up tests and procedures for the patient?

A follow-up visit with the oncologist has been scheduled for the patient. Due to the possibility of further metastases, it is recommended that he undergo further tests and procedures in the future.


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

[User] What are the recommended follow-up tests for patients with retinal nerve fiber layer thickness decrease?

The patient was discharged after completion of necessary testing and documented their follow-up instructions.


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

[User] What are the recommended lifestyle changes for the patient?

The child's caretakers should be educated about the child's condition and advised to maintain a heart-healthy lifestyle, including a healthy diet and avoiding second-hand smoke or environmental pollutants.


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

[User] What are the results of the histological examination?

Histological examination revealed complete destruction of the hepatic architecture, mitoses were multiple and atypical, and there were cells with large vacuole-like, small, or multiple nuclei with dense cell membranes.


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

[User] What are the results of the patient's endoscopic examination after POEM?

Three months after POEM, endoscopic examination showed improvement in the esophagitis from severe to mild.


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

[User] What are the risk factors for coronary artery disease in this patient?

This patient had a history of hypertension and high cholesterol, which are both risk factors for coronary artery disease.


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

[User] What are the risks associated with CS?

The note mentions that there is a high risk of malignant transformation in patients with CS.


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

[User] What are the risks associated with FOLFOX chemotherapy?

After the second cycle, he was admitted to the emergency room with emetic symptoms and intense epigastric pain.


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

[User] What are the risks associated with Nance-Horan syndrome?

The patient had a medical history of bilateral congenital cataract, which had been surgically treated with intraocular lens implants. The patient was under regular follow-up with ophthalmologist for the treatment of glaucoma.


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

[User] What are the risks associated with ORIF surgery?

Minor pain at terminal elbow extension was reported, but it was attributed to suspected impingement of olecranon tip against screw tip. Minimal asymptomatic anterior heterotopic ossification was noted but did not affect elbow function.


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

[User] What are the risks associated with a reoperation for lung cancer?

Due to the small margin and the possibility of locoregional recurrence, completion right lower lobectomy was scheduled 10 weeks after the first operation.


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

[User] What are the risks associated with continuous ambulatory peritoneal dialysis?

He had a history of bacterial peritonitis 3 years after starting on CAPD which was managed successfully with antibiotics. However, in the absence of response, the patient's CAPD catheter was removed 72 hours after initial treatment.


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

[User] What are the risks associated with high-dose intensity-modulated radiation therapy (IMRT)?

The patient understood the risks of EBRT and gave consent for the treatment. In addition, the patient had good performance status and was at low risk for adverse events from high-dose irradiation.


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

[User] What are the risks associated with recurrent pericardial effusions?

Patient diagnosed with diffuse large B cell lymphoma, complicated by pericardial tamponade. Borderline significant tamponade was present.


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

[User] What are the risks associated with ruptured cornual ectopic pregnancy?

The patient had a collapsed fetus with no cardiac activity. She underwent emergency laparotomy where a ruptured left side rudimentary horn ectopic pregnancy was discovered.


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

[User] What are the risks associated with sleeve gastrectomy?

RYGBP with remnant gastrectomy was indicated as a restrictive procedure, due to the potential worsening of GERD related to sleeve gastrectomy, and the impossibility of endoscopic surveillance of his intestinal metaplasia in case of standard RYGBP.


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

[User] What are the risks associated with the patient's smoking history?

The patient had a history of smoking for 60 years and high cholesterol, but no history of hypertension or diabetes.


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

[User] What are the risks of Gingival Fibromatosis if left untreated?

The patient is recommended to continue with regular follow-up appointments to monitor the progression of symptoms and receive further treatment if required.


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

[User] What are the risks of SFTS relapse?

The patient was advised to inform their healthcare provider if any symptoms emerge and follow up with scheduled appointments.


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

[User] What are the risks of chronic lip irritation?

The patient presented with a mass occurring in both the superior lip and philtrum accompanied by inflammatory findings due to chronic lip irritation.


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

[User] What are the risks of complications after PVNS surgery?

The patient responded well to the procedure and received multiple physiotherapy sessions, resulting in total pain relief after two months of therapy with no signs of infection. If further complications arise, she should seek medical attention immediately.


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

[User] What are the risks of complications after delivery for patients with quadricuspid aortic valve?

The patient underwent an uneventful vaginal delivery without any peri- or postpartum complications and was discharged home after three days of hospitalization. Ongoing follow-up with a cardiologist was recommended to monitor the post-partum complications of quadricuspid aortic valve in the setting of aortic regurgitation.


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

[User] What are the risks of endothelial keratoplasty?

The patient presented with severe allograft rejection a year after the first surgery, and underwent an endothelial keratoplasty.


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

[User] What are the risks of lymphatic mesenteric cyst recurrence?

There was no recurrence or complications during the one-year follow-up period.


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

[User] What are the risks of lymphovascular and perineural invasion?

The pathology report confirmed fibrolamellar HCC with well differentiation and multifocal lymphovascular and perineural invasion.


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

[User] What are the risks of metastasis in ovarian adenocarcinoma?

Subsequent histologic and IHC analyses revealed a moderately differentiated papillary adenocarcinoma, with diffuse ovarian cortex infiltration and extensive central necrosis, suggesting a metastasis from a lung adenocarcinoma.


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

[User] What are the risks of not treating osteomyelitis promptly?

Despite a course of oral co-amoxiclav antibiotics, the osteomyelitis persisted. However, the patient refused surgical options and elect to continue a course of broad spectrum antibiotics.


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

[User] What are the risks of recurrence for ODP-M?

No complications or signs of recurrence noted at 6 months or 12-month follow-up.


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

[User] What are the risks of rheumatoid nodule recurrence?

Patient made an uneventful recovery and follow-up a year later showed no recurrence.


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

[User] What are the risks of secondary osteoarthritic destruction from bone cysts?

The talus lesion was complicated by secondary osteoarthritic destruction, and the pelvic lesion improved but later recurred after cessation of therapy.


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

[User] What are the risks of trichotillomania and trichophagia?

She also had a history of depressive symptoms and a tendency of pulling out (trichotillomania) and eating her own hair (trichophagia).


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

[User] What are the risks of tumor removal in glioneuronal tumor patients?

Due to intraoperative somatosensory-evoked potential changes with amplitude reduction, more tumor removal was not attempted.


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

[User] What are the risks of untreated Eisenmenger syndrome?

A transthoracic echocardiogram revealed left to right shunting consistent with Eisenmenger syndrome secondary to his previous ToF. The patient underwent cardiac surgery, which effectively resolved his signs and symptoms.


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

[User] What are the side effects of R-CHOP therapy?

During the first cycle of chemotherapy, he developed a high fever, nausea, vomiting, sore throat, and loss of appetite. During the second and third cycles of chemotherapy, the patient developed fever, chills, and skin eruptions due to H. cinaedi bacteremia.


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

[User] What are the signs and symptoms of worsening Dubin-Johnson Syndrome?

The patient and families should be aware of signs and symptoms of worsening disease and report to the healthcare provider for appropriate medical management.


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

[User] What are the signs of basal cell carcinoma recurrence?

The patient is encouraged to contact their healthcare provider if they experience any unusual symptoms or concerns related to their condition.


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

[User] What are the signs of developmental delay in the patient?

The child had macrocephaly with broad nasal root, hypotelorism, thin sparse hypopigmented hair, and significant developmental delay. At the time of discharge, the patient was able to sit without support, stand with support, and speak disyllable words.


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

[User] What are the signs of disease progression in Sjögren syndrome?

Palpable cervical lymph nodes, and biopsy of the posterior nasal space showed atypical lymphoid infiltrate. PET scan revealed FDG-avid bilateral cervical, and right intraparotid nodes were suspicious for disease.


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

[User] What are the signs of infection for this patient?

Any signs of infection such as redness, swelling, or discharge should be reported to the healthcare provider.


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

[User] What are the signs of potential complications after discharge?

Return to the hospital if any of the following symptoms appear: severe pain in the affected hand, swelling or drainage from the injury site, numbness or tingling in the fingers, fever or chills.


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

[User] What are the signs of worsening Progressive Supranuclear Palsy condition?

Any signs or symptoms of worsening conditions should be reported immediately.


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

[User] What are the signs of worsening symptoms after discharge?

Return to the emergency department if you experience any worsening of your symptoms.


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

[User] What are the symptoms of Goodpasture's syndrome?

The patient was admitted to the hospital due to a four-week history of haemoptysis, haematuria, and general malaise, with no evidence of oral or genital ulceration or arthralgia.


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

[User] What are the symptoms of Ultra-Short Hirschsprung Disease?

The patient displayed symptoms of only defecating between 2 to 3 times a week, requiring various types of interventions such as enemas, lactulose and plum juice.


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

[User] What are the symptoms of a cystic lesion in the left anterior thalamus and midbrain?

The patient presented with progressive right upper extremity paresis for over a year. The right hand had severe difficulty with skilled movements. Neurologic examination was notable for 3+/ 5 strength and poor fine motor skills in the distal right upper extremity.


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

[User] What are the symptoms of a retroperitoneal hematoma?

The patient complained of severe abdominal pain.


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

[User] What are the symptoms of a stellate intraretinal hemorrhage?

The patient is a 26-year-old female with high myopia who presented to the Retina Service, Ophthalmology Clinic, University of Insubria – ASST Sette Laghi, Varese, Italy with sudden onset of decreased vision and a central scotoma in the right eye (OD).


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

[User] What are the symptoms of acute bilateral renal artery stenosis?

The patient was admitted with history of acute breathlessness, vomiting, headache and decreased urine output.


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

[User] What are the symptoms of aortic coarctation?

The patient was admitted to the hospital for evaluation of newly diagnosed arterial hypertension and prominent neck pulsations. On clinical inspection, pronounced bilateral neck pulsations were noted. The electrocardiogram showed sinus rhythm and signs of left ventricular hypertrophy.


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

[User] What are the symptoms of central nervous system infection?

The patient was admitted to the hospital with intermittent watery diarrhea and progressive speech disorder. The patient's right leg was disabled, with severe weakness and pathological reflex on admission.


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

[User] What are the symptoms of histiocytosis in a 3-year-old patient?

The patient had a 4-month history of persistent subfebrile temperature, pancytopenia, and hepato-splenomegaly. The patient was under observation in the pediatric inpatient clinic, and a diagnosis was sought for the underlying cause of this condition.


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

[User] What are the symptoms of intramuscular hemangioma of the masseter muscle

The patient presented with an incidental finding of gradual growth on the right lower one-third of the face. The swelling was observed extending from the right body of the mandible to the angle of the mandible anteroposteriorly.


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

[User] What are the symptoms of neuralgia after inguinal hernioplasty?

The patient reported a pain score of 9 (on a scale of 1-10) around the right medial thigh, which intensified when standing or walking for long periods and was accompanied by abnormal walking posture. The patient's hip joint was unable to adduct, and lateral hip joint pain was reported. Pain during micturition was also noted, which was relieved with rest.


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

[User] What are the symptoms of triventricular hydrocephalus?

The patient complained of daily headaches, which were diffuse in nature and occurred mostly in the morning. The patient initially received a diagnosis of migraines but later developed epileptic ataxia and diplopia.


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

[User] What are the symptoms the patient should look out for in the future?

She is advised to follow a healthy diet and seek medical attention immediately if she experiences symptoms such as swelling or shortness of breath.


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

[User] What are the treatment options for developmental delays in children?

The recommended treatment for developmental delays is a multidisciplinary approach involving the collaboration of a pediatric neurologist, physical therapist, occupational therapist, developmental therapist and speech therapist.


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

[User] What are the treatment options for sarcomatoid tumors?

The patient will require ongoing treatment and monitoring.


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

[User] What are the typical diagnostic criteria for Zolpidem withdrawal syndrome?

The patient was diagnosed with Zolpidem withdrawal syndrome, MDD, and Opium dependency according to DSM-IV-TR criteria.


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

[User] What are the typical management strategies for hereditary connective tissue disorder?

The patient was discharged without specific management, and follow-up consultations were recommended with a rheumatologist to establish further management.


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

[User] What are the typical outcomes of patients with isolated loosening of the cup and associated bone loss after Ganz ring implantation?

At 24-month follow-up, the patient was doing well, pain-free and walking unaided. The Harris Hip Scores had improved significantly from pre-surgery to post-surgery. No complications were recorded.


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

[User] What are the typical symptoms of Alopecia Areata?

The patient presented with asymptomatic hair loss for two months. An annular patch of nonscarring alopecia of size 7 cm × 6 cm approximately was present at the vertex of the scalp accompanied by multiple small patches of alopecia in the bilateral frontotemporal and temporoparietal regions.


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

[User] What are the warning signs for wound complications in acanthoma fissuratum patients?

The patient should contact the physician immediately if there is any wound drainage or fever.


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

[User] What brought the patient to the hospital?

The patient, a 44-year-old Caucasian female with a history of Turner syndrome, hypothyroidism, and pulmonary sarcoidosis, was admitted for abnormal liver function tests (LFTs) that had persisted for several years.


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

[User] What care instructions were provided to the patient at discharge?

At the time of discharge, the patient's condition was stable. He was advised on the appropriate care that was required for the wound to heal, and the patient was instructed to follow up with his primary care physician for further treatment.


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

[User] What caused the patient's hospitalization?

The patient was admitted with diffuse lymphadenopathy and B symptoms.


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

[User] What changes in the patient's condition were observed six months after surgery?

Within 6 months, she was able to be weaned off daytime oxygen and was placed on continuous positive airway pressure of 10 cm H2O for OSA. The patient experienced dramatic weight loss and functional improvement over the course of 6 months.


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

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

The medication regimen was later changed to an oral angiotensin II receptor blocker based on consultation by a cardiologist.


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

[User] What changes were made to the patient's treatment plan during hospitalization?

She lost weight after her dose of hydrocortisone was reduced, and her bone density was found to be normal during her last checkup.


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

[User] What changes were made to the patient's treatment plan?

The patient's medication was changed after Nevirapine was stopped immediately. Her lesions, however, persisted.


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

[User] What changes were made to the patient's treatment regimen?

The patient's divalproex prescription was continued while his vilazadone and lisdexamphetamine were discontinued due to lack of efficacy.


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

[User] What changes were observed in the patient's retina during the 4-month postoperative visit?

At the 4-month postoperative visit, the RPE mottling had improved.


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

[User] What changes were observed in the patient's swallowing function after treatment?

The follow-up VFSS assessment showed a decrease in palatal myoclonic movements, which decreased to a frequency of 0.5 Hz. The patient scored 4 on the penetration-aspiration scale (PAS) during the initial VFSS, which improved to a score of 5 on the American Speech-Language-Hearing Association National Outcome Measurement System (ASHA-NOMS) swallowing scale after two weeks of treatment.


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

[User] What changes were observed in the skin after treatment?

The skin sclerosis started to improve 28 days after treatment initiation. ...15 months after the discontinuation of etretinate treatment, although brown pigmentation remained, improvements in skin eruption were maintained compared to those upon first examination.


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

[User] What chemotherapy regimen was the patient prescribed after surgery?

XELOX was started as adjuvant chemotherapy 5 weeks after surgery.


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

[User] What chemotherapy regimen was used to treat the patient's Langerhans Cell Histiocytosis?

The patient underwent different chemotherapy regimens such as a prednisone and vinblastine scheme, a regimen based on cladribine and cytarabine, and a third cycle of chemotherapy.


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

[User] What complications arose after ERCP?

The following day post-ERCP, the patient started to deteriorate clinically with generalized weakness, vomiting and anuric AKI. The renal function progressively worsened for the remainder of his admission despite aggressive intravenous (IV) fluid treatment.


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

[User] What complications arose after the surgery?

Follow-up imaging revealed a cavity in the prostatic urethra with vesicoureteric reflux.


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

[User] What complications arose during anesthesia induction?

The patient's limited mouth opening made direct laryngoscopy impossible.


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

[User] What complications arose during surgery?

During surgery, the bilateral recurrent laryngeal nerve was tightly wrapped by the tumor and thus it was removed along with bilateral posterior vocal cord resection to ensure respiratory function postoperatively.


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

[User] What complications arose during the patient's cesarean section?

The placenta and membranes were separated easily, but profuse bleeding occurred from the placental bed, for which hemostatic sutures were applied, and bilateral uterine arteries were ligated. Additionally, uterine tamponade was done using two Foley catheter bulbs.


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

[User] What complications arose during the patient's hospital course?

The patient was diagnosed with pulmonary aspergillosis and treated with antifungal therapy. The patient experienced involuntary movements of head and mouth attributed to extrapyramidal symptoms and was treated with various medications.


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

[User] What complications arose during the patient's hospital stay?

On hospital day 3, the patient developed mild right shoulder pain and complained of being weak and fatigued along with decrease in urine output. Later in the day, the patient's condition deteriorated with discoloration over the right shoulder, neck and extending into the back areas.


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

[User] What complications arose during the patient's hospitalization?

During hospitalization, the patient developed pulmonary and ophthalmologic complications, including Decreased visual acuity of the left eye, panuveitis with posterior synechiae, and an infectious process with scattered ground glass opacities throughout the lungs with bilateral pleural effusions, consistent with an infectious process.


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

[User] What complications arose during the patient's initial hospital stay?

2 days later, he developed bloody stool and was found to have diffuse intramural hematoma confirmed by US. On day 17, the patient presented with aggravated pain in the right upper quadrant with nausea and mild fever.


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

[User] What complications arose during the patient's post-operative care?

The patient developed hyperpyrexia, ongoing left pleural effusion and underwent a temporary tracheostomy. On the tenth post-operative day, a negative pressure wound therapy device was applied to treat the wound in the upper left region. Post-operative day twenty revealed an enteric liquid that was later found to be a direct communication in an entero-cutaneous fistula.


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

[User] What complications arose during the patient's surgery?

Following this, heavy bleeding was observed from the presacral plexus, which was controlled with surgical buffer. The patient was then treated with Spongostan and bone wax, but pelvic packing was done due to oozing bleeding which filled the pelvis, ending the operation.


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[User] What complications arose during the patient's treatment?

Three months after surgery, she was diagnosed with an incisional hernia and underwent laparoscopic repair. After five months, surveillance CT showed abdominal wall metastases, as well as multiple liver and peritoneal metastases.


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[User] What complications arose during the procedure?

During the procedure, the patient developed a progressive rise in the nasopharyngeal temperature that reached 38.9°C. Intravenous paracetamol and ice-cold saline were administered, but no significant response was observed.


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[User] What complications arose during the removal of the right ureteric stent?

The patient was unable to tolerate any further removal attempts in an antegrade approach under a local anesthetic and sedation. Further attempts at removal were made in theater under general anesthetic.


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[User] What complications arose during the treatment?

To fix it, balloon venoplasty was attempted through the right internal jugular vein, but it resulted in massive hemothorax and patient hypotension.


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[User] What complications did the patient develop after the surgical procedure?

Postoperatively, the patient developed grade 4 neutropenia, and the closed end-sigmoid colostomy dehisced. Daily dressings were applied to the area. The patient's counts gradually improved and became normal by the 12th postoperative day.


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[User] What complications did the patient develop during chemotherapy?

However, he developed anemia during chemotherapy, and a careful examination of his GI tract revealed a bleeding tumor located in the small intestine.


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[User] What complications did the patient develop during hospital stay?

The patient developed multiple complications during the hospital stay, including rhabdomyolysis, peripheral circulatory failure, and metabolic acidosis.


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[User] What complications did the patient develop during hospitalization?

During her hospital course, she developed a Klebsiella urinary tract infection and was prescribed amoxicillin/clavulanic acid. She subsequently developed acute respiratory failure and was transferred to the ICU, where Aspergillus fumigatus was identified in her bronchial samples.


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[User] What complications did the patient experience after TAVR?

Mild paravalvular aortic regurgitation, severe mitral regurgitation due to multiple perforations of the mitral valve leaflet, abscess at the aortomitral continuity, intracerebral and subarachnoid hemorrhage.


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[User] What complications did the patient experience after completing chemotherapy and radiation therapy?

Two months after completing CRT, the patient reported headaches and impaired coordination. He was diagnosed with ADEM after consulting with a neurologist, and treatment with intravenous dexamethasone was initiated, resulting in the resolution of all symptoms within three weeks.


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[User] What complications did the patient experience after restarting anticoagulation?

However, shortly after restarting the anticoagulation, the patient developed significant haemoptysis and persistent epistaxis, which required tracheal intubation and respiratory support.


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[User] What complications did the patient experience after surgery?

Following the operation, several hemodynamic instability episodes were noted. The patient developed bilateral pneumonia with resistant Staphylococcus Aureus. The patient became unresponsive to antibiotics and vasopressor therapy and eventually succumbed to septic shock.


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[User] What complications did the patient experience after the endovascular procedure?

Post the endovascular procedure, the patient experienced upper quadrant hemianopsia due to the occurrence of infarction in the posterior temporal region.


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[User] What complications did the patient experience after the liver transplant?

Postoperatively, he remained in shock, and antibiotics were changed. On the following day, he developed neutropenia, and granulocyte colony-stimulating factor (G-CSF) was started. He also presented with a new petechial rash on his legs and arms, which led to suspicion of Graft-versus-Host Disease (GvHD).


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[User] What complications did the patient experience after the right radical nephrectomy?

The patient developed a pulmonary embolism (PE) three days post-operatively. Nineteen days post-operatively the patient presented to the emergency department with abdominal discomfort, nausea and bilious vomiting and a working diagnosis of viral gastroenteritis was given.


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[User] What complications did the patient experience after treatment?

The patient rapidly became anuric but was treated with a wide-spectrum antibiotic, furosemide, and albumin to reduce ascitic fluid. Presently, the patient was treated with intravenous methylprednisolone. Non-invasive ventilation and diuretics rescued the respiratory function, and the patient was discharged.


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[User] What complications did the patient experience despite corrective surgery for tetralogy of Fallot?

The patient had a congenital absence of the portal vein (CAPV) with a huge splenorenal shunt, retrograde flow of a dilated collateral vein and severe intrapulmonary shunting without pulmonary hypertension.


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[User] What complications did the patient experience due to advanced stage of disease?

He suffered from multiple complications related to the advanced stage of the disease.


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[User] What complications did the patient experience due to noncompliance with insulin therapy?

Medical history revealed the patient had type 1 diabetes mellitus and a history of noncompliance with insulin therapy, among other comorbidities, including asthma, bipolar disorder, ischemic bowel disease, methamphetamine abuse, posttraumatic stress disorder, and idiopathic chronic pancreatitis.


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[User] What complications did the patient experience during chemotherapy?

During the course of treatment, the patient developed Pneumocystis jiroveci pneumonia after steroid treatment for appetite improvement without prophylactic antibiotics.


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[User] What complications did the patient experience during follow-up?

She had one episode of well-tolerated esophageal variceal bleed requiring two sessions of banding during the follow-up period.


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[User] What complications did the patient experience during his hospitalization?

During his hospitalization, he experienced complete paralysis of his upper and lower limbs.


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

[User] What complications did the patient experience during hospitalization?

The patient developed mild pneumonia during hospitalization, which was treated with antibiotics for 7 days.


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

[User] What complications did the patient experience during surgery?

During surgery, the patient experienced a decrease in oxygen saturation below 80% under non-dependent right one-lung ventilation. The left pulmonary artery was temporarily clamped in order to reduce right-to-left shunt flow to the dependent left lung.


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[User] What complications did the patient experience during the postoperative period?

The patient's postoperative recovery was complicated by continued cardiogenic and vasoplegic shock, RV failure, ventricular tachycardia, and hypoxic respiratory failure with pulmonary edema.


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[User] What complications did the patient experience during the procedure?

During the PTMC procedure, the patient developed hypotension, bradycardia, and cardiac tamponade, for which, autotransfusion was started using a 7F pigtail catheter. Following this, the procedure was resumed, during which the patient complained of severe pain over the left lower limb catheterisation site and developed altered sensorium associated with tonic posturing and jaw clenching, which was terminated with IV propofol.


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

[User] What complications did the patient experience during treatment?

She underwent multiple surgeries including exploratory laparotomy with resections, wash out and received multiple pack red blood cell transfusions. A total of 119 cm of small and large bowel resection was performed. She had an IR embolization of bleeding in the abdominal wall.


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[User] What complications did the patient experience post-transplant?

Post-transplant the patient's blood type shifted from A to O. The patient was suspected to have Pure Red Cell Aplasia (PRCA) due to progressive hemoglobin drop, and it was confirmed by bone marrow biopsy which showed the absence of erythroid precursors. The patient also developed a localized erythematous rash around the Hickman's catheter insertion site on day 4.


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[User] What complications did the patient experience?

Despite aggressive blood product transfusion and anticoagulation management, his condition continued to deteriorate, and he eventually succumbed. He developed worsening tachycardia, reduction in ECMO flow, and thrombosis of the mediastinal tube.


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[User] What complications may arise from a diaphragmatic rupture?

The patient suffered from a left-sided pelvic fracture, left hemopneumothorax, and a diaphragmatic rupture with left kidney herniation.


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[User] What complications may arise from jejunal diverticulitis?

The patient had jejunal diverticulitis with perforation. The patient should follow up with a gastroenterologist for evaluation and management of jejunal diverticulitis and be advised regarding the potential for additional complications.


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[User] What complications occurred during the ICU stay?

The patient was discharged from the Intensive Care Unit on post-operative day two without any major complications.


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[User] What complications occurred during the patient's nephrectomy?

During the nephrectomy, the adherent descending colon was injured, and a diverting end colostomy had to be made.


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[User] What corrections were made during the surgery?

The defect was filled with a fibular cortical graft, and the graft was stabilized with 48 mm cervical screw plate. The kyphosis was corrected from 46° to 26°.


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[User] What could be the possible explanation for the patient's symptoms?

Despite a thorough evaluation, no explanation was found for her symptoms. The brain SPECT scan revealed hypoperfusion in bilateral anterior and medial frontal lobes while her cognitive assessment showed a mild deficit in fluency.


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[User] What counseling was provided to the patient during her hospital stay?

The patient was closely monitored by our medical team throughout her hospital stay and was provided with appropriate counseling and care.


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[User] What course of treatment was prescribed for the patient?

The patient was prescribed anti-tubercular therapy with methylprednisolone 16 mg/day, which led to the patient's asymptomatic state.


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[User] What dental treatment was recommended for the patient?

Provisional prostheses will continue to be made until the complete development of the mandible and maxilla, after the eruption of the preexisting deciduous teeth.


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[User] What dermatological issue did the patient experience during chemotherapy?

The dermatological examination showed nail injury characterized by transverse, brown-gray hyperpigmentation affecting the proximal half of the nail plate, with a brown band delimiting the healthy nail plate on all fingers.


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[User] What diabetes management medication was prescribed at discharge?

She was prescribed daily insulin injection after discharge.


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[User] What diagnosis was made via endomyocardial biopsy?

Urgent transfemoral, fluoroscopic and transthoracic echocardiography guided endomyocardial biopsy of the right atrial mass was performed, and a diagnosis of angiosarcoma was made.


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[User] What diagnostic instruments were used to assess the patient's consciousness?

Despite the use of structured diagnostic instruments like the Western Neuro Sensory Stimulation Profile and Coma Recovery Scale revised, there were no signs of consciousness detected during the patient's hospital stay.


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[User] What diagnostic procedure was used to distinguish between primary aldosteronism subtypes?

NP-59 scintigraphy was applied to identify PA subtypes.


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[User] What diagnostic procedures were performed on the patient?

The patient underwent a fundus fluorescein angiography, which confirmed the presence of an active subretinal neovascular membrane. Additionally, enhanced depth imaging using a confocal scanning laser ophthalmoscope showed a dense hyperreflective choroidal mass, almost continuous with the overlying retinal pigment epithelium causing significant widening of the choroidal layer.


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[User] What diagnostic procedures were performed to diagnose the esophageal web?

Esophagoscopy showed no visible lumen at the piriform recess and deeper insertion was unfeasible. Esophagography showed a smooth circumferential stricture at the level of the lower margin of the sixth cervical vertebra, leading to a diagnosis of an esophageal web.


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[User] What diagnostic procedures were performed to identify USCC?

The patient was diagnosed with USCC after a biopsy was taken from the necrotic tissues.


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[User] What diagnostic procedures were performed to investigate the epididymitis?

The ultrasound showed enlarged, heterogenous epididymis, with fluid collection and a thick-walled collection in the prostate and retrotrigonal area. Computerized tomography of the pelvis confirmed the ultrasound findings. The epididymal swelling was explored and tissue biopsy was sent for polymerase chain reaction (PCR) for Mycobacterium tuberculosis and histopathology.


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[User] What diagnostic procedures were used to confirm the diagnosis?

Magnetic resonance imaging revealed a lobulated sausage-like intradural mass. A histopathological examination confirmed that it was a paraganglioma.


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[User] What diagnostic procedures were used to confirm the presence of a gallbladder mass?

A CT scan, three-dimensional reconstructions of this CT, ultrasonography, and magnetic resonance cholangiopancreatography suggested a solid mass lesion in the gallbladder.


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[User] What diagnostic procedures were used to identify the patient's injuries?

Whole-body CT imaging and magnetic resonance imaging showed complete rupture of all ligaments at L2-L3 level and unstable fracture.


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[User] What diagnostic scans were performed on the patient?

He subsequently underwent a range of diagnostic scans, including a CT scan of the abdomen and pelvis, a radiographic bone survey, and an enhanced MR of the brain and orbits.


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[User] What diagnostic test was used to visualize the patient's brain anatomy?

Time-of-flight magnetic resonance angiography showed a severe stenosis at the mid-basilar trunk.


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[User] What diagnostic tests confirmed the patient's anosmia?

Sniffin Stick tests confirmed the anosmia.


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[User] What diagnostic tests confirmed the presence of a calcified choroidal mass?

FFA revealed areas of early granular hyperfluorescence corresponding to the areas of RPE depigmentation and late hyperfluorescence over the calcified lesion with some interspersed areas of hypofluorescence corresponding to the areas of pigment clumps in his left eye. SD-OCT revealed high reflectivity from the choroid with marked thinning of overlying retinal layers including photoreceptor inner/outer segment junction. A B-scan USG of his left eye demonstrated a large irregular echogenic calcified lesion of 7.1 × 3.9 mm in the posterior choroid near to the optic disc region and extending up to optic disc, and another smaller echogenic calcified foci in the posterolateral choroid both nasally and temporally.


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[User] What diagnostic tests confirmed the prostate cancer diagnosis?

Transrectal prostate biopsy showed adenocarcinoma in 3 of 8 core specimens without perineural or extraprostatic extension. Fine-needle aspiration biopsy of a liver lesion was also performed and showed adenocarcinoma cells with signet ring morphology.


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[User] What diagnostic tests did the patient undergo?

The patient underwent diagnostic testing, including a DSA, which showed residual filling of the aneurysm despite coil embolization.


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[User] What diagnostic tests showed evidence of inflammation?

A transthoracic echocardiographic examination showed a new small pericardial effusion. An FDG-PET/CT showed diffused increased FDG-uptake of the pleura and the pericardium consistent with inflammatory changes. A cardiac MRI study demonstrated an oedematous thickening of the pleura and pericardium with increased contrast enhancement corresponding to an aseptic pericarditis without a circumferential effusion.


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[User] What diagnostic tests were conducted to rule out choroidal melanoma?

N-isopropyl-p-[123I]-iodoamphetamine single photon emission CT revealed that the patient did not have choroidal melanoma, pigmented choroidal metastasis or retinal pigment epithelial tumors.


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[User] What diagnostic tests were conducted?

Blood tests, erect skiagram, ultrasound, and contrast-enhanced computed tomography were conducted to aid in diagnosis.


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[User] What diagnostic tests were not conducted on the patient?

FNAC and ultrasonography were not conducted due to the small size of the lesion.


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[User] What diagnostic tests were performed on the patient?

Further diagnostic investigations were performed, including ultrasonography, computerized tomography (CT), and an isotope kidney scan.


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[User] What diagnostic tests were performed preoperatively?

Preoperative Doppler ultrasonography was performed to diagnose the involuted hemangioma of the upper lip.


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[User] What diagnostic tests were performed to assess the clivus lesion?

Diagnostics: - Brain CT - Chest, abdomen, pelvis CT - Brain MRI


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[User] What diagnostic tests were performed to confirm Creutzfeldt-Jakob disease?

Further investigations, including a brain MRI, echocardiogram, Holter monitoring, and Doppler ultrasound of the supra-aortic trunks were performed, which showed no significant abnormalities. However, a diagnosis of Creutzfeldt-Jakob disease was reached based on the patient's rapid neurological deterioration, the presence of myoclonus, and MRI findings.


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[User] What diagnostic tests were performed to confirm PAVM?

A bubble contrast echocardiography was performed, which raised suspicion of pulmonary arteriovenous malformation (PAVM). CT scan confirmed the presence of a small PAVM in the left upper lobe, Type 2 Abernethy malformation, and polysplenia.


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[User] What diagnostic tests were performed to confirm the diagnosis of neurofibroma?

OPG showed the presence of a well-demarcated radiolucency in the ramus and angle of the mandible... An incision biopsy from the posterior mandibular lesion which microscopically revealed interlacing bundles of spindle-shaped cells with wavy nuclei, delicate collagen fibers, plump fibroblasts, and a strong positive reaction with S-100.


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[User] What diagnostic tests were performed to confirm the diagnosis?

The resected spleen was histologically confirmed as LCA. A clear scalpel was used to prepare cytological smears from the cut surface of the spleen lesion. The smears showed tumoral cells with intracytoplasmic hemosiderin pigment.


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[User] What diagnostic tests were performed to determine the cause of neck pain?

The patient's medical workup included X-rays of her cervical spine that showed the destruction of C5 and C6 vertebral bodies, resulting in kyphosis. CT and MRI scans of her cervical spine revealed spondylodiscitis of C5, C6, and C7 vertebrae, with anterior epidural and relevant pre- and paravertebral enhancing soft tissue.


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[User] What diagnostic tests were performed to determine the presence of an atrial septal defect?

A computed tomography pulmonary angiogram was performed which was normal. However, a transesophageal echocardiogram (TEE) showed concentric left ventricular hypertrophy and normal right ventricular function. An ASD was detected with an aneurysmal interatrial septum.


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[User] What diagnostic tests were performed to diagnose eosinophilic myocarditis?

An echocardiogram was performed and severe left ventricular dysfunction was noted. Additional tests including serum eosinophilic and ANA tests, as well as screening for parasites and drug exposure, showed no abnormalities. Pathological staining of the RV sample showed a high load of infiltration with inflammatory cells, mainly eosinophils, compatible with eosinophilic myocarditis.


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[User] What diagnostic tests were performed to identify the pathogen?

Subsequent diagnostic tests were negative for all pathogenic agents except Y. pseudotuberculosis.


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[User] What diagnostic tests were performed to identify the primary malignancy?

Further tests including an esophagus-gastro-duodenoscopy, a colonoscopy, trans-vaginal ultrasound, bilateral mammography, and bronchoscopy were performed without evidence of the primary malignancy.


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[User] What diagnostic tests were performed to monitor the patient's condition?

Enhanced and non-enhanced magnetic resonance imaging (MRI) of the patient's head and neck were done in October 2017 and found that there was a 4-cm decrease in the size of the lesion on her lower left neck in comparison to her last MRI done in 2010.