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

[User] What was the treatment plan for the patient's condition?

The patient was given non-steroidal anti-inflammatory drugs (NSAIDs) for symptomatic relief. The cord resolved within 4 months.


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

[User] What was the treatment plan for the patient's degenerative changes?

The treatment plan included posterior instrumentation with pedicle screws from L3-S1 with posterior midline decompression from L3–S1.


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

[User] What was the treatment plan for the patient's dental issues?

The patient underwent scaling in our clinic. A temporary denture was fabricated for daytime wear.


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

[User] What was the treatment plan for the patient's gastroesophageal reflux?

The patient was started on lansoprasol 30 mg/day for symptoms of gastroesophageal reflux.


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

[User] What was the treatment plan for the patient's hematoma?

An abdominal hysterectomy was performed as treatment and the pathologic study confirmed the process to be of ischemic origin.


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

[User] What was the treatment plan for the patient's hepatocellular carcinoma?

The patient received hepatic segmentectomy initially, and later received conservative management due to the low operability of the tumor during the follow-up.


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

[User] What was the treatment plan for the patient's high blood pressure?

The patient was immediately treated with aggressive antihypertensive agents including Irbesartan, Hydrochlorothiazide, Nifedipine, and Spironolactone.


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

[User] What was the treatment plan for the patient's hyperglycemia?

The patient was treated for hyperglycemia with regular insulin injections along with fluid and electrolyte balance support. Monitoring of blood glucose levels was done to keep them within normal limits.


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

[User] What was the treatment plan for the patient's infection?

The patient was treated with antifungals, ciprofloxacin, and amikacin for typhoid. The patient was discharged in satisfactory condition on posaconazole and antibiotics.


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

[User] What was the treatment plan for the patient's inflammatory polyneuropathy?

The patient was started on a dexamethasone loading dose and continued on 6mg of dexamethasone every 8 hours. A 5-day course of IVIG was administered.


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

[User] What was the treatment plan for the patient's injury?

The patient underwent surgery to reduce the sacral fracture and was placed on a transparent surgical table in a supine position. A triangular pillow was placed under the lumbosacral junction to induce hyperlordosis. The ilium was rotated in the direction of extension with an external fixator on each side. A percutaneous screw was inserted to confirm appropriate reduction of the fracture. A long transiliac-transsacral screw was inserted to replace the short screw used during the initial emergent operation.


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

[User] What was the treatment plan for the patient's lymphoma?

Pylorus-preserving pancreaticoduodenectomy was performed, and histologic examination revealed low-grade B-cell lymphoma of the MALT type arising from the CBD. The patient's obstructive jaundice was relieved, and he made an uneventful recovery and was subsequently discharged. Appropriate follow-up was arranged with the Hematology department.


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

[User] What was the treatment plan for the patient's malignant glaucoma?

Two weeks after the VR surgery, a Zinn-Haller valve (ZHV) was inserted because the remaining anterior vitreous was likely blocking communication between the anterior and posterior segments. Postoperatively, the AC deepened, and IOP decreased to 4 mmHg.


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

[User] What was the treatment plan for the patient's metabolic acidosis?

During the patient's hospital stay, treatment was provided for the patient's metabolic acidosis and hypoxemia. The patient was closely monitored to ensure a stable condition and was administered medication as needed.


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

[User] What was the treatment plan for the patient's muscle weakness?

The patient received intravenous methylprednisolone therapy at an increased dose of 125 mg daily and later 1000 mg daily for a total of three days. Muscle weakness mildly improved with IVIG and IV steroid therapy, but bulbar symptoms progressively worsened.


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

[User] What was the treatment plan for the patient's placenta previa and placenta accreta?

The patient was unwilling to get hospitalized despite the treating obstetrician's advice and was lost to follow-up.


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

[User] What was the treatment plan for the patient's prostate cancer?

Androgen deprivation therapy with bicalutamide (50 mg/day) and goserelin (3.78 mg/month) as well as bisphosphonate (90 mg/month) was administered for prostate cancer treatment.


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

[User] What was the treatment plan for the patient's recurrent medial knee pain?

The osteophyte was excised, and the tibial and femoral components were stable; hence they were not revised. Two years post-osteophyte excision, the patient remained asymptomatic with good knee alignment and 0 to 100 degrees of flexion.


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

[User] What was the treatment plan for the patient's sarcoidosis?

The administration of steroid treatment resulted in rapid improvement of symptoms with subsequent reduction in parenchymal infiltrates and lymphadenopathies without extra-thoracic sarcoid or neoplastic localizations. The patient underwent platinum-based conventional chemotherapy, and towards the end, her steroid regimen was gradually tapered.


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

[User] What was the treatment plan for the patient's seizures?

He was treated with carbamazepine, methylprednisolone, and intravenous immunoglobulin.


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

[User] What was the treatment plan for the patient's sigmoid colon polypoid lesion?

Surgical resection was performed since a biopsy posed a risk of hemorrhage. The affected portion of the sigmoid colon was resected along with the short stalk polypoid lesion.


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

[User] What was the treatment plan for the patient's sinusoidal obstruction syndrome (SOS)?

The treatment for SOS included defibrotide and heparin.


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

[User] What was the treatment plan for the patient's small cell lung cancer?

The patient received two cycles of combined chemotherapy with cisplatin and etoposide as first-line therapy, but the thoracic lesions worsened. After second-line therapy with carboplatin and paclitaxel (protein-bound), palliative radiation was administered, which showed responses at the sites of radiotherapy. The patient was then treated with nivolumab, which resulted in fever, pain in the right chest as well as an increase in pleural effusion and tumour dissemination. Treatment was switched to docetaxel and ramucirumab.


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

[User] What was the treatment plan for the patient's soft tissue mass?

Spinal radiotherapy was started, and chemotherapy was changed to lenalidomide and dexamethasone.


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

[User] What was the treatment plan for the patient's stromal cell neoplasm?

The patient underwent segmental resection of the proximal stomach and lower esophagus and then an esophagogastrostomy. The patient was advised to attend follow-up CT scans of her abdomen in regular three to six months intervals.


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

[User] What was the treatment plan for the patient's tracheoesophageal fistula (TEF)?

Conservative treatments were first attempted, including fibrin glue and daily injection of human plasma-derived dried blood coagulation factor XIII without oral-intake. A coil and fibrin glue injection were used to fill the TEF and abscess, but these treatments were unsuccessful. On POD 70, surgery for the TEF was performed, successfully treated with a flap made by mobilizing the left lobe of the thymus.


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

[User] What was the treatment plan for the patient's tumor?

The patient underwent orchiectomy to remove the mixed germ cell tumor. No further treatment was administered at this time.


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

[User] What was the treatment plan for the patient's uterine didelphys?

Pus was drained using an infant feeding tube placed through the cervical os, and the psoas abscess was drained percutaneously using a pigtail catheter. The pus microscopy and culture were sent, and the patient was managed with intravenous antibiotics post-operatively.


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

[User] What was the treatment plan for the patient?

The patient was treated with the administration of intravenous fluids and antibiotics (cefoxitin 1 gr tds and clindamycin 600 mg qds).


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

[User] What was the treatment plan for the perigastric abscess?

Laparoscopic washout and drainage were performed to manage the abscess.


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

[User] What was the treatment plan for the pseudoaneurysm?

The hematoma/pseudoaneurysm complex was managed by performing an open procedure to evacuate the hematoma and an end-to-end left CCA to left ICA bypass with reversed great saphenous vein.


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

[User] What was the treatment plan for the subconjunctival mass?

The subconjunctival lesion was excised under local anesthesia by dissecting the mass from the overlying conjunctiva and underlying sclera. The conjunctiva was reattached to the sclera without creating a bare area.


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

[User] What was the treatment plan for this patient?

Despite treatment efforts, the patient did not respond to treatments and subsequently expired 9 hours after hospitalization.


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

[User] What was the treatment regimen for the patient?

The patient was treated with the Children’s Oncology Group AAML1031 Arm A regimen and achieved negative minimal residual disease.


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

[User] What was the tumor's impact on the patient's vision?

Physical examination revealed a left ptosis and decreased visual acuity.


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

[User] What were Miss R's main complaints upon presentation?

Miss R presented to the ED with a history of progressive swallowing difficulty for four days. She had a history of acute onset of psychotic symptoms 3 weeks back, which included delusions of persecution and reference.


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

[User] What were PCS's initial injuries?

PCS had various post-traumatic injuries all over her body and was admitted to the hospital.


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

[User] What were Patient B's symptoms upon admission?

Upon admission, Patient B reported fatigue but no other respiratory symptoms.


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

[User] What were the CSF analysis findings during the patient's recurrence of symptoms?

CSF analysis revealed eight lymphocytes.


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

[User] What were the CT scan results after one month of treatment?

CT performed one month later revealed partial regression of pulmonary changes.


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

[User] What were the CT scan results?

The CT revealed swelling of the right parotid gland, and the object was found to have penetrated through the parotid gland, causing peripheral facial nerve injury.


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

[User] What were the MRI findings of the tumor?

MRI revealed a heterogeneous tumor with a low intensity on T1-weighted image and a high intensity on T2-weighted image.


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

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

The patient experienced no adverse reactions during the treatment. However, everolimus was stopped after 2 months due to adverse effects.


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

[User] What were the angiographic results of the PMT procedure?

The procedure performed using 10 mg rT-PA, resulted in excellent angiographic results.


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

[User] What were the anterior segment optical coherence tomography findings?

Anterior segment optical coherence tomography (AS-OCT) scanning revealed a single high signal indicating the presence of a foreign body, which was surrounded by a slight haziness. There was a central zone shadowing effect noted, which suggested that the foreign body was not superficial.


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

[User] What were the anticoagulation medications used in the treatment?

The patient was anticoagulated with subcutaneous low molecular weight heparin and intravenous heparin was also given during the procedure. Warfarin was withheld until day 5 post ablation and then recommenced and maintained at therapeutic levels.


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

[User] What were the autopsy findings?

A partial autopsy was conducted in this patient, and the kidneys were grossly congested. Microscopic examination showed normal glomeruli. The tubules showed extensive changes of tubular epithelial injury, including tubulorrhexis and focal regeneration. Mild focal interstitial inflammation was noted.


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

[User] What were the baby's symptoms at birth?

The baby had cried immediately after birth and was found to have normal cry, tone, and activity for his gestational age.


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

[User] What were the biopsy results for the patient's metastatic breast carcinoma?

Biopsy results confirmed metastatic carcinoma in the right supraclavicular fossa, and immunohistochemical study showed estrogen and progesterone receptor positivity.


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

[User] What were the cat's initial neurological signs?

The cat presented with weight loss, stiff and short-strided gait in the pelvic limbs and reluctance to jump, progressing to non-ambulatory tetraparesis over 6 weeks.


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

[User] What were the changes in serum androgen levels after resection?

After the resection, the serum androgen levels gradually fell down.


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

[User] What were the changes in the patient's condition during follow-up?

A follow-up was scheduled a year after the first visit where changes in BCVA and refractive error were noted. The patient was discharged six years after the first visit and was advised to report back if there were any further changes in his condition.


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

[User] What were the chest and head CT findings during hospitalization?

Chest and head CT findings showed no signs of worsening in relation to past findings.


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

[User] What were the chief complaints of the patient?

Localized pain in region 1.1 and 2.1 during function.


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

[User] What were the child's main complaints?

Patient: 3-year-old boy with history of DS, presenting with acute onset right hemiparesis and facial weakness.


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

[User] What were the child's outcomes at the 12-month follow-up?

At the 12-month follow-up period, the child had no delay in milestones or deficits.


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

[User] What were the clinical and electrocardiographic outcomes after the thrombolytic therapy?

Clinical and electrocardiographic success criteria were achieved after the therapy. Repeated coronary angiography was performed 24 hours later, revealing that the large thrombus in ostial LMCA and mid portion of RCA were totally dissolved but only the apical portion of the LAD was occluded.


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

[User] What were the clinical findings for the patient's facial wound?

A deep laceration wound was noted on the left side of his face, extending 1 cm below and lateral to the lower lip up to the lower border of the mandible in the midline of the face.


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

[User] What were the clinical findings for the patient's parathyroid gland?

Imaging showed a single enlarged hypervascular parathyroid gland. The resected gland showed hyperplasia of the parathyroid cells without the normal rim.


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

[User] What were the clinical findings on examination?

On examination, there were depigmented patches with irregular pigmented edges on the patient's penis.


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

[User] What were the complications after surgery?

The patient developed elevated testosterone and urinary cortisol levels after surgery, with high cortisol-stimulating hormone levels. Hormonal treatments and mitotane were initiated, but failed to control the patient's hypokalemia.


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

[User] What were the complications after the clipping procedure?

However, at 29 days post-op, the patient presented with acute left hemiparesis, dysarthria, headache, and vomiting. She was diagnosed with significant narrowing of M2 distal to surgical clip on Vascular studies with CTA head.


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

[User] What were the complications after the deep sclerectomy procedure?

The patient developed bilateral shallow choroidal detachment 11 days after the DS.


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

[User] What were the complications after the surgery?

Further examination revealed a 3 mm hole in the graft wound, with serous discharge persistently but copiously present, though her ESR, CRP, and blood counts were within normal limits.


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

[User] What were the complications after tumor resection?

The patient's postoperative course was complicated by rebound hypotension requiring robust fluid support which led to pulmonary edema and respiratory failure requiring mechanical ventilation and pressor support.


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

[User] What were the complications associated with the patient's treatment for hypoplastic leukemia?

Difficulties were associated with continuing subsequent chemotherapy due to invasive pulmonary aspergillosis.


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

[User] What were the complications during R-CHOP and MTX treatment?

The patient developed febrile neutropenia and mucositis during the third cycle of R-CHOP and MTX treatment.


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

[User] What were the complications during hospital stay?

Her hospitalization stay was complicated by tumor lysis syndrome, peripherally inserted central catheter line related deep vein thrombosis, hyperglycemia secondary to aggressive steroid therapy, and transient hypotension of unclear etiology with a negative infectious workup.


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

[User] What were the complications during surgery?

During surgery, the patient suffered heavy blood loss and hypothermia, requiring a splenectomy and suturing with abdominal packing for 'damage control.'


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

[User] What were the complications during the hospital course?

Hospital course complicated by severe hypotension, hypertension, diabetes insipidus, hypernatremia, pneumonia, urinary tract infection, line infection, meningitis, and panhypopituitarism.


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

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

The hospital course was complicated by aspiration pneumonia, delirium with a cycle of agitation and impaired level of consciousness, and uncontrollable hypertension unresponsive to intravenously administered antihypertensives and sedatives as well as central fever (no evidence of infection was found).


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

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

Despite the efforts, the patient's hospital course was complicated by recurrent pneumonias, non-ST-elevation myocardial infarction, a subsequent per rectum bleed, and raised CK secondary to thyroid myositis.


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

[User] What were the complications during the patient's recovery?

The patient's recovery was complicated by septic shock, decubitus ulcer, limb necrosis, and pneumonia resulting in prolonged hospitalization.


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

[User] What were the complications during the post-operative period?

On day 9, the patient developed high-grade fever along with a cough and breathlessness. A repeat CT scan revealed a microleak at the anastomotic site with minimal mediastinal collection. A temporary esophageal stent was inserted after appropriate antibiotics were administered based on the culture reports. The mediastinal collection drained through the thoracotomy incision, and the patient improved with the above measures.


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

[User] What were the complications during the postoperative period?

The patient experienced low cardiac output syndrome and bradyarrhythmia during the postoperative period, which required temporary external cardiac pacing and the inclusion of catecholamines.


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

[User] What were the complications during the procedure?

There were no complications or incidents during the procedure.


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

[User] What were the complications during the surgery?

A big bubble was not achieved by deep intrastromal air injection. Complete stromal emphysema was noted after several attempts.


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

[User] What were the complications during the surgical repair of the abdominal aortic aneurysm?

Provisional clamping of the left renal artery resulted in ischaemia of the left kidney and the renal isthmus, indicating that the arterial blood supply of the renal isthmus was from the left renal artery. Considering the minimal gap between the aneurysm and the renal isthmus, the surgical team divided the renal isthmus in order to facilitate exposure of the aneurysm.


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

[User] What were the complications during the treatment?

-On the 11th day of treatment, serosanguineous otorrhea in the right ear and after two days in the left ear -On the 19th day of treatment, the patient presented with fever, low hemoglobin of 6.2 mg/dL, platelets 4,000/dL, and white blood cell count of 750/dL -Blood and secretions from the middle ear were cultured, and both were positive for Pseudomonas sp.


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

[User] What were the complications experienced by the infant after birth?

Infant transferred to the Neonatal Intensive Care Unit for respiratory support and observation. Umbilical cord levels of ammonia elevated but rapidly improved without intervention. Hospitalization prolonged due to respiratory complications of prematurity and pneumonia.


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

[User] What were the complications experienced by the patient after the implantation of the leadless CRT defibrillator system?

The primary Micra device developed a chronically high pacing threshold and reached elective replacement indicator 17 months after implant. Postprocedure programming of the S-ICD revealed significant T-wave oversensing on primary and alternate sensing vectors. The patient experienced an inappropriate shock due to oversensing of myopotentials prior to delivery of the shock.


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

[User] What were the complications experienced by the patient during the procedure?

During the procedure, the patient experienced several nosebleeds resulting in the placement of a tracheotomy that was in place for one and a half months.


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

[User] What were the complications experienced by the patient during treatment?

Unfortunately, the patient continued to have a high oxygen requirement and had another cardiac arrest, from which the patient did not survive.


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

[User] What were the complications experienced by the patient?

Despite these measures, the patient experienced persistent hypoxemia and cardiac failure, resulting in intubation, mechanical ventilation, and pressor support. Unfortunately, the patient sustained a cardiac arrest on the fourth hospital day, from which she could not be resuscitated.


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

[User] What were the complications faced by the neonate?

The neonate developed pathological jaundice after birth which required phototherapy and exchange transfusion once.


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

[User] What were the complications faced by the patient during treatment?

However, the patient reported sudden blepharoptosis, difficulties in eye raising, and blurred vision in his right eye. Neurological evaluation indicated ONP, and MRI revealed an abscess in the cavernous sinus area.


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

[User] What were the complications following heart transplantation?

Following transplantation, the patient experienced complications including a suspected silent myocardial infarction and ventricular fibrillation. Post-operative complications included severe tricuspid valve regurgitation and hemodynamically relevant sustained ventricular arrhythmia, which ultimately led to his death.


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

[User] What were the complications following the patient's surgery?

On post-operative day 5, an abscess formation and fistula were detected from the anastomotic wall of the esophagus to the abscess. On POD 20, a fistula from the anastomotic site to the main bronchus (TEF) was detected.


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

[User] What were the complications from the patient's surgery?

Laparoscopic abdominal access revealed massive bowel distention and purulent ascites. Conversion from laparoscopy to open laparotomy followed. Ileocecectomy was performed due to the presence of an abscess around the ileocecum and perforation of the appendiceal base with extension into the cecum associated with cecal necrosis.


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

[User] What were the complications identified through scan reports?

Several complications were identified through scan reports, including sacrococcygeal osteomyelitis, presacral abscess, iliopsoas abscess, and epidural abscess in the lumbar spine.


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

[User] What were the complications in the postoperative course?

The postoperative course was complicated by fever and atrial fibrillation.


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

[User] What were the complications of Neisseria meningitidis infection in this patient?

The secondary evaluation showed severe sepsis, acute kidney injury, and metabolic acidosis, reflecting severe disseminated intravascular coagulation (DIC).


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

[User] What were the complications of chemotherapy in the patient?

After seven courses of chemotherapy, the patient experienced severe appetite loss and refused further chemotherapy. The patient began taking S-1 as adjuvant chemotherapy but developed diarrhea, neutropenia, thrombocytopenia, and terminal ileal inflammation, leading to a reduction in the S-1 dose and eventual discontinued therapy.


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

[User] What were the complications of the chemotherapy?

Nine months later, after commencing chemotherapy, the patient developed severe community-acquired pneumonia associated with severe neutropenia. Despite appropriate antibiotic therapy, granulocyte colony-stimulating factor and intensive care support, the patient developed respiratory failure and septic shock in two days and died.


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

[User] What were the complications of the cystic lesion?

Radiological examinations revealed a large, multiseptate, cystic lesion with thin internal septa...causing mass effect by compressing her inferior vena cava, displacing her aorta, as well as stomach and small bowel loops to the left side, and displacing her transverse colon inferiorly and gallbladder posteriorly.


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

[User] What were the complications of the disease progression?

The patient developed diplopia, complex partial seizures, and retrobulbar neuritis of the left optic nerve a few months later.


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

[User] What were the complications of the endovascular treatment?

The patient underwent endovascular treatment of the aneurysms, which was initially unsuccessful due to profound tortuosity of the left vertebral artery.


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

[User] What were the complications of the first surgery?

After the surgery, she developed a moderate- to high-grade proximally pronounced paresis of the right lower extremity, which slightly improved in the days following surgery.


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

[User] What were the complications of the left atrial mass?

The patient was found to have orthopnea and dyspnea, along with bilateral crepitant rales and 1+ edema in both legs. Cardiac oscultation revealed 1/4 diastolic rulman and a 2/6 systolic murmur at the apex and the mitral focus.


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

[User] What were the complications of the ovarian cystic mass?

An emergency exploratory laparotomy was performed, which revealed approximately 1000 ml of ascites, hair, and sebaceous material, dense adhesions between the omentum and bowel loops, and dermoid cystic material in the cyst beds.


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

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

A complex cystic lesion in the upper pole of the left kidney that communicated with the ipsilateral diaphragm was found. A drainage catheter was placed within this abscess, and culture of the cyst fluid was also positive for Proteus mirabilis.


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

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

Treatment was unfortunately complicated by a neutropenic chest infection.


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

[User] What were the complications of the surgery?

Postoperative, the patient developed bile leakage and was discharged after 12 days with a drainage tube. She returned on the 18th day with intra-abdominal hemorrhage, which was treated by micro-coil embolization.


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

[User] What were the complications on Day 2 post-injury?

Despite a negative SARS-COV-2 test, the patient exhibited fluctuating consciousness on Day 2. A head CT revealed no new pathology, but axillary petechiae and fat globules visible within an ABG indicated FES.


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

[User] What were the complications related to carbolic acid exposure in this patient?

Despite hyperhydration, the patient's urine output decreased from day 2 of admission, and hemoglobinuria became apparent with rising creatinine levels. Esophageal and stomach mucosa injuries were detected by endoscopy, with a Grade 2b and Grade 2a involvement, respectively.


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

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

Despite the mild risk, the patient developed neutropenic fever three days after transplantation. ... The patient developed multiple organ failure (MOF) with kidney and lung failures.


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

[User] What were the complications the patient experienced after the initial treatment?

The patient returned to the clinic eight months later with general fatigue, anorexia, and melena. His gastrointestinal endoscopy revealed a duodenal ulcer at the third portion, which was managed conservatively with fasting and a proton pump inhibitor. Unfortunately, severe abdominal pain developed after thirteen days, requiring an immediate evaluation. Computed tomography revealed an air embolism of the SMA, significant abdominal fluid collection and extensive mesenteric ischemia.


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

[User] What were the conflicts between the family and healthcare professionals regarding the patient's care?

The family and the healthcare professionals had various conflicts regarding the treatment decisions and daily care of the patient.


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

[User] What were the congenital defects found in the child from the patient's fourth pregnancy?

The child from her fourth pregnancy had numerous birth defects including heart defects, CNS defects, eyeball defects, orofacial cleft, hearing loss, and limb defects.


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

[User] What were the consequences of corticosteroid therapy in this patient?

With corticosteroid therapy, his gastrointestinal symptoms worsened, and that treatment most probably resulted in the dissemination of the disease.


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

[User] What were the consequences of the patient's deteriorating consciousness?

Her GCS dropped to 8, and her pupils were anisocoric. An emergency craniotomy for SDH evacuation and removal of metastatic skull tumor was performed.


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

[User] What were the consequences of the patient's kidney transplantations?

The patient underwent two kidney transplantations, both of which failed due to deposition of LCs in the renal tubules.


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

[User] What were the cytological features of the tumor?

The smears were highly cellular, comprised of papillary and pseudopapillary arrangements of cells in the background of fibrillary material. Correlating with clinical, radiological and cytological features, the differential diagnoses of astroblastoma and ependymoma were suggested.


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

[User] What were the delays in the patient's myeloma treatment?

Due to the rash and ocular symptoms, there were delays in his myeloma treatment but these were not dose-limiting toxicities.


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

[User] What were the diagnostic findings for the pancreatic mass?

The final diagnosis of ES/PNET of the pancreas was made based on the morphology and immunohistochemistry findings. Cytogenetics showed alterations at t(11;22) (q24; Q12).


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

[User] What were the diagnostic findings for the patient's ovarian mass?

Abdominal imaging showed peritoneal fluid and an undefined ovarian mass on the right, consistent with corpus luteum.


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

[User] What were the diagnostic findings for the patient?

Diagnostic Findings: Panoramic radiograph showed a radiopaque mass between the left permanent central incisor and canine. Cone beam computed tomography (CBCT) imaging revealed multiple hyperdense calcified masses resembling teeth in the left maxilla. The impacted left permanent lateral incisor was seen 6.8 mm from the alveolar crest region of the left permanent canine.


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[User] What were the diagnostic findings of the 3D-computed tomography (CT) scan?

A 3D-computed tomography (CT) scan showed that the FH fracture was associated with a posterior acetabular fracture of Pipkin type IV.


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[User] What were the diagnostic findings of the patient's MRI?

Sagittal MRI showed the Wackenheim line behind the dens and severe spinal cord compression by both osteophytes and the C1 posterior arch of the C0-C1-C2 joints.


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

The MRI showed bilateral cortical and subcortical altered signal intensities involving the parieto-occipital areas. Nerve conduction studies showed prolonged latencies, reduced conduction velocity and absent f waves with reduction in the amplitude of compound muscle action potentials with normal sensory potentials suggestive of demyelinating type neuropathy according to HO et al criteria.


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[User] What were the diagnostic findings?

The patient was initially diagnosed with multiple angioma due to the imaging manifestations on the CT scan. However, the final pathology report revealed that the patient had multifocal angiomyolipomas with minimal nuclear atypia, extremely rare mitotic figures, and no necrosis.


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[User] What were the diagnostic methods for Paroxysmal non-kinesiogenic dystonic choreoathetosis?

A final diagnosis was made of Paroxysmal non-kinesiogenic dystonic choreoathetosis due to insulinoma, confirmed via serum fasting insulin levels and MRI of the abdomen.


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[User] What were the diagnostic procedures performed?

CT scan and MRI were performed, and biopsy was done, which suggested a low-grade mesenchymal neoplasm.


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[User] What were the diagnostic test results that led to a diagnosis of Acute Lymphoblastic Leukemia?

Upon admission, the patient underwent various diagnostic tests, including a bone survey X-ray, which detected multiple lytic lesions on skull X-ray, permeative bony lesions in iliac bones, reduced vertebral height of L5 with reduced bone density and a lucent zone beneath the vertebral endplate, and permeative lytic lesions in bilateral scapular bones. Reduced bone density with permeative lesions in the proximal tibial bone adjacent to knee joints were also noted. Perihilar-peribronchial infiltration was also present, which ultimately led to a diagnosis of Acute Lymphoblastic Leukemia (ALL).


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[User] What were the diagnostic tests used to identify the liver tumor?

The patient underwent a series of diagnostic tests including colonoscopy, barium enema, small bowel follow-through and upper GI endoscopy, all of which were negative. However, the endoscopy showed significant gastritis and multiple duodenal ulcers. A fasting serum gastrin (FSG) level and Chromogranin A level were both elevated. Enhanced computerized tomography (CT) and magnetic resonate imaging (MRI) scans showed a solitary lesion within the right lobe of the liver.


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[User] What were the dimensions of the fluid collections located in the dorsolateral parts of the subscapular region?

Magnetic resonance imaging (MRI) of the thoracic wall showed limited fluid collections located in the dorsolateral parts of the subscapular region, with dimensions of up to 120 × 37 x 115 mm on the right side and 120 × 24 x 90 mm on the left.


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[User] What were the dimensions of the mobile hyperlucent mass found on the patient's tricuspid valve?

A mobile hyperlucent mass, measuring 0.9 × 1.6 cm located on the septal leaflet of the tricuspid valve, was revealed through transthoracic echocardiography.


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[User] What were the discharge diagnoses and what led to the patient's death?

The discharge diagnoses included uncompensated liver cirrhosis combined with diabetic chronic renal failure and hypertension, which led to edema on both legs. However, the patient passed away due to hemodynamic instability caused by septic shock and low-dose vasopressin-induced skin necrosis, which was further complicated by the patient's pre-existing medical conditions.


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[User] What were the discharge diagnoses for the patient?

Discharge Diagnoses: 1. Congenital right ureteral triplication 2. Recurrent right-sided pyelonephritis 3. Persistent right-sided flank pain


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[User] What were the discharge diagnoses?

Discharge Diagnoses: 1. Chronic oto-sino-pulmonary disease 2. Double outlet right ventricle 3. Great arteries transposition 4. Pulmonary artery stenosis 5. Ventricular septal defect 6. Common atrio-ventricular valve


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[User] What were the discharge instructions for the patient's antibiotic treatment?

The patient should continue cephalexin 500 mg every 8 hours orally for the next 4 weeks.


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[User] What were the discharge instructions for the patient's memory loss?

The patient was discharged with instructions to follow-up with a local mental health professional. The patient was also advised to keep a detailed diary of recent events and memories to help foster recall.


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

The patient is advised to take it easy and avoid strenuous physical activity for the next few weeks, and it is recommended to follow the follow-up appointment and treatment protocols as advised by the healthcare provider.


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[User] What were the discharge instructions?

The patient and her family were instructed to follow up with their primary care physician, visit a specialist for neurology, and monitor COVID-19 symptoms for at least 14 days after hospital discharge. The patient was discharged with a prescription for medication for the treatment of her primary conditions and was advised to adhere to any necessary lifestyle modifications.


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[User] What were the discharge medications for the patient?

Discharge medications: Not applicable


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[User] What were the discharge plans for the patient?

Follow-up Plans: N/A


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[User] What were the discharge recommendations for the patient?

The patient is advised to continue with follow-up appointments with the attending physician to ensure no recurrence.


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[User] What were the echocardiography results?

Two-dimensional transthoracic echocardiography revealed severely dilated left ventricle and left atrium, severe LV global systolic dysfunction, and severe dilation of the right atrium and the right ventricle. 2DE suggested severe functional tricuspid regurgitation caused by the important dilation of the tricuspid annulus.


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

After treatment, the patient's platelets have been maintained at a normal level and the bone marrow plasma cell infiltration was reduced.


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[User] What were the features of sepsis present in the patient?

Features of sepsis were present in the form of fever, tachycardia, and low blood pressure.


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[User] What were the final diagnoses at discharge?

Discharge Diagnosis: Schizophrenia, dengue fever with thrombocytopenia, anemia, myocarditis, thrombotic microangiopathy, medium-vessel vasculitis, and CSVV.


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[User] What were the findings during scrotal exploration?

The left testis was found to be fractured with no viability of the lower segment. Nonviable tissue was removed, and bleeding was controlled. The upper pole was preserved, the tunica albuginea and vaginalis were re-approxima


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[User] What were the findings during the barium contrast study?

A barium contrast study showed dilatation of the esophagus with stomach in the right side of the thorax in a state of volvulus.


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[User] What were the findings during the laparoscopic exploration?

During laparoscopic exploration, two uterine bodies were observed with the right rudimentary uterine horn being enlarged at three months of gestation, while the left unicornate uterus was of normal size. There was a fibrous band between the two uterine bodies. Two fallopian tubes and ovaries were linked with each uterus, of which the right tube and ovary were swollen.


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[User] What were the findings from the abdominal CT scan?

An abdominal computed tomography (CT) showed a homogenous low density lesion in the anterior section of the liver and a heterogeneous enhanced mass lesion in the delayed phase with the enhanced peripheral bile duct in the posterior section.


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[User] What were the findings from the cerebrospinal fluid analysis?

Cerebrospinal fluid analysis was negative for infection with cytology positive for malignant cells, confirming leptomeningeal disease (LMD) of the tumor.


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[User] What were the findings from the diagnostic tests?

Diagnostic tests revealed that the colon wall from the terminal ileum to the transverse colon was thickened, and multiple calcifications were observed on the colon wall and in the ramifications of the colonic blood vessels.


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[User] What were the findings from the investigations?

The patient had a history of diarrhea for ten days prior to the onset of ocular complications. Blood and eviscerated material from the right eye were collected for bacterial and fungal culture. The sample was subjected to direct examination using KOH/Calcofluor for fungus and Gram-stain for bacteria. A few fungal filaments and a few Gram-negative bacilli along with pus cells were seen.


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[User] What were the findings from the optical coherence tomography?

Optical coherence tomography showed subretinal oedema and macular detachment in the right eye.


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[User] What were the findings from the patient's brain MRI?

Brain MRI showed no abnormal enhancement, but a newly developed enhancing lesion in the spinal cord was detected.


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[User] What were the findings from the physical examination?

Physical examination demonstrated a floppy cyst-like mass. Otherwise normal examination findings.


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[User] What were the findings from the rectum biopsies?

Biopsies of the rectum were taken at 3, 5 and 10 cm from the anal margin which resulted in the finding of hyperplasia of the muscularis mucosae and the absence of the submucosal and myenteric nerve plexuses in the biopsy at 3 cm.


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[User] What were the findings of the 12-lead electrocardiogram?

The 12-lead electrocardiogram on admission showed typical atrial flutter with 2:1 atrioventricular conduction at a rate of approximately 300 bpm, and left bundle branch block.


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

[User] What were the findings of the CT angiography of the thoraco-abdominal aorta?

A CT angiography of thoraco-abdominal aorta revealed small saccular aneurysm at the origin of celiac artery measured 29x25mm, with fusiform dilatation of superior mesenteric artery.


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[User] What were the findings of the CT scan images?

CT scan images showed markedly expansile lytic lesion measuring 4.5 cm x 3.8 cm in transverse diameter at proximal radial shaft with thinning of cortex, short transitional zone, without periosteal reaction or surrounding soft tissue involvement.


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[User] What were the findings of the CT scan of the abdomen?

Diagnostic testing was conducted, including non-contrast computed tomography (CT) of the abdomen, which confirmed the US findings. On administration of intravenous non-ionic contrast agent, it was identified that the patient had a single ureter draining the collecting system of both the kidneys and terminally opening ipsilaterally into the urinary bladder.


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[User] What were the findings of the CT scan?

A CT scan of the chest, abdomen and pelvis was conducted following the diagnosis, which revealed a resection scar along the right paraspinal musculature, with no evidence of lymphadenopathy, lesions or pathology.


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[User] What were the findings of the CTA?

Computed tomography angiography (CTA) showed a right CPA mass encasing the right vertebral artery (VA), with the distal lumen of right VA narrow due to compressive effect of the lesion.


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[User] What were the findings of the Fluorine-18-fluorodeoxyglucose (FDG) positron-emission tomography (PET) imaging?

After performing a Fluorine-18-fluorodeoxyglucose (FDG) positron-emission tomography (PET) imaging, it was confirmed there were no other distant metastases.


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[User] What were the findings of the MRI of the brain?

The MRI showed a ring-enhancing lesion in the left parietal-occipital lobe along with smaller lesions in the left frontal and right parietal intraparenchymal regions.


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[User] What were the findings of the MRI scan?

A magnetic resonance imaging (MRI) of the whole spine revealed a left-sided cystic extradural lesion at the C7-T1 junction with compression of the spinal cord. The lesion appeared homogenously isointense on T1-weighted images and was heterogeneous with high signal intensity on T2-weighted images.


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[User] What were the findings of the abdominal CT scan?

A plain film chest and abdominal X-ray followed by a CT of the abdomen and pelvis revealed a markedly distended and fluid-filled small bowel loops with a transition point suggestive of adhesions.


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

[User] What were the findings of the abdominal ultrasound?

Abdominal palpation and ultrasound identified generalised hepatomegaly and a mild increase in the right lobe of the pancreas, respectively.


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[User] What were the findings of the autopsy?

Autopsy confirmed the presence of SCLC in the right upper lung with right hilar adenopathy and spinal sections showed mild edematous changes associated with lymphocyte and plasma cell infiltration in the gray matter. However, there was no evidence of cancer cells or meningeal carcinomatosis and no pencil-shaped softening indicative of necrosis in the autopsy spine samples.


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

[User] What were the findings of the chest CT?

Chest CT showed mild pulmonary edema and bilateral pleural effusion.


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[User] What were the findings of the colonoscopic biopsy?

Colonoscopic biopsy showed mucosal changes compatible with granulomatous colitis.


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[User] What were the findings of the colonoscopy and CT and MRI scans?

Colonoscopy showed a large, ulcerated, friable growth in the rectum. CT and MRI scans confirmed a mass involving the proximal and distal rectum, laterally infiltrating the right levator ani muscle, and superiorly reaching up to S2 vertebra.


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[User] What were the findings of the colposcopy?

Colposcopy showed chronic inflammation and benign nabothian cysts without any malignant cells.


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[User] What were the findings of the computed tomography angiography?

Transient visual loss several times a day, possible from vasculitis, which was confirmed by the normal computed tomography angiography.


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[User] What were the findings of the core biopsy specimen?

A core biopsy specimen revealed invasive ductal carcinoma of the breast.


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[User] What were the findings of the diagnostic tests?

Chest CT scan showed a high-density soft tissue mass in the right middle lobe. Bronchoscopy showed the lateral branch of the right middle lobe was blocked. A CT scan of the head demonstrated brain metastasis. Biopsy and cytological brushing were performed.


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[User] What were the findings of the direct echography in the ascending aorta?

Direct echography in the ascending aorta revealed that the homograft was occluded by a thrombus that was about 4 cm long and located at the origin of the aorta.


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[User] What were the findings of the exploratory laparotomy?

Exploratory laparotomy revealed a huge, thick-walled tumor that almost filled the abdominal cavity.


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[User] What were the findings of the follow-up CT scan?

Follow-up CT showed AAA enlargement, suspected type II EL, and hematoma inside the aneurysm.


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[User] What were the findings of the follow-up X-ray?

However, a follow-up X-ray showed similar findings without significant change.


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[User] What were the findings of the high-resolution computerized tomography (HRCT) scan of thorax?

A high-resolution computerized tomography (HRCT) scan of thorax revealed bronchiectasis in lingu


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[User] What were the findings of the histologic examination of the gallbladder?

Histologic examination revealed an ulcerated, fibrotic gallbladder wall mucosa. Evidence of dysplasia or malignancy was absent.


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[User] What were the findings of the histology of the bursae?

Histology of the bursae was compatible with the xanthogranulomatous inflammatory process with histiocytic granulomas.


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[User] What were the findings of the histopathological evaluation?

The histopathological evaluation of the resected specimen revealed endometrial glands and stroma with clear resection margins.


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[User] What were the findings of the histopathological examination?

Histopathological examination of the endobronchial biopsy revealed osseous element composed of a central island of osteocytes.


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[User] What were the findings of the imaging studies?

Imaging studies, including ultrasound and contrast-enhanced computed tomography of the abdomen and pelvis, revealed a heterogeneous mass in the right testis and a left testicular mass.


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[User] What were the findings of the kidney biopsy?

The kidney biopsy revealed ANCA-associated focal and segmental necrotizing glomerulonephritis with crescent formation.


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[User] What were the findings of the laparoscopic exploration?

Laparoscopic exploration revealed a reddish, easily bleeding mass originating from an ileal loop in the pelvis, with small nodules suspected for diffusion of disease in the peritoneum.


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[User] What were the findings of the laparoscopic surgery?

Laparoscopic surgery was performed to remove the object. The laparoscopic findings included fibrous adhesions between the cecum, tip of the appendix, and right parietal peritoneum. Our resection lines were based on the preoperative CT and the laparoscopic findings.


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[User] What were the findings of the laparotomy?

During a laparotomy, a giant, soft, cystic, milky fluid-filled mass was discovered in the mesentery of the ileum, and intestinal resection of about 10 cm of the involved loops was necessary.


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[User] What were the findings of the liver tumor's pathology report?

The final pathology report revealed an Inflammatory Pseudotumor (IPT) of the liver. The tumor was characterized by a heavy inflammatory infiltrate in myxoid collagen stroma, consisting primarily of plasma cells, lymphocytes, and eosinophils. Fibroblast cells without significant fibrosis composed the stroma. There was no evidence of malignancy in the tissue examined.


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[User] What were the findings of the lumbar puncture on day 14?

The patient underwent a lumbar puncture on day 14, and findings showed intracranial pressure was resolved, WBC count was reduced, and CSF total protein level was high, while glucose was low.


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[User] What were the findings of the necropsy?

Necropsy identified a cholecystopleural fistula arising from the apex of the gall bladder with multifocal abscesses and cellular necrosis, and severe acute fibrinous pleuritis.


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[User] What were the findings of the optical coherence tomography?

Optical coherence tomography demonstrated hyperreflectivity of the outer plexiform layer and outer nuclear layer with associated disruption of the inner segment/outer segment junction.


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[User] What were the findings of the panoramic radiograph?

The panoramic radiograph confirmed absence of teeth #16 and #36, long-term retention of #53, and transposed #12 with #13.


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

A large pelvic mass was identified on a CT scan, and extensive deep venous thrombosis was diagnosed.


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[User] What were the findings of the patient's MRI scan?

MRI revealed a herniation of the frontal lobe into the orbit and a superior rectus muscle inferiorly with blurring of the gray matter in the encephalocele


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

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

Magnetic resonance imaging (MRI) revealed a nodular mass, approximately 3×2×3 cm in size, located in the sella and suprasellar portion, accompanied by compression of the optic chiasm.


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[User] What were the findings of the patient's axillary lymph node dissection?

The final diagnosis was invasive ductal carcinoma with axillary lymph node metastasis.


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[User] What were the findings of the patient's cardiological evaluation?

Cardiological evaluation showed no changes.


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[User] What were the findings of the patient's chest radiograph?

A chest radiograph revealed evidence of pulmonary tuberculosis in both upper lobes.


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[User] What were the findings of the patient's colonoscopy and endoscopy?

Colonoscopy and endoscopy findings were normal.


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[User] What were the findings of the patient's karyotype analysis?

Karyotype analysis yielded 46, XY.


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[User] What were the findings of the patient's ocular examination?

The patient was diagnosed with a myopic fundus in the right eye with no breaks, chorioretinal atrophy, and a tilted disc with no visible cup. The left eye had a detached retina with PVR involving the macula.


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[User] What were the findings of the patient's structural OCT examination?

Structural OCT demonstrated a solid PED with trace intraretinal fluid.


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[User] What were the findings of the repeat CT scan of the abdomen?

A repeat CT scan of the abdomen showed severe distention of the stomach and proximal small bowel and recurrent obstruction at the level of the distal ileum.


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

[User] What were the findings of the repeat CT scan?

Eight months later, a repeat CT scan demonstrated a significantly smaller cystic lesion in her liver, and a radiological diagnosis of recurrent/residual intrahepatic biliary cystadenoma was made.


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[User] What were the findings of the repeat MRI brain?

Repeat MRI brain at this juncture demonstrated progressive disease, with meningeal involvement on both sides of the cerebral hemispheres and prominent extension to involve the left tempero-parietal meninges.


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[User] What were the findings of the second EGD?

The 2nd look-EGD revealed aggravated linear mucosal erythema of the antrum and multifocal patchy erythematous mucosal lesions on the 2nd portion of the duodenum, which were not observed in the initial EGD.


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[User] What were the findings of the second resection?

A second resection was performed, with histopathology showing no viable tumor cells, indicating an IM-pseudoprogression.


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

The gross examination discovered a correlating dual lesion, consisting of an intracystic proliferation and an ill-defined, infiltrative tumor mass. Both the intracystic and infiltrative parts showed cytomorphologies that agreed with apocrine differentiation.


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[User] What were the findings of the spiral lung CT?

The patient underwent spiral lung CT, which revealed bilateral multiple pulmonary consolidations.


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[User] What were the findings of the trans-oesophageal echocardiography (TOE/TEE) after TAVI?

Mild posterior valvular leak and an echolucent periprosthetic zone were found, which were suggestive of a periprosthetic abscess.


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[User] What were the findings of the transvaginal ultrasound?

Two-dimensional-three-dimensional transvaginal ultrasound scans were performed and demonstrated a hematoma (5.3 cm3) between the cesarean section scar and the bladder peritoneum.


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[User] What were the findings of the ultrasound biomicroscopy?

Ultrasound biomicroscopy (UBM) revealed typical features of plateau iris and multiple cysts at the iris root and iridociliary junction in many meridians.


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[User] What were the findings of the ultrasound examination?

Ultrasound examination of abdomen showed a huge, well encapsulated, solid echogenic mass lesion between the liver and right kidney, and a normally distended gallbladder with multiple intraluminal calculi.


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[User] What were the findings of the upper gastrointestinal endoscopy?

Upper gastrointestinal endoscopy showed severe esophagitis with multiple mucosal ulcerations in the duodenum and thickening of the gastric mucosa.


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[User] What were the findings of the video-assisted thoracoscopic surgery?

After video-assisted thoracoscopic surgery of the right pleura, she was diagnosed with malignant mesothelioma, epithelioid type.


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[User] What were the findings of the whole-body PET/CT scan?

On PET/CT, an obviously hypermetabolic nodule in the right breast and slightly increased FDG uptake of the lymph nodes at the hilus of the lungs and posterior cervical region bilaterally were revealed.


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[User] What were the findings of the whole-body bone scan?

Following intravenous injection of 740 MBq (20 mCi) of Tc-99m MDP, imaging was performed after 3 hours under a dual head gamma camera (Ecam, Siemens, Germany) fitted with a low-energy high-resolution collimator. No bony abnormality was detected.


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[User] What were the findings on the follow-up CT scan?

The follow-up CT scan obtained three months after the procedure showed complete disappearance of the dissecting aneurysm.


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[User] What were the follow-up arrangements for the patient?

The patient had follow-up neurology appointments scheduled for EMG testing.


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

Routine follow-up care and monitoring will be provided as needed by the patient's obstetrician and primary care physician.


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

The patient was advised to continue surveillance for hepatocellular carcinoma on a 6-monthly basis due to underlying advance liver disease (stage III to IV fibrosis).


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[User] What were the follow-up instructions after aortic valve replacement surgery?

The patient should consult the cardiologist and primary care physician as scheduled for regular check-ups and medical care. The patient should contact the cardiologist or primary care physician in case of any new symptoms or health concerns.


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

8. Follow-Up Instructions: None.


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[User] What were the follow-up instructions given to the patient?

She was discharged with improvements in her conditions and advised to follow-up with the surgical outpatient services to monitor her health condition and ensure the resolution of the inflammation.


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

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

Follow-up appointments were scheduled for further evaluation and management.


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[User] What were the follow-up results after 3 months?

The patient is currently alive with no tumor recurrence or metastasis after 3 months of follow-up.


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[User] What were the follow-up results after the patient's tricuspid valve surgery?

The postoperative course was uneventful and follow-up examination showed complete normalization of the Doppler echocardiographic parameters and the absence of clinical symptoms (i.e. dyspnoea).


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[User] What were the follow-up results for loco-regional recurrence or distant metastasis?

No loco-regional recurrence or distant metastasis was found at the 32-month follow-up.


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[User] What were the histological findings of the excised lesion?

Histology revealed two cystic lesions, the smaller cyst being lined mostly by squamous epithelium, while the larger cyst was lined by both squamous and respiratory epithelium. The subepithelial stroma shows few serous acini.


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[User] What were the histopathological examination findings?

Excised osteochondral fragments and tibial cuts revealed necrotic bone, surrounded by an area of fibrovascular granulation tissue on both femoral and tibial sides.


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[User] What were the histopathological examination results?

The histopathological examination revealed features consistent with inflammation and infection.


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[User] What were the histopathological findings of the tumor?

Gross total resection was subsequently performed and histopathological examination showed a neoplasm with solid architecture composed of SEGA-like epithelioid cells with nuclei displaying large prominent nucleoli.


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

A right modified radical mastectomy (MRM) was planned and performed, which showed an intraductal papilloma (IP) with atypical ductal hyperplasia (ADH) without emphasizing additional malignancy.


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[User] What were the imaging findings of the liver mass?

CT scan revealed a small ovoid, well-defined, hypodense mass with peripheral contrast enhancement in the subcapsular region of segment VI adjacent to the previous resection site. The PET/CT scan revealed the presence of a solitary liver mass with markedly increased accumulation of FDG.


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[User] What were the immunohistochemical results of the parotid gland tumor?

The epithelium of the cysts was positive for CK7, CK8, CK14, CK18, CK19, LMWCK, EMA, and negative for CK20, HMWCK, Muc-5AC, SMA, S-100, p53, p63, CEA, and DOG1.


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[User] What were the immunohistochemical study results for the patient's tumor cells?

Immunohistochemical study revealed the expression of vimentin, desmin, MSA, and SMA within the tumor cells.


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[User] What were the indications for a cesarean section?

Cesarean section and tubal ligation were indicated at week 37, which were successfully performed by the Central Institute obstetric staff at the Heart Institute.


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[User] What were the indications for the patient's chest tube placement?

Chest tube placement was necessary due to emergency findings of a penguin thorax. The patient's vital signs improved after approximately 3 liters of biliary fluid was evacuated.


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[User] What were the initial antibiotics used to treat the patient?

Initial treatment was started with empiric coverage of intravenous vancomycin and piperacillin/tazobactam.


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[User] What were the initial complaints of the patient?

Mrs. Jones presented with lower right-sided back pain and right radicular symptoms, extending to the mid-calf.


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[User] What were the initial complications of the patient?

At 12 hours of life, the patient became hypotensive and did not respond well to fluid resuscitation. The placement of an umbilical catheter was attempted which was later determined to be in an unusual position via radiology and ultrasound imaging.


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[User] What were the initial diagnostic tests for the patient?

The laboratory tests showed leukocytosis, thrombocytosis, and anemia. The ultrasound examination was normal, and the lower digestive endoscopy pointed out multiple ulcerations, hemorrhage, and edema of the sigmoid colon, suggesting a possible inflammatory bowel disease (IBD).


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[User] What were the initial differential diagnoses for the patient?

Based on the clinical and radiographic aspects, ameloblastic carcinoma and primary intra-osseous carcinoma were initially considered but an intermediate-grade intra-osseous mucoepidermoid carcinoma was diagnosed through histopathological sections.


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[User] What were the initial findings from the MRI of the brain?

An MRI of the brain showed masses involving the clivus and medial occipital bone with mass extension into the bilateral maxillary/sphenoid sinuses, posterior aspect of ethmoid cells, bilateral maxillary bones, inferolateral orbits, and parietal calvarium.


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[User] What were the initial findings from the patient's diagnostic workup?

Diagnostic workup was performed to achieve a differential diagnosis including pathologies associated with a prominent disc. A contrast CMRT was performed which excluded several pathologies. Initial blood findings were unspectacular except for strongly increased D-dimers and calcium in blood.


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[User] What were the initial findings of the CECT scan?

a solid and cystic lesion measuring 4.7 × 5.7 cm in the right frontal region with perifocal edema, causing compression over the right lateral ventricle with midline shift and subfalcine herniation to the left with descending transtentorial herniation.


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[User] What were the initial findings of the abdominal USG examination?

The USG reported non-visualization of the left kidney, leading to suspicion of an ectopically placed left kidney.


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[User] What were the initial laboratory investigations' findings?

The initial laboratory investigations revealed significantly elevated levels of total bilirubin, alanine transaminase, and aspartate transaminase. The rest of the results were unremarkable, except for positive anti-hepatitis A virus and anti-hepatitis E virus IgG.


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[User] What were the initial presenting symptoms for the patient?

The patient presented with loose bowel motions and an episode of black stool, and was diagnosed with a malignant appearing, pedunculated lesion attached to segment IV of the liver.


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[User] What were the initial symptoms and diagnosis of the patient?

The patient is a 64-year-old Japanese woman who was admitted to the hospital seven years ago with complaints of right hip joint pain. Radiological examination revealed an osteolytic tumor of the right pelvis along with a tumor in the right lower lung field. After further examination, the patient was diagnosed with advanced lung cancer with metastases in the bone and brain.


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[User] What were the initial symptoms of the patient?

Initial symptoms included constipation, bladder irritability and irritable bowel syndrome.


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[User] What were the initial symptoms presented by the patient?

The initial symptoms were non-pulsatile sound and tinnitus in both ears; her hearing condition became worse within the next few days.


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[User] What were the initial symptoms that led the patient to the hospital?

The patient presented with a three-day history of fever, chills, abdominal pain, watery diarrhea, nausea, and dyspepsia.


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

The patient was admitted to our institution with difficulty in swallowing, change in voice, and foreign body sensation in the throat for six months, along with palpitations, heat intolerance, increased sweating, easy fatigability, and irritability.


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

The patient presented with papular, erythematous lesions on approximately 90% of the body surface, later turned into crusty, painful lesions, some bleeding, which disappeared with finger pressure and was diagnosed with Langerhans Cell Histiocytosis (LCH) with multisystem involvement and risk organ compromise.


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[User] What were the initial thoughts on the cause of the patient's illness?

Epilepsy was initially considered as a possible cause of the patient's symptoms due to the episodic nature of her illness.


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

Follow-Up Care: The patient was advised to follow-up with their primary care physician for routine checkups and to monitor the status of their condition throughout their recovery process.


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[User] What were the instructions for the patient's diet upon discharge?

It was also recommended that the patient follow a low-fat and low-acid diet.


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

Follow-up after one week of surgery was recommended.


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

The patient is advised to follow up with his primary care physician for further management of his psychiatric symptoms. Additionally, the patient is advised to continue following preventive measures to reduce the spread of COVID-19.


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[User] What were the key findings from the family history?

Family history revealed that five cousins and two maternal uncles had also been diagnosed with epilepsy, and some had experienced neonatal hypotonia and psychomotor delay. Four family members had died at a young age from their epilepsy.


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[User] What were the laboratory and diagnostic results?

The patient underwent a physical exam, and laboratory and diagnostic results were ordered; both were unremarkable.


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[User] What were the laboratory findings at the time of second hospital admission?

His hemoglobin level was 7.7 g/dL, hematocrit was 23.4%, MCV was 69.6 fL, and MCH was 21.1 pg. Fecal calprotectin level was >2,000 mg/kg.


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[User] What were the laboratory findings for the patient?

Laboratory parameters also deteriorated with intensifying anemia, elevated LDH, and kidney and liver dysfunction. The patient had metabolic acidosis with non-reactive serology for viral hepatitis (A, B, and C).


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[User] What were the laboratory results for the patient?

Laboratory results showed Hb 11 g/dl, WBC 9310/μL, PLT 622000/μL, and all other biochemistry values were in normal range. Arterial blood gases revealed pH 7.43, pCO2 41 mmHg, pO2 97 mmHg, and bicarbonates 28 mEq/L.


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[User] What were the long-term complications of the injury?

The patient will continue to be monitored to ensure a smooth recovery and prevent any complications.


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[User] What were the long-term consequences of the patient's medical identity fraud?

The patient expressed sincere regret at having committed identity fraud and provided a verbal apology to the hospital. No further medical follow-up was required.


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[User] What were the long-term effects of the patient's condition on their vision?

Lesions continued to develop over time, with widespread damage that included RPE detachments, which induced RPE tears, leading to scarring and fibrosis. The patient was last recorded with a BCVA of 20/200 OD and 20/100 OS in August 2012.


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[User] What were the long-term effects of the treatment?

The patient was later followed up at the age of 24 months, during which no regrowth of the lesion was observed.


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[User] What were the long-term outcomes of the patient's cervical cancer treatment?

After 5 years from the cervical cancer diagnosis, the patient was in complete remission without gynecological and breast cancer, free from urinary symptoms. Computed tomography (CT) scan confirmed slight thickening of the bladder and rectal walls, likely post-radiation effects.


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

The patient attended the last appointment at the 26-month post-treatment mark and had no signs of complications.


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[User] What were the main complaints of the patient after the total rhinectomy surgery?

The patient presented with complaints of psychological distress due to loose attachments of the nose epithesis. The patient also complained of severe pain inside the nose mucous membrane, particularly in the winter months, and frequent chronic inflammations after the total rhinectomy surgery performed four years prior.


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[User] What were the main complaints of the patient upon hospital admission?

The patient was admitted due to left chest wall pain with tenderness in the sub-areolar region of the left breast.


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[User] What were the main complaints of the patient?

The 9-month-old female child was admitted to the pediatrics department for fever and recurrent upper respiratory tract infection.


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

The patient's condition was complicated by the rapid accumulation of pericardial and pleural effusions. She was found to have cytomegalovirus reactivation, and polyomavirus BK viruria caused grade III hemorrhagic cystitis. The patient was diagnosed with IPS, for which methylprednisolone and etanercept were administered, and later with TMA.


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[User] What were the main findings on the abdominal CT angiogram?

An abdominal CT angiogram revealed a heterogeneous enhancing mass with intraluminal obstruction in the infrahepatic and suprarenal inferior vena cava (IVC).


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[User] What were the main findings on the patient's physical examination?

Physical examination revealed bilateral gynecomastia, with breast development appearing at Tanner Stage 2.


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[User] What were the main reasons for the patient's hospital admission?

The patient was admitted with a two-week history of hemoptysis, weight loss, fatigue, and persistent night sweats.


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

The patient, a 2-year-old boy, was admitted for bladder outlet obstruction with suspected posterior urethral valves.


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[User] What were the main symptoms presented by the patient?

The patient presented with persistent non-bilious vomiting, tachypnea, tachycardia, dehydration, and mild fullness in the epigastric region.


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

The patient was admitted to the emergency department with a 30-day history of gradual abdominal distension, difficulty in breathing, and ambulation.


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[User] What were the management options for the patient's uterine mass?

Management options included transcervical biopsy for diagnosis with frozen section with subsequent hysterectomy if necessary or outright hysterectomy, which was the preferred option of the patient and her husband.


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[User] What were the medications used to treat the patient during hospital stay?

The patient was treated with different medications, including risperidone, valproate, lithium, quetiapine, olanzapine, estazolam, flunitrazepam, lorazepam, zolpidem, zopiclone, and magnesium oxide, throughout his stay.


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[User] What were the microorganisms isolated from tracheal aspirate cultures?

Tracheal aspirate cultures isolated methicillin-sensitive S. aureus, Enterobacter aerogenes, Aeromonas species, and E. tarda, which led to the introduction of oxacillin and ceftriaxone on the sixth day of hospitalization.


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[User] What were the necropsy findings?

Necropsy findings revealed a bilaterally symmetric chronic poliomyelomalacia involving the C5-C8 spinal cord segments and neurogenic muscular atrophy of the thoracic limb musculature, with gross and microscopic features closely recapitulating those reported for Case 1.


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[User] What were the newborn's Apgar scores?

A male newborn weighing 2760 g and with Apgar index 5/7/8 was delivered.


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[User] What were the non-hematological toxicities during treatment?

Non-hematological toxicities such as esophagitis, nausea, and constipation and hematological toxicities such as leukopenia, neutropenia, and lymphopenia were noted during treatment.


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[User] What were the outcomes for the baby?

The baby died after 24 hours of heart failure.


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[User] What were the outcomes for the healthcare providers who treated the patient?

Investigations revealed that no attending healthcare providers were infected with EVD.


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[User] What were the outcomes for the mother and child after the hospital course?

After 6 months, the child was normally developed and healthy. (Note: The note does not provide information on the mother's long-term outcome)


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[User] What were the outcomes for the patient?

The patient remained hospitalized for five weeks, during which time she suffered from tumor progression and ultimately died due to a cardiopulmonary failure.


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[User] What were the outcomes of CyA treatment for CCS concomitant with MDS?

CyA orally resulted in the improvement of symptoms and laboratory values. PSL was gradually tapered and discontinued after 9.5 months of treatment. Endoscopic findings showed the disappearance of gastrointestinal polyps 18 months after beginning CyA treatment. There was no recurrence of symptoms, hypoproteinemia, and polyps, and no incidence of gastrointestinal cancer for 52 months with CyA.


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[User] What were the outcomes of nilotinib therapy for this patient?

On January 17, 2013, the percentage of Philadelphia chromosome-positive cells in the patient's bone marrow was at 0%, showing complete cytogenetic response. On March 14, 2013, major molecular response was achieved. Eleven months after the beginning of nilotinib therapy, complete molecular response was achieved.


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[User] What were the outcomes of the 6-month follow-up?

During the 6-month follow-up, the global grey skin discolouration, foot paraesthesia, cognitive impairment, hypokalaemia and eosinophilia all resolved.


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[User] What were the outcomes of the CyberKnife treatment?

After the initial treatment, the patient experienced a disappearance of the edema in both legs. At subsequent follow-up appointments, FDG-PET revealed that the IVC tumor and mediastinal lymphadenopathy were in remission.


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[User] What were the outcomes of the DSEK procedure?

By postoperative month 1, the VA improved to 20/200 uncorrected and 20/40 with pinhole. The cornea showed resolving hydrops. By eight months after surgery, the patient reported significant improvement in photophobia, vision, and tearing as compared to the symptoms prior to DSEK placement.


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[User] What were the outcomes of the anthelmintic therapy?

The patient successfully delivered a healthy child. She was discharged from the hospital ten weeks after the hospitalization period, with resolution of the fistulas and decreased abscesses.


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[User] What were the outcomes of the autologous skin grafting procedure?

The flaps survived completely, and the wound was effectively covered. The patient's donor site healed well without any complications.


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[User] What were the outcomes of the emergency surgery?

Seven days after the surgery, the patient was discharged without any complications.


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[User] What were the outcomes of the en bloc resection?

The patient underwent en bloc resection, and histopathological examination of the whole specimen confirmed the tumor to be acanthomatous ameloblastoma.


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[User] What were the outcomes of the excision biopsy?

When last reviewed 24 months after excision, she was asymptomatic with no clinical and radiographic signs of recurrence of the lesion.


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[User] What were the outcomes of the laser treatment for the patient?

As the lesion did not show any signs of spontaneous regression, we performed a single session of fractional ablative CO2 laser, and a significant reduction of the size was observed throughout the next 6 months of follow-up period without signs of recurrence.


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[User] What were the outcomes of the left BKA stump soft tissue revision surgery?

The patient's incision was well-healed with minimal soft tissue edema upon the removal of the cINPT on post-operative day 14. The patient's prosthetist was able to fit him with a residual limb compression sleeve, and he was able to ambulate at the 6-week mark.


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[User] What were the outcomes of the multi-target comprehensive therapy?

This improved the patient's condition, and she was maintained on low doses of prednisone after 3-6 weeks. After 2 months, the patient presented with aggravated pulmonary damage and marked liver dysfunction. Treatment was resumed and lung function improved again, returning to normal.


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[User] What were the outcomes of the nasolabial repair at 1-year postoperative?

At 1-year postoperative, a midline lip tubercle was evident, and correction of nasal sill and nasal base elements remained symmetric.


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[User] What were the outcomes of the pancreas surgery?

The patient did not experience delayed gastric emptying, which may result from the ischemia of the stomach after PD. Pancreatic fistula of Grade B developed, which was resolved without any invasive intervention. The patient was discharged from the hospital 41 days after surgery.


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[User] What were the outcomes of the patient's emergency pars plana vitrectomy?

Emergency pars plana vitrectomy followed by rerouting of both glaucoma tubes into the pars plana cavity were performed, resulting in stable IOP. However, the patient's visual acuity decreased to hand motions.


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

On follow-up after 3 weeks, the wounds were observed to be healthy, and the perineal wound had healed. No further complications were reported.


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[User] What were the outcomes of the patient's hospitalization?

Despite interventions and care from the burn specialist, the patient developed eschar lesions on multiple sites and ultimately expired after 42 days of hospitalization.


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[User] What were the outcomes of the patient's laparotomy?

The patient recovered well and was discharged 7 days after the operation.


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

One-year follow-up showed no recurrence of eyelid dysfunction.


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[User] What were the outcomes of the patient's pregnancies after treatment?

The patient reported three full-term natural pregnancies, occurring respectively four, six, and ten years after the end of treatment.


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

The patient had an uneventful postoperative recovery and was discharged on the 7th postoperative day. The patient visited the OPD again after four months with complaints of cessation of menstruation for two months. An intrauterine gestation was confirmed, and the patient attended antenatal care regularly. She subsequently delivered a healthy female baby weighing 2.8 kg spontaneously at 38 weeks.


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[User] What were the outcomes of the patient's treatment at 1-year follow-up?

The patient is doing well at 1-year post-surgery with radiographs demonstrating a well healed left thumb.


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[User] What were the outcomes of the patient's treatment for the cerebellar mass?

The patient underwent a left suboccipital craniectomy and complete resection of the cerebellar mass, which was confirmed by histopathological analysis. The postoperative course was uneventful, and the patient was kept on follow-up, without any further adjuvant treatment.


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

Although the initial treatment showed no signs of recurrence, two months later, the patient presented with a chest wall mass, and the radiological examination showed recurrence of the tumor in the liver with portal vein involvement, multiple lung and rib metastases.


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[User] What were the outcomes of the radiotherapy session?

A static response was noted after 54 Gy of radiotherapy, which was confirmed on a subsequent CT of the mandible.


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[User] What were the outcomes of the rectovaginal fistula repair?

The patient had a good postoperative clinical course and was discharged from the hospital on the 16th day after surgery. Stoma closure was performed 11 months after surgery, and she had no recurrence of rectovaginal fistula 1 year after diverting stoma closure.


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[User] What were the outcomes of the resection arthroplasty surgery?

The pain and crepitus in the left upper thorax disappeared entirely, with no limited range of motion of the shoulder or recurrence of symptoms noted at the 2-year follow-up.


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[User] What were the outcomes of the surgery after two years?

Two years after the surgery, the patient had no symptoms of pain while running, and had no restriction of ROM. The X-ray showed slight narrowing of the lateral joint space, and MRI showed a thin lateral meniscus that had maintained its width (12.1 mm) with no progression of coronal/sagittal extrusion.


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[User] What were the outcomes of the surgery?

At the follow-up two months post-operatively, lateral plain radiograph showed the stability of the cervical spine fusion without correction loss. The patient had full relief from tingling and numbness with no neurological worsening. The patient had no complaints on a one-year follow-up.


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[User] What were the outcomes of the surgical exploration of the pseudoaneurysm?

Two weeks after surgery, all complaints were resolved and the wound was healed. The routine ACL reconstruction rehabilitation restarted. At the follow-up after three months, the knee was painless and the patient did not experience any limitation of his knee.


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[User] What were the outcomes of the surgical procedure?

The patient showed mild residual decreased sensation in the right C6-C7 dermatome but regained 4+/5 motor strength in their upper extremities. The motor strength in their lower extremities remained intact.