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instruction stringclasses 17 values	input stringlengths 0 20.4k	output stringlengths 0 4.41k	__index_level_0__ int64 1.08k 247k	text stringlengths 56 20.8k
Answer this question truthfully	What causes Shwachman-Diamond syndrome?	Shwachman-Diamond syndrome occurs when the bone marrow malfunctions and does not make some or all types of white blood cells. The disorder has also been associated with pancreatic insufficiency, where the pancreas does not produce enough digestive enzymes.	48,578	<s>[INST] Answer this question truthfully What causes Shwachman-Diamond syndrome? [/INST] Shwachman-Diamond syndrome occurs when the bone marrow malfunctions and does not make some or all types of white blood cells. The disorder has also been associated with pancreatic insufficiency, where the pancreas does not produce...
If you are a doctor, please answer the medical questions based on the patient's description.	I have a severe break out of red bumps in certain areas of my body. first and most are on my back shoulder blades. the brea out decreases as it still does break out down to and on my butt. little on my neck as well as my breast. very few have small white heads on them and a lot are sore. I do hve mild acne. its embarra...	hi, thanks for using chatbot with a history of acne, it is possible that the lesions that you are seeing are due to acne. acne is due to a combination of factors	173,075	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. I have a severe break out of red bumps in certain areas of my body. first and most are on my back shoulder blades. the brea out decreases as it still does break out down to and on my butt. little on my neck as well as...
Please summerize the given abstract to a title	Recently, during the COVID-19 situation, the requirement and importance of tracking patients from a remote location have increased significantly. Most patients now prefer to obtain their doctor's care and check their health status through their mobile phone call, Skype, Facebook Messenger, or other online resources. Th...	A Patient Centric Agent Assisted Private Blockchain on Hyperledger Fabric for Managing Remote Patient Monitoring	108,437	<s>[INST] Please summerize the given abstract to a title Recently, during the COVID-19 situation, the requirement and importance of tracking patients from a remote location have increased significantly. Most patients now prefer to obtain their doctor's care and check their health status through their mobile phone call,...
If you are a doctor, please answer the medical questions based on the patient's description.	Hi. I have been having shortness of breath occasionally for the past few months even when at rest. And every time when I exercise, I feel tingling sensation at the back of my head when I am out of breath. I was diagnosed with asthmatic bronchitis 2 years ago but no wheezing. Is this consider asthma but I do not have wh...	thanks for your question on chatbot. there is dictum in pulmonology. \"all wheezes are not asthma and not all asthmatic s will have wheel\". so it is quite possible to have asthma without wheel. i advise you to consult pulmonologist and get done pft (pulmonary function test). pft is must diagnose breathing problem as a...	166,727	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. Hi. I have been having shortness of breath occasionally for the past few months even when at rest. And every time when I exercise, I feel tingling sensation at the back of my head when I am out of breath. I was diagno...
Question: is this a 2) strong advice, 1) weak advice 0) no advice?	Fit elderly NSCLC patients should be considered for salvage targeted therapy.	This is a strong advice	121,733	<s>[INST] Question: is this a 2) strong advice, 1) weak advice 0) no advice? Fit elderly NSCLC patients should be considered for salvage targeted therapy. [/INST] This is a strong advice </s>
If you are a doctor, please answer the medical questions based on the patient's description.	Hi, I have hypothyroidism which was found out when I became ill with depression , it was realised it was due to tiredness & shift work including nights. I have not be doing nights for 7 years they are now wanting me to return to nights which I say is detrimental to my health. Is there anything I can do or any informati...	hello........ thanks for your query. hypothyroidism can mimic depression in many cases, and they share common symptoms that may augment each other. regular sleep wake cycle is required to avoid precipitating mood disorders and in that sense night shift may not be apt in your case. you can request your authorities with ...	227,051	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. Hi, I have hypothyroidism which was found out when I became ill with depression , it was realised it was due to tiredness & shift work including nights. I have not be doing nights for 7 years they are now wanting me t...
If you are a doctor, please answer the medical questions based on the patient's description.	3 weeks (on this Tuesday) ago my 11 year old daughter had her tonsils and adenoids removed, the last few days she has been having several nose bleeds a day I can t get her Dr or nurse to return my message and her Dr is about an hour away should I be concerned?	hi, welcome to chatbot .com. brief answer - yes it could be relateddetailed answeradenoidectomy has some minor complications like sore throat, earache, blocked nose, nasal discharge. bleed from nose could have occurred due to sore throat and blocked nose. however, most of these symptoms are temporary, and they subside ...	213,161	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. 3 weeks (on this Tuesday) ago my 11 year old daughter had her tonsils and adenoids removed, the last few days she has been having several nose bleeds a day I can t get her Dr or nurse to return my message and her Dr i...
Please answer with one of the option in the bracket	Q:A 32-year-old woman comes to the emergency department with a 2-day history of abdominal pain and diarrhea. She has had about 8 voluminous stools per day, some of which were bloody. She visited an international food festival three days ago. She takes no medications. Her temperature is 39.5°C (103.1°F), pulse is 90/min...	E: Omelette	55,714	<s>[INST] Please answer with one of the option in the bracket Q:A 32-year-old woman comes to the emergency department with a 2-day history of abdominal pain and diarrhea. She has had about 8 voluminous stools per day, some of which were bloody. She visited an international food festival three days ago. She takes no med...
Please summerize the given abstract to a title	UNLABELLED Several members of the Arenaviridae can cause acute febrile diseases in humans, often resulting in lethality. The use of convalescent-phase human plasma is an effective treatment in humans infected with arenaviruses, particularly species found in South America. Despite this, little work has focused on develo...	Glycoprotein-Specific Antibodies Produced by DNA Vaccination Protect Guinea Pigs from Lethal Argentine and Venezuelan Hemorrhagic Fever.	78,165	<s>[INST] Please summerize the given abstract to a title UNLABELLED Several members of the Arenaviridae can cause acute febrile diseases in humans, often resulting in lethality. The use of convalescent-phase human plasma is an effective treatment in humans infected with arenaviruses, particularly species found in South...
If you are a doctor, please answer the medical questions based on the patient's description.	I have been feeling ill since October with fevers, chills, laryngitis, cough, shortness of breath, PND, and fatigue. I was diagnosed with Pneumonia the end of October. I still feel the same after several different antibiotics, and asthma inhalers. Please help.	thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of bronchitis is more likely. bronchitis is common after pneumonia. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not o...	209,524	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. I have been feeling ill since October with fevers, chills, laryngitis, cough, shortness of breath, PND, and fatigue. I was diagnosed with Pneumonia the end of October. I still feel the same after several different an...
If you are a doctor, please answer the medical questions based on the patient's description.	I am 53 years old, and today had a glass of alcohol, rum and coke this was not a high content of alcohol I usually i ask for it to be filled more with coke, but occasionally over the past 5 or so years, when there have been celebrations - christmas, or have been out and had a drink (I am a low alcohol drinker - way low...	thanks for your question on chatbot. i can understand your concern. yes, you should definitely consult your doctor and get done ecg, 2d echo and stress test to rule out heart diseases. you are taking alcohol and have positive family history of heart disease, so we should first rule out heart diseases. if all these are ...	135,091	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. I am 53 years old, and today had a glass of alcohol, rum and coke this was not a high content of alcohol I usually i ask for it to be filled more with coke, but occasionally over the past 5 or so years, when there hav...
If you are a doctor, please answer the medical questions based on the patient's description.	I have 1 to 2 on 10 discomfort on my right and left sides between my bottom attached rib and hip and pain across my abdomen under my ribs on the right and left side and occasionally on the lower part of my belly both right and left side. Had noncontrast CT which showed gallstones but no other findings and bloodwork was...	the discomfort you have explained is more suggestive of muscular only. the 10-week period is due to the fact that the area you have the discomfort can not have sufficient rest to have complete recovery. for every movement of your body muscles of this are will be affected. you can request your doctor to try to put an el...	237,312	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. I have 1 to 2 on 10 discomfort on my right and left sides between my bottom attached rib and hip and pain across my abdomen under my ribs on the right and left side and occasionally on the lower part of my belly both ...
Answer this question truthfully	What is the secondary prevention method for diffuse large B-cell lymphoma?	There are no secondary preventive measures available for diffuse large B cell lymphoma.	41,860	<s>[INST] Answer this question truthfully What is the secondary prevention method for diffuse large B-cell lymphoma? [/INST] There are no secondary preventive measures available for diffuse large B cell lymphoma. </s>
If you are a doctor, please answer the medical questions based on the patient's description.	I am a 66 year old male. I work full time a a lawyer. I am able to walk on flat ground without difficulty although I have a lot of pain in my left foot. I become breathless when climbing stairs or walking uphill specially if I am carrying something. This has been the case for a year or so but worse lately.. I recently ...	hi welcome to chatdoctori understand your query and concern. your symptoms are suggestive of mild to moderate pneumonia. i advise you to get a clinical examination and ecg,2d echo of your heart, chest x-ray, abg analysis immediately to confirm the diagnosis. monitor your blood pressure, heart rate immediately. chatbot....	128,668	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. I am a 66 year old male. I work full time a a lawyer. I am able to walk on flat ground without difficulty although I have a lot of pain in my left foot. I become breathless when climbing stairs or walking uphill speci...
If you are a doctor, please answer the medical questions based on the patient's description.	Hi doctor..i just had my wisdom tooth removed 3 days back.....as common i am having swollen cheeks...but apart from this im also having some bleeding from my throat (i suppose tonseils)... when i cough and spit the flum out...7/10 times i have some stint of blood mixed with it...also while swallowing food it is paining...	hello there... pain radiating to throat is very common following third molar removal...don't worry the pain would subside in the next couple of days...keep gargling salt water 4-5 times a day. don't forcefully cough and spit that would cause blood from the socket to come out... little blood with more saliva would make ...	207,050	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. Hi doctor..i just had my wisdom tooth removed 3 days back.....as common i am having swollen cheeks...but apart from this im also having some bleeding from my throat (i suppose tonseils)... when i cough and spit the fl...
Answer this question truthfully	Hello doctor,I have an anal fissure. I am taking homeopathy for the past 25 days. It worked for the first 20 days, but for the past five days, my pain has increased significantly. Is it homeopathy aggravation or something else?	hello can you please mention the name of the homeopathic remedy taken? the increased pain after an immense relief can be due to two reasons. the first, the given remedy acted superficially hence you noticed immediate relief. however, since the action of remedy is not completed it stopped working at a certain point wher...	240,325	<s>[INST] Answer this question truthfully Hello doctor,I have an anal fissure. I am taking homeopathy for the past 25 days. It worked for the first 20 days, but for the past five days, my pain has increased significantly. Is it homeopathy aggravation or something else? [/INST] hello can you please mention the name of t...
Answer this question truthfully	What is the mechanism of action of Toxin B from Clostridioides difficile?	Toxin B from Clostridioides difficile causes actin depolymerization (cytoskeleton disruption), which leads to pseudomembranous colitis and diarrhea. Clostridioides difficile is a bacterium that can cause severe diarrhea and colitis, particularly in people who have been treated with antibiotics. Toxin B is one of the vi...	15,362	<s>[INST] Answer this question truthfully What is the mechanism of action of Toxin B from Clostridioides difficile? [/INST] Toxin B from Clostridioides difficile causes actin depolymerization (cytoskeleton disruption), which leads to pseudomembranous colitis and diarrhea. Clostridioides difficile is a bacterium that ca...
Answer this question truthfully	What type of treatment may be used for conditions characterized by excess growth hormone, and what specific type of medication is an example of this treatment?	Conditions with excess growth hormone may be treated with somatostatin analogues such as octreotide, which inhibit growth hormone secretion.	29,868	<s>[INST] Answer this question truthfully What type of treatment may be used for conditions characterized by excess growth hormone, and what specific type of medication is an example of this treatment? [/INST] Conditions with excess growth hormone may be treated with somatostatin analogues such as octreotide, which inh...
If you are a doctor, please answer the medical questions based on the patient's description.	Hello, I have an orthognathic surgery on both jaws for under-bite correction in 2006. Every now and then, I have tingling sensation in my lower chin which reduced over time. Some time I experienced pain in my right side teeth in upper and lower jaws. Recently (almost 8 years after surgery), I have consistent pain mainl...	thanks for your query, i have gone through your query. the pain what you are describing soon after the surgery can be because of the nerve injury during surgery. the reason for pain now can be because of the infection at the site of plate placement. the last cause could be any infection in the tooth near to the area wh...	180,280	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. Hello, I have an orthognathic surgery on both jaws for under-bite correction in 2006. Every now and then, I have tingling sensation in my lower chin which reduced over time. Some time I experienced pain in my right si...
If you are a doctor, please answer the medical questions based on the patient's description.	I have had asthma all my life and like a dummy I started smoking at the age of 19. I am now 55. It has been an on and off battle for many years. 5 years ago, I developed COPD. Every year the flare ups have gotten worse. This time around the antibiotics and prednisone seem to be making me worse. Cramps, no energy,...	hello, welcome and thanks for your query. you seem to be having copd and this is the cause of your breathlessness. unless you stop smoking it is going to get worse, and you will be required to be on home oxygen therapy and other treatments. for copd, geotropism bromide (spirit) is better option than steroids and beta-a...	136,540	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. I have had asthma all my life and like a dummy I started smoking at the age of 19. I am now 55. It has been an on and off battle for many years. 5 years ago, I developed COPD. Every year the flare ups have gotten ...
Answer this question truthfully	What is the medical treatment for opportunistic infections?	Treatment depends upon the type of opportunistic infection, but usually involves different antibiotics. Opportunistic infections caused by Feline leukemia virus and Feline immunodeficiency virus retroviral infections can be treated with lymphocyte T-cell immune modulator.	40,669	<s>[INST] Answer this question truthfully What is the medical treatment for opportunistic infections? [/INST] Treatment depends upon the type of opportunistic infection, but usually involves different antibiotics. Opportunistic infections caused by Feline leukemia virus and Feline immunodeficiency virus retroviral infe...
Answer this question truthfully	When to seek urgent medical care when I have Polymyalgia rheumatica ?	Call for an appointment with your health care provider if you have persistent weakness or stiffness of the shoulder and neck area, especially if you also have symptoms of general illness, such as fever or headache.	45,295	<s>[INST] Answer this question truthfully When to seek urgent medical care when I have Polymyalgia rheumatica ? [/INST] Call for an appointment with your health care provider if you have persistent weakness or stiffness of the shoulder and neck area, especially if you also have symptoms of general illness, such as feve...
If you are a doctor, please answer the medical questions based on the patient's description.	Hello my physician recently advised after a consult I have irritated keratosis with mild squamous atypia what does this mean and she advised cryotherapy. I have been addressing this issue to physicians since 6-7 years ago and finally a new physician was able to tell me what this was. I am a little worried she told me w...	hi, dairy have gone through your question. i can understand your concern. you have keratitis with mild squamous atypical. keratitis means there is increased in thickness of keratin layer of skin. you have mild atypical. so it is not cancer. but it can turn into squamous cell carcinoma. no need to worry. just be rel...	200,272	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. Hello my physician recently advised after a consult I have irritated keratosis with mild squamous atypia what does this mean and she advised cryotherapy. I have been addressing this issue to physicians since 6-7 years...
Please answer the letter of option truthfully	Q:Which of the following is expected to have two or more resonance structures?? A:CCl2F2;B:SO3;C:PF5;D:H2O	B	112,447	<s>[INST] Please answer the letter of option truthfully Q:Which of the following is expected to have two or more resonance structures?? A:CCl2F2;B:SO3;C:PF5;D:H2O [/INST] B </s>
I have an hernia I would love to take care off it ASAP I was wondering if you guys could help me . Thanks	Hernia (Treatment): Surgery is the only treatment that can permanently fix a hernia. Surgery may be more risky for people with serious medical problems. Surgery repairs the weakened abdominal wall tissue (fascia) and closes any holes. Most hernias are closed with stitches and sometimes with mesh patches to plug the ...	Surgery to repair abdomen wall is the only treatment that can permanently fix a hernia. Sometimes mesh patches are used to close the holes in the abdominal tissues.	60,148	<s>[INST] I have an hernia I would love to take care off it ASAP I was wondering if you guys could help me . Thanks Hernia (Treatment): Surgery is the only treatment that can permanently fix a hernia. Surgery may be more risky for people with serious medical problems. Surgery repairs the weakened abdominal wall tiss...
If you are a doctor, please answer the medical questions based on the patient's description.	Doctor we are trying to concieve from last 20 months but not succesd. After taking ovulation induction course (letrozole 4 months and fertyl super 3 months) and done some medical tests like HSG-Normal, Semen test-normal. What could be the reason? I have done blood hormon test also like TSH ,Prolactin and others all the...	hi hem ant;the problem with your wife is that there is no ovulation as you mentioned in your report that the follicle is only 15 mm. it should go up to 20-22 mm & rupture to release the egg. egg formation is very important because egg & sperm have to meet together to have a baby. if there is egg then only gui is possib...	172,044	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. Doctor we are trying to concieve from last 20 months but not succesd. After taking ovulation induction course (letrozole 4 months and fertyl super 3 months) and done some medical tests like HSG-Normal, Semen test-norm...
If you are a doctor, please answer the medical questions based on the patient's description.	Hi I m 16 years old I ve been dipping tobacco for maybe about a month now I ve noticed I have a small painless lump below my ear lobe that is kind of going away now. Also noticed that it s a little harder for me to swallow but not really and it isn t painful. Also today I noticed I have little bumps on the top and bott...	hi, dear. i have gone through your question. i can understand your concern. your lump in the ear lobe is not related to quitting smoking. it may be sebaceous cyst. you just need excision biopsy of that lump. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then...	159,023	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. Hi I m 16 years old I ve been dipping tobacco for maybe about a month now I ve noticed I have a small painless lump below my ear lobe that is kind of going away now. Also noticed that it s a little harder for me to sw...
Answer this question truthfully	Hello doctor,In my penis, veins are visible and it is painful. Last month I consulted urologist, and he gave me Evion 400 tablet for 20 days. I masturbate daily. What I have to do now? Shall I keep Heparin cream on penis vein? Please help me.	hello. there are always large veins on the upper aspect of the penis, and they transport blood back towards the heart. since the penis is an erectile organ, the veins have to be large and zigzag (tortuous), so they can elongate when the penis becomes erect. sometimes the pain may occur due to rough masturbation. please...	242,577	<s>[INST] Answer this question truthfully Hello doctor,In my penis, veins are visible and it is painful. Last month I consulted urologist, and he gave me Evion 400 tablet for 20 days. I masturbate daily. What I have to do now? Shall I keep Heparin cream on penis vein? Please help me. [/INST] hello. there are always lar...
Answer this question truthfully	How is Bordetella pertussis transmitted?	Bordetella pertussis, the bacterium that causes whooping cough, is primarily transmitted through respiratory droplets. This means that the infection is spread when an infected person coughs or sneezes, releasing droplets containing the bacteria into the air. The droplets can then be inhaled by another person, who can b...	9,431	<s>[INST] Answer this question truthfully How is Bordetella pertussis transmitted? [/INST] Bordetella pertussis, the bacterium that causes whooping cough, is primarily transmitted through respiratory droplets. This means that the infection is spread when an infected person coughs or sneezes, releasing droplets containi...
If you are a doctor, please answer the medical questions based on the patient's description.	My name is Eddy Somerville. I had a grapefruit size hernia that was operated on Dec.6th. The operation went well, but my scrotum was swollen and it still is. I was told a doctor to elevate the scrotum, but I don t know how. Can you pleaser give some suggestions? Mt email is below. I m on google.	good day, and thank you for being with chatbot ! to elevate the scrotum you need to wear tight-fitting underwear to support it. when lying down and sleeping, put a rolled towel under the scrotum, so it will be raised. we do this to prevent edema and fluid from accumulating in the scrotum. i hope i have succeeded in pr...	135,270	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. My name is Eddy Somerville. I had a grapefruit size hernia that was operated on Dec.6th. The operation went well, but my scrotum was swollen and it still is. I was told a doctor to elevate the scrotum, but I don t kno...
If you are a doctor, please answer the medical questions based on the patient's description.	so for the past 5 weeks, I have noticed that in my elbow area on both arms I am getting a strong feeling that its on fire. this happens when I pick anything up from heavy items to a cell phone. I get these pains and fire feelings. the feeling shoots from elbow to mid forearm. what could this be?	dear patient you seem to have tennis elbow. in this condition there is inflammation on the lateral epicondyle of humerus at the extensor muscle origin. this happens in middle-aged patients. pain increases on lifting weights and twisting movements of wrist, so you should avoid that. start tab aerosol sp twice a day and ...	237,547	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. so for the past 5 weeks, I have noticed that in my elbow area on both arms I am getting a strong feeling that its on fire. this happens when I pick anything up from heavy items to a cell phone. I get these pains and f...
If you are a doctor, please answer the medical questions based on the patient's description.	Hi, I have a small (3-4mm) lump under the skin at the base of my index finger where it meets the palm. It is not painful and cannot be seen. I m 27 years old and don t think i ve injured my hand. I do a lot of typing though (work in IT). It feels like the lump is next to, or part of, that finger joint, and as i straigh...	hi, welcome to chatbot. i studied your query. i understood your concerns. based on facts of your query, dear you seem to be confused, or it could be typing mistake-that your lump seems to be painless from your history. in my opinion you seem to have a ganglion cyst of the base of the index finger, or tendon sheath or f...	236,118	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. Hi, I have a small (3-4mm) lump under the skin at the base of my index finger where it meets the palm. It is not painful and cannot be seen. I m 27 years old and don t think i ve injured my hand. I do a lot of typing ...
If you are a doctor, please answer the medical questions based on the patient's description.	I was just at a soccer game, and I am a goalie. I left my gloves at home, so I borrowed someone else s. They told me that they just cleaned them. I put them on and played, but I realized almost immediately that the gloves had a pungent smell of bleach, I was breathing it in during the match. Could that cause any cognit...	dear, welcome to chatdoctorwe understand your concerns went through your details. inhaling bleach fumes can cause several health risks including damage or burning of the lining of the esophagus or lungs. that can lead to coughing, gurgling breathing sounds and trouble getting enough air. these symptoms can be mild, mod...	189,809	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. I was just at a soccer game, and I am a goalie. I left my gloves at home, so I borrowed someone else s. They told me that they just cleaned them. I put them on and played, but I realized almost immediately that the gl...
If you are a doctor, please answer the medical questions based on the patient's description.	Sir, i am f-mail 24years old , 5 height 50 kg weight , i am married 3 years before ,but i am not pregnant till now, so i am in treatment of my nearest doctor, as part of it, doctor advice me to take folinz for 1 month and Clome for 5 days, is this tablet make me pregnant ? what are the purpose of it?	hi, i appreciate your concerns. if you have not conceived even after trying for three years, you need to find out the cause for it first. it is good to know that your bmi is normal. are your menstrual cycles regular? to increase your chances of conception you need to have intercourse at least three times in a week and ...	161,871	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. Sir, i am f-mail 24years old , 5 height 50 kg weight , i am married 3 years before ,but i am not pregnant till now, so i am in treatment of my nearest doctor, as part of it, doctor advice me to take folinz for 1 month...
Answer this question truthfully	What does an MRI for aortic stenosis involve?	Cardiac MRI may be helpful in the diagnosis of aortic stenosis. Findings on MRI suggestive of/diagnostic of aortic stenosis include: Thickening of the aortic valve cusps Diminished aortic valve area Stenotic jets (low signal intensity) Poststenotic dilatation of the ascending aorta Myocardial thickening Delayed myocar...	34,635	<s>[INST] Answer this question truthfully What does an MRI for aortic stenosis involve? [/INST] Cardiac MRI may be helpful in the diagnosis of aortic stenosis. Findings on MRI suggestive of/diagnostic of aortic stenosis include: Thickening of the aortic valve cusps Diminished aortic valve area Stenotic jets (low signa...
Please summerize the given abstract to a title	Snakebite envenoming is a major cause of morbidity and mortality in rural communities throughout the tropics. Generally, the main clinical features of snakebites are local swelling, tissue necrosis, shock, spontaneous systemic hemorrhage, incoagulable blood, paralysis, rhabdomyolysis, and acute kidney injury. These cli...	Clinical management of snakebite envenoming: Future perspectives	67,027	<s>[INST] Please summerize the given abstract to a title Snakebite envenoming is a major cause of morbidity and mortality in rural communities throughout the tropics. Generally, the main clinical features of snakebites are local swelling, tissue necrosis, shock, spontaneous systemic hemorrhage, incoagulable blood, para...
If you are a doctor, please answer the medical questions based on the patient's description.	my 12 year old daughter kept me awake untill 1oclock this morning by saying she was not tired, she eventually fell asleep, i woke her at 6.30 this morning for school,she said she wasnt going ,i asked her why and she said because i dont want to ,when i threatened to phone the school she started to scream and shout and p...	hi janine west, forum, i can understand as a parent how u must be feeling after going through history written by you. there can be chances that1)she might be having school phobia - where she might be afraid of going to school, might have anxiety after going to school - so there is avoidance behavior. if forced to go to...	191,996	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. my 12 year old daughter kept me awake untill 1oclock this morning by saying she was not tired, she eventually fell asleep, i woke her at 6.30 this morning for school,she said she wasnt going ,i asked her why and she s...
If you are a doctor, please answer the medical questions based on the patient's description.	Hi, mam. i suffering with hormonal imbalence .undergone for iui for 5cycles,but not successfully .now my docter asked use thyronorm 12.5g alternatedays so that my fsh level be low.i am much worried about my future can i have child ? i am a working women travelling about 80km per day	hi, your history gives only limited information.don't get disheartened by having -ve gui. as your doc has started thermoform only 12.5 mcg, it means the lowest dose, it's not significant. thermoform does not affect fsh !! no matter how much you travel, pregnancy is not affected. kindly confirm if following test have be...	178,895	<s>[INST] If you are a doctor, please answer the medical questions based on the patient's description. Hi, mam. i suffering with hormonal imbalence .undergone for iui for 5cycles,but not successfully .now my docter asked use thyronorm 12.5g alternatedays so that my fsh level be low.i am much worried about my future can...
Anal Fissure I may have a couple anal fissures and looking to speak with someone to get some information and support.	Anal fissure (Risk factors): Factors that may increase your risk of developing an anal fissure include: - Infancy. Many infants experience an anal fissure during their first year of life; experts aren't sure why. - Aging. Older adults may develop an anal fissure partly due to slowed circulation, resulting in decrease...	Several factors increase the risk of developing an anal feature: decreased blood flow to the rectal area due to aging; straining during bowel movements, e.g., due to constipation; chronic inflammation of the intestinal tract; and anal intercourse.	60,096	<s>[INST] Anal Fissure I may have a couple anal fissures and looking to speak with someone to get some information and support. Anal fissure (Risk factors): Factors that may increase your risk of developing an anal fissure include: - Infancy. Many infants experience an anal fissure during their first year of life; expe...
Please answer with one of the option in the bracket	Q:A 75-year-old female comes to the physician’s office with complaints of right lower quadrant pain. She has been experiencing these symptoms for the last 6 months and they have progressively gotten worse. An ultrasound reveals a large ovarian mass and abdominal and pelvic CT reveals no metastases. Her serum levels of ...	C: Loss of E-cadherin	51,226	<s>[INST] Please answer with one of the option in the bracket Q:A 75-year-old female comes to the physician’s office with complaints of right lower quadrant pain. She has been experiencing these symptoms for the last 6 months and they have progressively gotten worse. An ultrasound reveals a large ovarian mass and abdom...