id stringlengths 5 6 | dataset_source stringclasses 3
values | dialogue stringlengths 2.94k 14.2k | clinical_note stringlengths 852 5.71k |
|---|---|---|---|
D2N155 | aci | [doctor] so hey christina good to see you today i see you're here you have a nonhealing foot ulcer well also looks like in my notes that you got some you've got type two diabetes and that probably the reason for your ear but ulcer not healing so how you doing today what's going on
[patient] doing pretty good except i c... | CHIEF COMPLAINT
Non-healing right foot ulcer.
HISTORY OF PRESENT ILLNESS
Christina Cooper is a pleasant 77-year-old female who presents to the clinic today for the evaluation of a non-healing right foot ulcer. The onset of her wound began 1 year ago with no specific injury. The patient states that it seemed like a b... |
D2N156 | aci | [doctor] alright julia so you've been coming to see me for a while now ever since you had an rca stent placed back in twenty eighteen but i see you're here for follow-up after an interior stemi where we had to put in another stent right so like how are you doing
[patient] well i mean it was a real shock for me i though... | CHIEF COMPLAINT
Follow up status post inferior STEMI.
SURGICAL HISTORY
RCA stent 2018
MEDICATIONS
aspirin 81 mg daily
Brilinta 90 mg twice daily
Lipitor 80 mg daily
Toprol 50 mg daily
lisinopril 20 mg daily
metformin
REVIEW OF SYSTEMS
Cardiovascular: Denies chest pain.
Respiratory: Denies shortness of breath.
Mu... |
D2N157 | aci | [doctor] hey jose how are you doing it's been about you know three or four months since i last saw you what's going on
[patient] i'm doing okay i i guess the medications are helping i'm concerned about all the medications i'm taking but i think i'm doing okay
[doctor] yeah yeah you are on a fair amount of medications y... | CHIEF COMPLAINT
Follow-up.
MEDICAL HISTORY
Patient reports having a heart attack 6 months ago, coronary artery disease, diabetes.
SURGICAL HISTORY
Patient reports history of stent placement at the left anterior descending artery.
SOCIAL HISTORY
Patient reports that he is from the west coast and is a San Francisc... |
D2N158 | aci | [doctor] yeah so sorry so barbara is a 31 -year-old female and she has history of diabetes type two and asthma and she is here today with abdominal pain so barbara tell me a little more about your abdominal pain what's been going on
[patient] so i've been having this pain for the past one week and as you know i have a ... | CHIEF COMPLAINT
Abdominal pain.
MEDICAL HISTORY
Patient reports history of diabetes type 2, asthma, and gastritis.
SOCIAL HISTORY
Patient reports history of moderately heavy alcohol use. She also enjoys coffee.
MEDICATIONS
Patient reports taking metformin 500 mg twice daily, Flovent twice daily, and albuterol as... |
D2N159 | aci | [doctor] good afternoon alexis i understand you're having some issues with your hand
[patient] yes i sit at the keyboard all day long and recently i've been having some numbness and tingling in my right hand
[doctor] okay how long has that been going on
[patient] i do n't know probably on and off for six months but ove... | CHIEF COMPLAINT
Right hand pain.
HISTORY OF PRESENT ILLNESS
Alexis Gutierrez is a pleasant 33-year-old female who presents to the clinic today for the evaluation of right hand pain.
Approximately 6 months ago, the patient began experiencing intermittent episodes of numbness and tingling in the 1st, 2nd, and 3rd dig... |
D2N160 | aci | [doctor] hey good to see you philip so i see here you're coming in you had some right elbow pain also you have a past medical history of hypertension diabetes we are gon na check up on those as well so can you tell me what happened to your elbow
[patient] sure i hurt it about a week ago playing lacrosse with my kids ju... | CHIEF COMPLAINT
Right elbow pain.
REVIEW OF SYSTEMS
Cardiovascular: Denies chest pain.
Gastrointestinal: Denies abdominal pain.
Musculoskeletal: Reports right elbow pain.
VITALS
Blood pressure: 150/90 mmHg
PHYSICAL EXAM
Respiratory
- Auscultation of Lungs: Clear bilaterally.
Cardiovascular
Grade 2/6 systolic ej... |
D2N161 | aci | [doctor] patient is an 82 -year-old male with past medical history significant for hypertension and stage three chronic kidney disease who presents for hospital follow-up after an acute on chronic chf exacerbation alright hey hey kevin how are you doing today
[patient] hi document well i mean i thought i was doing good... | CHIEF COMPLAINT
Hospital follow-up after acute on chronic CHF exacerbation.
MEDICAL HISTORY
Patient reports history of hypertension and stage 3 chronic kidney disease.
SOCIAL HISTORY
Patient reports being a football fan.
MEDICATIONS
Patient reports taking Bumex 2 mg once daily, Cozaar 100 mg daily, and Norvasc 5... |
D2N162 | aci | [patient] okay
[doctor] hi gregory hi how are you doing today
[patient] good how are you
[doctor] i'm alright so i understand that you were having some you know right ankle pain and some swelling after you fell can you can you tell me a little bit about what happened
[patient] yeah so i was going out to take off the tr... | CHIEF COMPLAINT
Right ankle pain and swelling.
HISTORY OF PRESENT ILLNESS
Gregory Hernandez is a pleasant 42-year-old male who presents to the clinic today for evaluation of right ankle pain and swelling. The onset of his pain began yesterday after he slipped and fell on the ice while taking out the trash. He states... |
D2N163 | aci | [doctor] julie cruz is a 17 -year-old non- binary immensipated minor with no significant past medical history presents for evaluation of newly diagnosed hypercholesterolemia patient is here at the clinic hi julie how're you doing
[patient] i'm okay
[doctor] so i now i know you're worried about you know what's been happ... | CHIEF COMPLAINT
Hypercholesterolemia.
SOCIAL HISTORY
Patient denies any history of smoking; however, they note that their parents smoked when they lived with them. They enjoy being outside and riding their bike on trails.
FAMILY HISTORY
Patient reports a cousin who died of a heart attack in their 40's. but denies ... |
D2N164 | aci | [doctor] so elizabeth is a 53 -year-old female today complaining of chest pain and she has a past medical history of diabetes and high blood pressure so elizabeth tell me what's going on with your with your chest pain
[patient] i do n't know every time i start walking i'm just having this kind of pressure and chest pai... | CHIEF COMPLAINT
Chest pain on exertion.
MEDICAL HISTORY
The patient has a medical history of diabetes type 2. She has not been formally diagnosed with hypertension, but her blood pressures have been trending high.
FAMILY HISTORY
Patient reports family history of heart disease.
MEDICATIONS
Patient reports taking ... |
D2N165 | aci | [doctor] hey sophia how are you doing today
[patient] i've been better my primary care doctor wanted me to see you because of this knee pain that i've been having for about six months now
[doctor] okay do you remember what caused the pain initially
[patient] you know i really ca n't recall any specific event that cause... | CHIEF COMPLAINT
Bilateral knee pain.
HISTORY OF PRESENT ILLNESS
Sophia Jackson is a pleasant 30-year-old female who presents to the clinic today for the evaluation of bilateral knee pain. She was referred by her primary care provider. The onset of her pain began 6 months ago. She denies any specific injury. The pati... |
D2N166 | aci | [doctor] hey kyle so i see here on your chart that you've been having some back pain could you tell me like how you've been doing what's going on
[patient] yeah i have this real bad low back pain it started a couple of weeks ago i was lifting something and i just felt a pop and i i do n't know what's going on
[doctor] ... | HISTORY OF PRESENT ILLNESS
Kyle Morales is a pleasant 58-year-old male who presents to the clinic today for the evaluation of low back pain.
Onset of his pain began 2 weeks ago, when he was lifting a box of books and felt a pop. The pain is described as aching and sharp. His pain has been increasing since the time of... |
D2N167 | aci | [doctor] angela good to see you today so i'm writing here in my notes that you're you're coming in you had some left knee pain so how did you hurt your knee
[patient] yeah so i hurt my knee the other day when i was running around with my niece she she is learning how to take off the training wheels for her bike
[doctor... | HISTORY OF PRESENT ILLNESS
Angela Powell is a pleasant 81-year-old female who presents to the clinic today for the evaluation of left knee pain. The onset of her pain began 1 week ago, when she was running around with her niece and fell. At the time of the injury, she heard a pop and believes that she twisted her knee... |
VS006 | virtscribe | [doctor] next patient is christine hernandez . date of birth is january 13 , 1982 . hey miss christine , how are you doing today ? [patient] i'm good , thanks , how are you ? [doctor] i'm pretty good . so it looks like you've completed the covid vaccine , that's great . [patient] yes , i did . [doctor] anything new sin... | CHIEF COMPLAINT
Hypothyroidism.
Abnormal liver enzymes.
Abnormal weight gain.
Acne vulgaris.
HISTORY OF PRESENT ILLNESS
Christine Hernandez is a 39-year-old female who presents today for evaluation and management of abnormal liver enzymes and hypothyroidism.
When the patient was last seen, her thyroid medicine was ... |
VS010 | virtscribe | [patient] next patient is nicole miller , date of birth is 9/18/1949 . patient was called for a follow-up with me for chronic congestive heart failure with diastolic dysfunction . bnp has been 3000 in march and is about six , was up to 6000 in april . she was increasingly dyspneic . we changed her furosemide and torsem... | CHIEF COMPLAINT
Follow-up.
HISTORY OF PRESENT ILLNESS
Nicole Miller is a 71-year-old female who presents for follow-up. The patient was called in for a follow up with me for chronic congestive heart failure with diastolic dysfunction. Her BNP had been 3000 in 03/2021, up to 6000 in 04/2021. She was increasingly dysp... |
VS011 | virtscribe | [doctor] patrick allen , date of birth 7/7/1977 . new patient visit . past medical history includes gerd , anxiety , depression , here for chronic abdominal pain , he had an abdominal ct on 1/23/2020 . impression is a normal ct of the abdomen . hello , are you mr. allen ? [patient] yes , i am . [doctor] hi , my name is... | CHIEF COMPLAINT
Abdominal pain and diarrhea.
HISTORY OF PRESENT ILLNESS
Patrick Allen is a 42-year-old male who presents for a new patient visit for chronic abdominal pain, constipation, and diarrhea.
Mr. Allen reports experiencing intermittent mid-abdominal pain for approximately 2 years. The pain is localized jus... |
VS016 | virtscribe | [doctor] eugene walker date of birth 4/14/1960 he is a 61-year-old male who presents today for routine follow-up of his chronic medical conditions of note the patient underwent an aortic valve replacement and a sending aortic aneurysm repair on 1/22/2013 regarding his blood work from 4/10/2021 the patient's alkaline ph... | CHIEF COMPLAINT
Routine follow up of chronic medical conditions.
HISTORY OF PRESENT ILLNESS
Mr. Eugene Walker is a 61-year-old male who presents today for a routine follow-up of his chronic medical conditions.
Today, the patient reports feeling more fatigued as of late. He notes that he usually rides his bike for a... |
VS026 | virtscribe | [doctor] donna torres , date of birth 8/1/1980 . hi donna , how are you ? [patient] i'm good , how about you ? [doctor] i'm doing well , thank you and so i saw that doctor brown put you on buspar . have you been on that before ? [patient] no , that's new . [doctor] okay . how is it working for you ? [patient] my anxiet... | CHIEF COMPLAINT
Follow-up bilateral breast cysts.
HISTORY OF PRESENT ILLNESS
Donna Torres is a 40-year-old female who presents for follow-up surveillance of bilateral breast cysts.
The patient reports continual presence of “lumps” in bilateral breasts with some soreness. She is being seen today for surveillance of ... |
VS027 | virtscribe | [doctor] sophia brown , date of birth 3/17/1946 . this is a new patient visit . she is here to establish care for history of dcis . we'll go over the history with the patient . hello miss brown . [patient] hi , yes , that's me . [doctor] wonderful . i'm dr. stewart , it's lovely to meet you . you as well . so you've co... | CHIEF COMPLAINT
History of right ductal carcinoma in situ (DCIS).
HISTORY OF PRESENT ILLNESS
Sophia Brown is a 75 y.o. female who presents today for a new patient evaluation due to her history of right DCIS. She is doing well but wishes to establish care today for continued monitoring.
The patient underwent a scree... |
VS028 | virtscribe | [doctor] next patient is sophia jackson , mrnr 472348 . she is a 57-year-old female who is here for a surgical consult . [patient] her dermatologist referred her . she biopsied a 0.7 mm lesion which was located on the right inferior back . pathology came back as melanoma . [doctor] mrs. jackson , it's good to meet you ... | CHIEF COMPLAINT
Melanoma.
HISTORY OF PRESENT ILLNESS
Sophia Jackson is a very pleasant 57-year-old female who presents for a surgical consult for melanoma of the right inferior back. She was referred by her dermatologist who biopsied the 0.7 mm lesion on 04/10 and diagnosed the melanoma. The lesion was initially not... |
VS029 | virtscribe | [doctor] this is philip gutierrez date of birth 1/12/1971 . he is a 50-year-old male here for a second opinion regarding the index finger on the right hand . [patient] he had a hyperextension injury of that index finger during a motor vehicle accident in march of this year . he was offered an injection of the a1 pulley... | CHIEF COMPLAINT
Right index finger hyperextension injury.
HISTORY OF PRESENT ILLNESS
Ms. Philip Gutierrez is a pleasant 50-year-old right-hand-dominant male here today for a 2nd opinion regarding evaluation of the right index finger hyperextension injury sustained during a motor vehicle accident in 03/2021.
In summ... |
VS031 | virtscribe | [patient] good morning miss reyes . [doctor] good morning . [patient] how are you doing ma'am ? [doctor] i'm doing well dr. , how are you ? [patient] i am fine , thank you . so you've been having some problems with your right hip ? [doctor] yeah . [patient] okay and where are you hurting ? can you show me ? [doctor] ri... | CHIEF COMPLAINT
Right hip pain.
HISTORY OF PRESENT ILLNESS
Elizabeth Reyes is a 56-year-old female who presents for the evaluation of pain in her right hip and groin region. Her symptoms started on 02/2020 and has progressively worsened. She is employed as an RN and notes that her symptoms began while she was workin... |
VS032 | virtscribe | [doctor] dictating on donald clark date of birth 03/04/1937 . chief complaint is left arm pain . hello , how are you ? [patient] good morning . [doctor] it's nice to meet you . i'm dr. miller . [patient] it's nice to meet you as well . [doctor] so i hear you are having pain in this arm , is that correct ? [patient] tha... | CHIEF COMPLAINT
Left arm pain.
HISTORY OF PRESENT ILLNESS
He reports that his left arm pain began approximately 2 weeks ago. He woke around 2:00 am with intense pain in his left arm and hand. He applied ice and after 2-3 hours, the pain improved and he was able to go back to sleep, the pain did not return until that... |
VS034 | virtscribe | [doctor] patient is pamela cook , medical record number is 123546 . she is a 36-year-old female post bilateral reduction mammoplasty on 10/10/2020 . doing well , it's good to see you , how you've been ? [patient] i've been doing good . [doctor] great how about your breasts today , doing alright ? great are you having a... | CHIEF COMPLAINT
Follow up bilateral reduction mammoplasty.
HISTORY OF PRESENT ILLNESS
Pamela Cook is a 36-year-old female who is returning for a postoperative visit. Status post bilateral reduction mammaplasty 10/10/2020.
The patient was last seen in clinic by Ruth Sanchez, PA in 03/2021 at which time there was a l... |
VS039 | virtscribe | [doctor] next patient is paul , date of birth is january 15 , 1962 . this is a 59-year-old hiv positive gentleman here for hypogonadism . patient was last seen on november 24 , 2020 . he is . [patient] his notable things are # 1 , he is on 1 ml every 10 days . his levels were less than 300 to begin with . he is on fina... | CHIEF COMPLAINT
Hypogonadism.
HISTORY OF PRESENT ILLNESS
Mr. Paul Edwards is a 59-year-old male, an established patient, who presents to the clinic today for hypogonadism. He was last seen on 11/24/2020. The patient’s history includes positive for HIV, and today he is concerned with gynecomastia.
The patient is doi... |
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