patient_id
string | check_report
dict | basic_msg
string | context_msg
string | groud_truth
list | physical_examination
string |
|---|---|---|---|---|---|
W-1
| null |
**Basic information**: Female, 35 years old,system ID is W-1
|
**Basic information**: Female, 35 years old,system ID is W-1.
**Chief complaint**: Found vulvar discharge for 2 weeks..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Six months ago, the patient had a history of Bartholin's gland inflammation, which improved after treatment with antibiotics. Two weeks ago, while cleaning the vulva, the patient noticed a mass at the posterior part of the left labium majus. The mass was immobile, cystic in nature, and gradually increased in size from the size of a date to the current size of an egg. It was accompanied by a sensation of heaviness in the vulva, mild pain upon palpation, and occasional discomfort while walking..
|
[
"Bartholin's gland cyst"
] |
**Physical examination**: Body temperature is normal, and no enlarged lymph nodes are palpable in the bilateral inguinal regions.
**Gynecological examination:**
A mass is located in the posterior-inferior region of the left labium majus, round in shape, with a diameter of approximately 5 cm. The mass is immobile, cystic in nature, and the overlying skin shows no redness or swelling. There is no tenderness. The inner surface corresponds to the smooth mucosal surface of the labium minus. No purulent discharge is observed upon compression.
Compression of the openings of the paraurethral glands reveals no purulent discharge. A vaginal speculum is gently inserted, revealing normal vaginal mucosa. Vaginal secretions are thick and paste-like, with no foul odor.
The cervix is smooth, with no contact bleeding. The uterus is anteverted, of normal size, with good mobility and no tenderness. No abnormalities are palpable in the bilateral adnexal regions..
|
W-2
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": null,
"Abdominal Cavity Ultrasound": null,
"Abdominal Paracentesis": null,
"Abdominal Ultrasound": null,
"Abdominal X-ray": null,
"Above Uterus CT": null,
"Additional Information": null,
"Additional Testing Recommendation": null,
"Adrenal Glands": null,
"Adrenal Glands Ultrasound": null,
"Alpha-Fetoprotein (AFP)": null,
"Amine Test": "(-)",
"Anti-SM Antibody": null,
"Anti-double-stranded DNA Antibody": null,
"Ascites": null,
"Autoantibody Test": null,
"Bacterial Culture": null,
"Basal Body Temperature": null,
"Basal Cells": null,
"Baseline Endocrine Test": null,
"Baseline Endocrine Test Results": null,
"Bilateral Fallopian Tubes": null,
"Bladder Cavity Ultrasound": null,
"Bladder Condition": null,
"Bladder Cystoscopy": null,
"Bladder Drainage Urine Analysis": null,
"Bladder Neck Elevation Test": null,
"Bladder Ultrasound": null,
"Bladder Urine AG": null,
"Bladder Urine CREA": null,
"Bladder Urine Ca2+": null,
"Bladder Urine Cl": null,
"Bladder Urine CysC": null,
"Bladder Urine GFR": null,
"Bladder Urine HCO3-": null,
"Bladder Urine K+": null,
"Bladder Urine Mg2+": null,
"Bladder Urine Na+": null,
"Bladder Urine PHO": null,
"Bladder Urine UA": null,
"Bladder Urine UREA": null,
"Bladder Wall Ultrasound": null,
"Blood Antinuclear Antibody": null,
"Blood Biochemistry Test": null,
"Blood CA125": null,
"Blood CA125 Level": null,
"Blood CEA and AFP": null,
"Blood Endocrine Examination": null,
"Blood Endocrine Panel": null,
"Blood Estradiol": null,
"Blood Estradiol (E2)": null,
"Blood FSH": null,
"Blood Flow Signals": null,
"Blood Glucose Test": null,
"Blood Hormone Levels": null,
"Blood Hormone Panel": null,
"Blood Karyotype Analysis": null,
"Blood LH": null,
"Blood Lipid Test": null,
"Blood Liver and Kidney Function Test": null,
"Blood PRL": null,
"Blood Pressure": null,
"Blood Progesterone Level": null,
"Blood RPR": null,
"Blood Routine": null,
"Blood Routine Test": null,
"Blood Routine and Urine Routine": null,
"Blood Routine, CRP, ESR Profile": null,
"Blood Routine, Urine Routine, Electrocardiogram, Liver and Kidney Function Tests": null,
"Blood SCC": null,
"Blood Test": null,
"Blood Test Results": null,
"Blood Tumor Markers": null,
"Blood Tumor Markers Profile": null,
"Blood Type - Female": null,
"Blood Type - Male": null,
"Blood hCG": null,
"Blood hCG Level": null,
"Blood β-hCG": null,
"Blood β-hCG Level": null,
"Bone Age": null,
"Bone Density Test": null,
"Bone ECT": null,
"Brain MRI": null,
"C-Reactive Protein (CRP)": null,
"C-reactive Protein": null,
"CA125": null,
"CA125 Level": null,
"CA19-9": null,
"CEA": null,
"CP2": null,
"CREA": null,
"CRP": null,
"CT Imaging": null,
"Candida Albicans": null,
"Candida Hyphae": null,
"Candida Pseudohyphae": null,
"Candida Spores": null,
"Candida Spores/Hyphae": "No spores or hyphae of Candida albicans observed",
"Carcinoembryonic Antigen (CEA)": null,
"Cardiac Function": null,
"Cardiac and Pulmonary Function Examination": null,
"Cardiac and Renal Ultrasound": null,
"Cervical CT and MRI": null,
"Cervical Canal Curettage": null,
"Cervical Cancer Screening Smear": null,
"Cervical Cytology Examination": null,
"Cervical Cytology Smear": null,
"Cervical Cytology Test": null,
"Cervical MRI": null,
"Cervical Secretion Culture": null,
"Cervical Secretion HPV-DNA Test": null,
"Cervical Secretion High-Risk HPV-DNA Test": null,
"Cervical Ultrasound": null,
"Cervix-to-Uterine Body Ratio": null,
"Chest CT": null,
"Chest CT Scan": null,
"Chest X-ray": null,
"Chest X-ray 1": null,
"Chest X-ray 2": null,
"Chest X-ray Imaging": null,
"Chest X-ray and Abdominal B-ultrasound": null,
"Chest X-ray and ECG": null,
"Chest X-ray and Lung CT": null,
"Chlamydia Culture": null,
"Chlamydia Test": null,
"Chromosome Analysis": null,
"Chromosome Analysis - Husband": null,
"Chromosome Analysis - Patient": null,
"Chromosome Result": null,
"Cl": null,
"Cleanliness Grade": null,
"Close Relationship with Bladder and Rectum": null,
"Clue Cells": "(-)",
"Coagulation Function": null,
"Coagulation Function Test": null,
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": null,
"Complete Blood Count (CBC)": null,
"Complete Blood Count and Coagulation Function Test": null,
"Comprehensive Thyroid Function Test": null,
"Compression": null,
"Cranial CT": null,
"Culture Method": null,
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": null,
"Cytomegalovirus Test": null,
"Delayed Scanning": null,
"Discharge Observation": null,
"E": null,
"ESR": null,
"ESR and CRP": null,
"Echocardiography": null,
"Electrocardiogram": null,
"Electrocardiogram (ECG)": null,
"Electrolyte Test": null,
"Endocrine Profile": null,
"Endometrial Blood Flow PI": null,
"Endometrial Blood Flow RI": null,
"Endometrial Cavity": null,
"Endometrial Echogenicity": null,
"Endometrial MRI": null,
"Endometrial Thickness": null,
"Endometrium": null,
"Enhanced Scanning": null,
"Epithelial Neoplasia": null,
"Erythrocyte Sedimentation Rate": null,
"Erythrocyte Sedimentation Rate (ESR)": null,
"Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Blood Biochemistry, Chest X-ray, and Electrocardiogram (ECG)": null,
"Estradiol": null,
"Estradiol (E2)": null,
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": null,
"Fasting Insulin (FINS)": null,
"Fasting Plasma Glucose (FPG)": null,
"Fiberoptic Colonoscopy": null,
"Fluid-like Density": null,
"Follicle-Stimulating Hormone (FSH)": null,
"Follicles": null,
"Full Abdominal CT": null,
"Fundus Examination": null,
"Fungal Pseudohyphae or Spores": null,
"GLO": null,
"General Examination Profile": null,
"GnRH FSH": null,
"GnRH LH": null,
"GnRH Stimulation Test": null,
"Gram Staining Method": null,
"Gram-negative Diplococci": null,
"Greater Omentum CT": null,
"HDL": null,
"HOMA-IR": null,
"HPV Test": null,
"HPV-DNA": null,
"Hb": null,
"Hemoglobin": null,
"Hemoglobin Level": null,
"Hemoglobin Test": null,
"Hepatic Function": null,
"Herpes Simplex Virus Test": null,
"High-Density Lipoprotein (HDL)": null,
"High-risk HPV Test": null,
"High-risk HPV-DNA Test": null,
"Hysterosalpingography": null,
"Hysterosalpingography (HSG)": null,
"Hysteroscopy": null,
"Hysteroscopy Cervical Canal": null,
"Hysteroscopy Distension Medium": null,
"Hysteroscopy Endometrium": null,
"Hysteroscopy Examination": null,
"Hysteroscopy Pressure": null,
"Hysteroscopy Right Uterine Horn": null,
"Hysteroscopy Uterine Cavity": null,
"IVP": null,
"Imaging Diagnostics": null,
"Infiltration in Anterior Wall of Rectum": null,
"Intestinal Spaces and Paracolic Gutters CT": null,
"Intracranial Lesions": null,
"Intravenous Pyelography": null,
"Intravenous Pyelography (IVP)": null,
"K": null,
"KUB X-ray": null,
"Karyotype": null,
"Kidney Function": null,
"Kidney Function Test": null,
"Kidney Function Tests": null,
"Kidney Ultrasound": null,
"Kidneys Ultrasound": null,
"LDL": null,
"LH": null,
"LH 120 minutes after injection": null,
"LH 15 minutes after injection": null,
"LH 30 minutes after injection": null,
"LH 60 minutes after injection": null,
"LH After Injection 120 Minutes": null,
"LH After Injection 15 Minutes": null,
"LH After Injection 30 Minutes": null,
"LH After Injection 60 Minutes": null,
"LH Before Injection": null,
"LH before injection": null,
"LH/FSH Ratio": null,
"Laboratory Results": null,
"Left Adnexa Ultrasound": null,
"Left Mid-Abdomen Ultrasound": null,
"Left Ovary": null,
"Left Ovary Size": null,
"Left Ovary Volume": null,
"Left Pelvic Wall CT": null,
"Lesion Acetic Acid White Test": null,
"Liquefaction Time": null,
"Liver Function": null,
"Liver Function Test": null,
"Liver Function Tests": null,
"Liver and Gallbladder Ultrasound": null,
"Liver and Kidney Function Test": null,
"Liver and Kidney Function Tests": null,
"Liver and Kidney Function Tests, Coagulation Function": null,
"Liver, Gallbladder, Pancreas, Spleen Ultrasound": null,
"Liver, Kidney Function, and Electrolytes": null,
"Low-Density Lipoprotein (LDL)": null,
"Lung CT": null,
"Lung Function Test": null,
"Lungs CT": null,
"Luteinizing Hormone (LH)": null,
"Lymph Nodes CT": null,
"MRI": null,
"MRI Contrast Imaging": null,
"Maximum Urethral Closure Pressure": null,
"Mixed-Density Shadow": null,
"Morphological Abnormality Rate": null,
"Motility Grade 0": null,
"Motility Grade I": null,
"Motility Grade II": null,
"Motility Grade III": null,
"Mucoblood Reaction": null,
"Mycoplasma Test": null,
"Myometrial Echo": null,
"N": null,
"Na": null,
"Neisseria Gonorrhoeae Culture": null,
"Neutrophil Percentage": null,
"Neutrophil Ratio (N)": null,
"Neutrophils": null,
"No Masses Observed": null,
"Nuclear Bone Scan": null,
"OGTT": null,
"Orthopedic X-ray": null,
"Ovarian Mass Shadows": null,
"Ovarian Tumor Size": null,
"Ovaries": null,
"Ovaries Ultrasound": null,
"P": null,
"PLT": null,
"PPD Test": null,
"PRL": null,
"Pathogen Test for STDs": null,
"Pelvic CT": null,
"Pelvic CT Examination": null,
"Pelvic CT Scan": null,
"Pelvic CT/MRI": null,
"Pelvic Cavity CT": null,
"Pelvic Cavity Ultrasound": null,
"Pelvic Cystic-Solid Mass": null,
"Pelvic Lymph Nodes": null,
"Pelvic Ultrasound": null,
"Pelvic X-ray": null,
"Pelvic X-ray Follow-up": null,
"Pelvic X-ray Plain Film": null,
"Pelvic and Abdominal CT/MRI": null,
"Pelvic and Upper Abdominal CT": null,
"Pituitary MRI": null,
"Pituitary Stimulation Procedure": null,
"Pituitary Stimulation Test": null,
"Pituitary Stimulation Test Procedure": null,
"Pituitary Stimulation Test Results": null,
"Platelet Count": null,
"Preoperative Peripheral Blood Tests": null,
"Progesterone": null,
"Progesterone (P)": null,
"Progesterone Level": null,
"Prolactin": null,
"Prolactin (PRL)": null,
"Pulmonary CT": null,
"Pulmonary Diffusion Function": null,
"Pulmonary Diffusion Function Test": null,
"Pulmonary Function": null,
"Pulmonary Function Test": null,
"Pulmonary Ventilation Function": null,
"Pulmonary Ventilation Function Test": null,
"Q-tip Test": null,
"RBC": null,
"Rectouterine Pouch CT": null,
"Red Blood Cell Count": null,
"Renal Function": null,
"Renal Function Test": null,
"Reproductive Endocrine Hormone Test": null,
"Reproductive Endocrine Test": null,
"Residual Urine Volume": null,
"Right Adnexa Ultrasound": null,
"Right Adnexal Region CT": null,
"Right Ovary": null,
"Right Ovary Size": null,
"Right Ovary Ultrasound": null,
"Right Ovary Volume": null,
"Routine Blood Biochemistry": null,
"Routine Blood Test": null,
"Routine Blood and Urine Tests": null,
"Routine Laboratory Tests, Chest X-ray, and Electrocardiogram": null,
"Routine Stool Test": null,
"Routine Urinalysis": null,
"Routine Urine Test": null,
"Routine Urine and Stool Test": null,
"Routine Vaginal Discharge Test": null,
"Rubella Virus Test": null,
"Semen Analysis": null,
"Semen Volume": null,
"Serum CA125": null,
"Serum Squamous Cell Carcinoma Antigen": null,
"Serum Tumor Markers": null,
"Serum Tumor Markers Profile": null,
"Serum hCG Level": null,
"Serum hCG Test": null,
"Serum β-hCG": null,
"Solid Mass in Left Adnexal Region": null,
"Sperm Density": null,
"Stool Routine Test": null,
"T": null,
"T Levels": null,
"TBL": null,
"TC": null,
"TG": null,
"TP": null,
"TPHA": null,
"TSH, T3, and T4": null,
"Testicular Biopsy Pathology": null,
"Testosterone": null,
"Testosterone (T)": null,
"Thyroid Function Test": null,
"Total Cholesterol (TC)": null,
"Toxoplasma Test": null,
"Transvaginal Color Doppler Ultrasound": null,
"Transvaginal Ultrasound": null,
"Trichomonads": null,
"Trichomonas": "Detected",
"Triglycerides (TG)": null,
"Tumor Markers": null,
"Tumor Markers Panel": null,
"Tumor Shape": null,
"UA": null,
"UREA": null,
"Ultrasound": null,
"Ultrasound Examination": null,
"Ultrasound Findings": null,
"Ultrasound and Intravenous Pyelography": null,
"Ureters Ultrasound": null,
"Urinalysis": null,
"Urine Flow Rate": null,
"Urine Pregnancy Test": null,
"Urine Routine": null,
"Urine Routine Test": null,
"Urine Test": null,
"Urine hCG": null,
"Uterine B-ultrasound": null,
"Uterine Body Size": null,
"Uterine Cavity": null,
"Uterine Cavity B-ultrasound": null,
"Uterine Hysteroscopy": null,
"Uterine MRI": null,
"Uterine Ultrasound": null,
"Uterine Volume": null,
"Uterine and Fallopian Tube HSG": null,
"Uterus": null,
"Uterus Boundaries": null,
"Uterus CT": null,
"Uterus Dimensions": null,
"Uterus Size": null,
"Uterus Ultrasound": null,
"Uterus and Bilateral Adnexa Ultrasound": null,
"Vaginal Color Doppler Ultrasound": null,
"Vaginal Fluid AG": null,
"Vaginal Fluid Analysis": null,
"Vaginal Fluid CREA": null,
"Vaginal Fluid Ca2+": null,
"Vaginal Fluid Cl": null,
"Vaginal Fluid CysC": null,
"Vaginal Fluid GFR": null,
"Vaginal Fluid HCO3-": null,
"Vaginal Fluid K+": null,
"Vaginal Fluid Mg2+": null,
"Vaginal Fluid Na+": null,
"Vaginal Fluid PHO": null,
"Vaginal Fluid UA": null,
"Vaginal Fluid UREA": null,
"Vaginal Inflammation": null,
"Vaginal Microscopic Exam": "Clue cells (-), no spores or hyphae of Candida albicans observed. Microscopic examination of secretions report: Trichomonas vaginalis detected.",
"Vaginal Physical/Chemical Profile": "Vaginal pH > 6, amine test (-).",
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": null,
"Vaginal pH": "> 6",
"WBC": null,
"White Blood Cell (WBC)": null,
"White Blood Cell Count": null,
"White Blood Cells": null,
"White Blood Cells (Microscopic)": null,
"White Blood Cells and Platelets": null,
"White Blood Cells in Cervical Secretions": null,
"Wrist X-ray": null,
"hCG": null
}
|
**Basic information**: Female, 28 years old,system ID is W-2
|
**Basic information**: Female, 28 years old,system ID is W-2.
**Chief complaint**: Increased vaginal discharge for 1 week, with an unusual odor, accompanied by intermittent vulvar itching..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The spouse has a history of unclean sexual activity but shows no obvious urinary system symptoms. No contraceptive measures, such as condoms, were used. Over the past week, the patient has experienced an increased amount of vaginal discharge with an abnormal odor and a sensation of crawling in the vagina. There is no contact bleeding, no irregular vaginal bleeding, and no lower abdominal pain..
|
[
"Trichomonas Vaginitis"
] |
**Physical examination**: Married, nulliparous vulva. No abnormalities were found on the vulvar skin. No purulent discharge was observed from the bilateral paraurethral glands. A vaginal speculum was gently placed, revealing a significant accumulation of vaginal discharge in the vagina and posterior fornix, which was yellow, thin, and contained a large amount of foam. The vaginal walls were congested with scattered petechiae. The cervix was smooth, with no mucopurulent discharge attached. The uterus was anteverted, of normal size, mobile, and non-tender. No tenderness was noted in the bilateral adnexal regions, and no thickening was palpated..
|
W-3
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": null,
"Abdominal Cavity Ultrasound": null,
"Abdominal Paracentesis": null,
"Abdominal Ultrasound": null,
"Abdominal X-ray": null,
"Above Uterus CT": null,
"Additional Information": null,
"Additional Testing Recommendation": null,
"Adrenal Glands": null,
"Adrenal Glands Ultrasound": null,
"Alpha-Fetoprotein (AFP)": null,
"Amine Test": "(-)",
"Anti-SM Antibody": null,
"Anti-double-stranded DNA Antibody": null,
"Ascites": null,
"Autoantibody Test": null,
"Bacterial Culture": null,
"Basal Body Temperature": null,
"Basal Cells": null,
"Baseline Endocrine Test": null,
"Baseline Endocrine Test Results": null,
"Bilateral Fallopian Tubes": null,
"Bladder Cavity Ultrasound": null,
"Bladder Condition": null,
"Bladder Cystoscopy": null,
"Bladder Drainage Urine Analysis": null,
"Bladder Neck Elevation Test": null,
"Bladder Ultrasound": null,
"Bladder Urine AG": null,
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"Bladder Urine Ca2+": null,
"Bladder Urine Cl": null,
"Bladder Urine CysC": null,
"Bladder Urine GFR": null,
"Bladder Urine HCO3-": null,
"Bladder Urine K+": null,
"Bladder Urine Mg2+": null,
"Bladder Urine Na+": null,
"Bladder Urine PHO": null,
"Bladder Urine UA": null,
"Bladder Urine UREA": null,
"Bladder Wall Ultrasound": null,
"Blood Antinuclear Antibody": null,
"Blood Biochemistry Test": null,
"Blood CA125": null,
"Blood CA125 Level": null,
"Blood CEA and AFP": null,
"Blood Endocrine Examination": null,
"Blood Endocrine Panel": null,
"Blood Estradiol": null,
"Blood Estradiol (E2)": null,
"Blood FSH": null,
"Blood Flow Signals": null,
"Blood Glucose Test": null,
"Blood Hormone Levels": null,
"Blood Hormone Panel": null,
"Blood Karyotype Analysis": null,
"Blood LH": null,
"Blood Lipid Test": null,
"Blood Liver and Kidney Function Test": null,
"Blood PRL": null,
"Blood Pressure": null,
"Blood Progesterone Level": null,
"Blood RPR": null,
"Blood Routine": null,
"Blood Routine Test": null,
"Blood Routine and Urine Routine": null,
"Blood Routine, CRP, ESR Profile": null,
"Blood Routine, Urine Routine, Electrocardiogram, Liver and Kidney Function Tests": null,
"Blood SCC": null,
"Blood Test": null,
"Blood Test Results": null,
"Blood Tumor Markers": null,
"Blood Tumor Markers Profile": null,
"Blood Type - Female": null,
"Blood Type - Male": null,
"Blood hCG": null,
"Blood hCG Level": null,
"Blood β-hCG": null,
"Blood β-hCG Level": null,
"Bone Age": null,
"Bone Density Test": null,
"Bone ECT": null,
"Brain MRI": null,
"C-Reactive Protein (CRP)": null,
"C-reactive Protein": null,
"CA125": null,
"CA125 Level": null,
"CA19-9": null,
"CEA": null,
"CP2": null,
"CREA": null,
"CRP": null,
"CT Imaging": null,
"Candida Albicans": null,
"Candida Hyphae": "Observed",
"Candida Pseudohyphae": null,
"Candida Spores": null,
"Candida Spores/Hyphae": null,
"Carcinoembryonic Antigen (CEA)": null,
"Cardiac Function": null,
"Cardiac and Pulmonary Function Examination": null,
"Cardiac and Renal Ultrasound": null,
"Cervical CT and MRI": null,
"Cervical Canal Curettage": null,
"Cervical Cancer Screening Smear": null,
"Cervical Cytology Examination": null,
"Cervical Cytology Smear": null,
"Cervical Cytology Test": null,
"Cervical MRI": null,
"Cervical Secretion Culture": null,
"Cervical Secretion HPV-DNA Test": null,
"Cervical Secretion High-Risk HPV-DNA Test": null,
"Cervical Ultrasound": null,
"Cervix-to-Uterine Body Ratio": null,
"Chest CT": null,
"Chest CT Scan": null,
"Chest X-ray": null,
"Chest X-ray 1": null,
"Chest X-ray 2": null,
"Chest X-ray Imaging": null,
"Chest X-ray and Abdominal B-ultrasound": null,
"Chest X-ray and ECG": null,
"Chest X-ray and Lung CT": null,
"Chlamydia Culture": null,
"Chlamydia Test": null,
"Chromosome Analysis": null,
"Chromosome Analysis - Husband": null,
"Chromosome Analysis - Patient": null,
"Chromosome Result": null,
"Cl": null,
"Cleanliness Grade": null,
"Close Relationship with Bladder and Rectum": null,
"Clue Cells": "(-)",
"Coagulation Function": null,
"Coagulation Function Test": null,
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": null,
"Complete Blood Count (CBC)": null,
"Complete Blood Count and Coagulation Function Test": null,
"Comprehensive Thyroid Function Test": null,
"Compression": null,
"Cranial CT": null,
"Culture Method": null,
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": null,
"Cytomegalovirus Test": null,
"Delayed Scanning": null,
"Discharge Observation": null,
"E": null,
"ESR": null,
"ESR and CRP": null,
"Echocardiography": null,
"Electrocardiogram": null,
"Electrocardiogram (ECG)": null,
"Electrolyte Test": null,
"Endocrine Profile": null,
"Endometrial Blood Flow PI": null,
"Endometrial Blood Flow RI": null,
"Endometrial Cavity": null,
"Endometrial Echogenicity": null,
"Endometrial MRI": null,
"Endometrial Thickness": null,
"Endometrium": null,
"Enhanced Scanning": null,
"Epithelial Neoplasia": null,
"Erythrocyte Sedimentation Rate": null,
"Erythrocyte Sedimentation Rate (ESR)": null,
"Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Blood Biochemistry, Chest X-ray, and Electrocardiogram (ECG)": null,
"Estradiol": null,
"Estradiol (E2)": null,
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": null,
"Fasting Insulin (FINS)": null,
"Fasting Plasma Glucose (FPG)": null,
"Fiberoptic Colonoscopy": null,
"Fluid-like Density": null,
"Follicle-Stimulating Hormone (FSH)": null,
"Follicles": null,
"Full Abdominal CT": null,
"Fundus Examination": null,
"Fungal Pseudohyphae or Spores": null,
"GLO": null,
"General Examination Profile": null,
"GnRH FSH": null,
"GnRH LH": null,
"GnRH Stimulation Test": null,
"Gram Staining Method": null,
"Gram-negative Diplococci": null,
"Greater Omentum CT": null,
"HDL": null,
"HOMA-IR": null,
"HPV Test": null,
"HPV-DNA": null,
"Hb": null,
"Hemoglobin": null,
"Hemoglobin Level": null,
"Hemoglobin Test": null,
"Hepatic Function": null,
"Herpes Simplex Virus Test": null,
"High-Density Lipoprotein (HDL)": null,
"High-risk HPV Test": null,
"High-risk HPV-DNA Test": null,
"Hysterosalpingography": null,
"Hysterosalpingography (HSG)": null,
"Hysteroscopy": null,
"Hysteroscopy Cervical Canal": null,
"Hysteroscopy Distension Medium": null,
"Hysteroscopy Endometrium": null,
"Hysteroscopy Examination": null,
"Hysteroscopy Pressure": null,
"Hysteroscopy Right Uterine Horn": null,
"Hysteroscopy Uterine Cavity": null,
"IVP": null,
"Imaging Diagnostics": null,
"Infiltration in Anterior Wall of Rectum": null,
"Intestinal Spaces and Paracolic Gutters CT": null,
"Intracranial Lesions": null,
"Intravenous Pyelography": null,
"Intravenous Pyelography (IVP)": null,
"K": null,
"KUB X-ray": null,
"Karyotype": null,
"Kidney Function": null,
"Kidney Function Test": null,
"Kidney Function Tests": null,
"Kidney Ultrasound": null,
"Kidneys Ultrasound": null,
"LDL": null,
"LH": null,
"LH 120 minutes after injection": null,
"LH 15 minutes after injection": null,
"LH 30 minutes after injection": null,
"LH 60 minutes after injection": null,
"LH After Injection 120 Minutes": null,
"LH After Injection 15 Minutes": null,
"LH After Injection 30 Minutes": null,
"LH After Injection 60 Minutes": null,
"LH Before Injection": null,
"LH before injection": null,
"LH/FSH Ratio": null,
"Laboratory Results": null,
"Left Adnexa Ultrasound": null,
"Left Mid-Abdomen Ultrasound": null,
"Left Ovary": null,
"Left Ovary Size": null,
"Left Ovary Volume": null,
"Left Pelvic Wall CT": null,
"Lesion Acetic Acid White Test": null,
"Liquefaction Time": null,
"Liver Function": null,
"Liver Function Test": null,
"Liver Function Tests": null,
"Liver and Gallbladder Ultrasound": null,
"Liver and Kidney Function Test": null,
"Liver and Kidney Function Tests": null,
"Liver and Kidney Function Tests, Coagulation Function": null,
"Liver, Gallbladder, Pancreas, Spleen Ultrasound": null,
"Liver, Kidney Function, and Electrolytes": null,
"Low-Density Lipoprotein (LDL)": null,
"Lung CT": null,
"Lung Function Test": null,
"Lungs CT": null,
"Luteinizing Hormone (LH)": null,
"Lymph Nodes CT": null,
"MRI": null,
"MRI Contrast Imaging": null,
"Maximum Urethral Closure Pressure": null,
"Mixed-Density Shadow": null,
"Morphological Abnormality Rate": null,
"Motility Grade 0": null,
"Motility Grade I": null,
"Motility Grade II": null,
"Motility Grade III": null,
"Mucoblood Reaction": null,
"Mycoplasma Test": null,
"Myometrial Echo": null,
"N": null,
"Na": null,
"Neisseria Gonorrhoeae Culture": null,
"Neutrophil Percentage": null,
"Neutrophil Ratio (N)": null,
"Neutrophils": null,
"No Masses Observed": null,
"Nuclear Bone Scan": null,
"OGTT": null,
"Orthopedic X-ray": null,
"Ovarian Mass Shadows": null,
"Ovarian Tumor Size": null,
"Ovaries": null,
"Ovaries Ultrasound": null,
"P": null,
"PLT": null,
"PPD Test": null,
"PRL": null,
"Pathogen Test for STDs": null,
"Pelvic CT": null,
"Pelvic CT Examination": null,
"Pelvic CT Scan": null,
"Pelvic CT/MRI": null,
"Pelvic Cavity CT": null,
"Pelvic Cavity Ultrasound": null,
"Pelvic Cystic-Solid Mass": null,
"Pelvic Lymph Nodes": null,
"Pelvic Ultrasound": null,
"Pelvic X-ray": null,
"Pelvic X-ray Follow-up": null,
"Pelvic X-ray Plain Film": null,
"Pelvic and Abdominal CT/MRI": null,
"Pelvic and Upper Abdominal CT": null,
"Pituitary MRI": null,
"Pituitary Stimulation Procedure": null,
"Pituitary Stimulation Test": null,
"Pituitary Stimulation Test Procedure": null,
"Pituitary Stimulation Test Results": null,
"Platelet Count": null,
"Preoperative Peripheral Blood Tests": null,
"Progesterone": null,
"Progesterone (P)": null,
"Progesterone Level": null,
"Prolactin": null,
"Prolactin (PRL)": null,
"Pulmonary CT": null,
"Pulmonary Diffusion Function": null,
"Pulmonary Diffusion Function Test": null,
"Pulmonary Function": null,
"Pulmonary Function Test": null,
"Pulmonary Ventilation Function": null,
"Pulmonary Ventilation Function Test": null,
"Q-tip Test": null,
"RBC": null,
"Rectouterine Pouch CT": null,
"Red Blood Cell Count": null,
"Renal Function": null,
"Renal Function Test": null,
"Reproductive Endocrine Hormone Test": null,
"Reproductive Endocrine Test": null,
"Residual Urine Volume": null,
"Right Adnexa Ultrasound": null,
"Right Adnexal Region CT": null,
"Right Ovary": null,
"Right Ovary Size": null,
"Right Ovary Ultrasound": null,
"Right Ovary Volume": null,
"Routine Blood Biochemistry": null,
"Routine Blood Test": null,
"Routine Blood and Urine Tests": null,
"Routine Laboratory Tests, Chest X-ray, and Electrocardiogram": null,
"Routine Stool Test": null,
"Routine Urinalysis": null,
"Routine Urine Test": null,
"Routine Urine and Stool Test": null,
"Routine Vaginal Discharge Test": null,
"Rubella Virus Test": null,
"Semen Analysis": null,
"Semen Volume": null,
"Serum CA125": null,
"Serum Squamous Cell Carcinoma Antigen": null,
"Serum Tumor Markers": null,
"Serum Tumor Markers Profile": null,
"Serum hCG Level": null,
"Serum hCG Test": null,
"Serum β-hCG": null,
"Solid Mass in Left Adnexal Region": null,
"Sperm Density": null,
"Stool Routine Test": null,
"T": null,
"T Levels": null,
"TBL": null,
"TC": null,
"TG": null,
"TP": null,
"TPHA": null,
"TSH, T3, and T4": null,
"Testicular Biopsy Pathology": null,
"Testosterone": null,
"Testosterone (T)": null,
"Thyroid Function Test": null,
"Total Cholesterol (TC)": null,
"Toxoplasma Test": null,
"Transvaginal Color Doppler Ultrasound": null,
"Transvaginal Ultrasound": null,
"Trichomonads": "No",
"Trichomonas": null,
"Triglycerides (TG)": null,
"Tumor Markers": null,
"Tumor Markers Panel": null,
"Tumor Shape": null,
"UA": null,
"UREA": null,
"Ultrasound": null,
"Ultrasound Examination": null,
"Ultrasound Findings": null,
"Ultrasound and Intravenous Pyelography": null,
"Ureters Ultrasound": null,
"Urinalysis": null,
"Urine Flow Rate": null,
"Urine Pregnancy Test": null,
"Urine Routine": null,
"Urine Routine Test": null,
"Urine Test": null,
"Urine hCG": null,
"Uterine B-ultrasound": null,
"Uterine Body Size": null,
"Uterine Cavity": null,
"Uterine Cavity B-ultrasound": null,
"Uterine Hysteroscopy": null,
"Uterine MRI": null,
"Uterine Ultrasound": null,
"Uterine Volume": null,
"Uterine and Fallopian Tube HSG": null,
"Uterus": null,
"Uterus Boundaries": null,
"Uterus CT": null,
"Uterus Dimensions": null,
"Uterus Size": null,
"Uterus Ultrasound": null,
"Uterus and Bilateral Adnexa Ultrasound": null,
"Vaginal Color Doppler Ultrasound": null,
"Vaginal Fluid AG": null,
"Vaginal Fluid Analysis": null,
"Vaginal Fluid CREA": null,
"Vaginal Fluid Ca2+": null,
"Vaginal Fluid Cl": null,
"Vaginal Fluid CysC": null,
"Vaginal Fluid GFR": null,
"Vaginal Fluid HCO3-": null,
"Vaginal Fluid K+": null,
"Vaginal Fluid Mg2+": null,
"Vaginal Fluid Na+": null,
"Vaginal Fluid PHO": null,
"Vaginal Fluid UA": null,
"Vaginal Fluid UREA": null,
"Vaginal Inflammation": null,
"Vaginal Microscopic Exam": "Clue cells (-), no trichomonads observed under microscopy. 10% KOH wet mount microscopy report: hyphae of Candida albicans observed. Diagnosis: Vulvovaginal candidiasis (VVC).",
"Vaginal Physical/Chemical Profile": "Vaginal discharge pH < 4.5, amine odor test (-).",
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": null,
"Vaginal pH": "< 4.5",
"WBC": null,
"White Blood Cell (WBC)": null,
"White Blood Cell Count": null,
"White Blood Cells": null,
"White Blood Cells (Microscopic)": null,
"White Blood Cells and Platelets": null,
"White Blood Cells in Cervical Secretions": null,
"Wrist X-ray": null,
"hCG": null
}
|
**Basic information**: Female, 25 years old, unmarried, with a history of sexual activity.,system ID is W-3
|
**Basic information**: Female, 25 years old, unmarried, with a history of sexual activity.,system ID is W-3.
**Chief complaint**: Severe vulvar pruritus accompanied by curd-like vaginal discharge for 3 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient is generally healthy, denies having hepatitis, tuberculosis, or diabetes, and has no history of immunosuppressant use or unprotected sexual intercourse. The sexual partner has no symptoms of discomfort. The patient denies any past history of vaginitis. Menstrual cycles are regular, lasting 4 to 5 days every 28 to 30 days, with moderate flow, no clots, and no dysmenorrhea. Normally, vaginal discharge is not excessive, with normal color and no odor. Twenty days ago, the patient used the broad-spectrum antibiotic cefoxitin sodium for two weeks due to a lower respiratory tract infection. In the past three days, the patient has experienced vulvar itching, especially at night, and an increase in vaginal discharge. During vulvar cleansing, flaky, curd-like white discharge was observed floating..
|
[
"Vulvovaginal Candidiasis"
] |
**Physical examination**: The vulva is well-developed, with redness of the skin on the labia majora and multiple scratch marks. The vagina is filled with curd-like secretions. After gently wiping away the secretions with a cotton ball soaked in physiological saline, the vaginal mucosa is observed to be highly congested and edematous. The cervix is of normal size, smooth, without congestion, edema, or purulent secretions attached. The uterus is in a horizontal position, of normal size, with normal firmness, good mobility, and no obvious tenderness. No masses or tumors are palpable in the bilateral adnexal regions, and there is no tenderness..
|
W-4
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": null,
"Abdominal Cavity Ultrasound": null,
"Abdominal Paracentesis": null,
"Abdominal Ultrasound": null,
"Abdominal X-ray": null,
"Above Uterus CT": null,
"Additional Information": null,
"Additional Testing Recommendation": null,
"Adrenal Glands": null,
"Adrenal Glands Ultrasound": null,
"Alpha-Fetoprotein (AFP)": null,
"Amine Test": "(+)",
"Anti-SM Antibody": null,
"Anti-double-stranded DNA Antibody": null,
"Ascites": null,
"Autoantibody Test": null,
"Bacterial Culture": null,
"Basal Body Temperature": null,
"Basal Cells": null,
"Baseline Endocrine Test": null,
"Baseline Endocrine Test Results": null,
"Bilateral Fallopian Tubes": null,
"Bladder Cavity Ultrasound": null,
"Bladder Condition": null,
"Bladder Cystoscopy": null,
"Bladder Drainage Urine Analysis": null,
"Bladder Neck Elevation Test": null,
"Bladder Ultrasound": null,
"Bladder Urine AG": null,
"Bladder Urine CREA": null,
"Bladder Urine Ca2+": null,
"Bladder Urine Cl": null,
"Bladder Urine CysC": null,
"Bladder Urine GFR": null,
"Bladder Urine HCO3-": null,
"Bladder Urine K+": null,
"Bladder Urine Mg2+": null,
"Bladder Urine Na+": null,
"Bladder Urine PHO": null,
"Bladder Urine UA": null,
"Bladder Urine UREA": null,
"Bladder Wall Ultrasound": null,
"Blood Antinuclear Antibody": null,
"Blood Biochemistry Test": null,
"Blood CA125": null,
"Blood CA125 Level": null,
"Blood CEA and AFP": null,
"Blood Endocrine Examination": null,
"Blood Endocrine Panel": null,
"Blood Estradiol": null,
"Blood Estradiol (E2)": null,
"Blood FSH": null,
"Blood Flow Signals": null,
"Blood Glucose Test": null,
"Blood Hormone Levels": null,
"Blood Hormone Panel": null,
"Blood Karyotype Analysis": null,
"Blood LH": null,
"Blood Lipid Test": null,
"Blood Liver and Kidney Function Test": null,
"Blood PRL": null,
"Blood Pressure": null,
"Blood Progesterone Level": null,
"Blood RPR": null,
"Blood Routine": null,
"Blood Routine Test": null,
"Blood Routine and Urine Routine": null,
"Blood Routine, CRP, ESR Profile": null,
"Blood Routine, Urine Routine, Electrocardiogram, Liver and Kidney Function Tests": null,
"Blood SCC": null,
"Blood Test": null,
"Blood Test Results": null,
"Blood Tumor Markers": null,
"Blood Tumor Markers Profile": null,
"Blood Type - Female": null,
"Blood Type - Male": null,
"Blood hCG": null,
"Blood hCG Level": null,
"Blood β-hCG": null,
"Blood β-hCG Level": null,
"Bone Age": null,
"Bone Density Test": null,
"Bone ECT": null,
"Brain MRI": null,
"C-Reactive Protein (CRP)": null,
"C-reactive Protein": null,
"CA125": null,
"CA125 Level": null,
"CA19-9": null,
"CEA": null,
"CP2": null,
"CREA": null,
"CRP": null,
"CT Imaging": null,
"Candida Albicans": null,
"Candida Hyphae": null,
"Candida Pseudohyphae": "Not observed",
"Candida Spores": "Not observed",
"Candida Spores/Hyphae": null,
"Carcinoembryonic Antigen (CEA)": null,
"Cardiac Function": null,
"Cardiac and Pulmonary Function Examination": null,
"Cardiac and Renal Ultrasound": null,
"Cervical CT and MRI": null,
"Cervical Canal Curettage": null,
"Cervical Cancer Screening Smear": null,
"Cervical Cytology Examination": null,
"Cervical Cytology Smear": null,
"Cervical Cytology Test": null,
"Cervical MRI": null,
"Cervical Secretion Culture": null,
"Cervical Secretion HPV-DNA Test": null,
"Cervical Secretion High-Risk HPV-DNA Test": null,
"Cervical Ultrasound": null,
"Cervix-to-Uterine Body Ratio": null,
"Chest CT": null,
"Chest CT Scan": null,
"Chest X-ray": null,
"Chest X-ray 1": null,
"Chest X-ray 2": null,
"Chest X-ray Imaging": null,
"Chest X-ray and Abdominal B-ultrasound": null,
"Chest X-ray and ECG": null,
"Chest X-ray and Lung CT": null,
"Chlamydia Culture": null,
"Chlamydia Test": null,
"Chromosome Analysis": null,
"Chromosome Analysis - Husband": null,
"Chromosome Analysis - Patient": null,
"Chromosome Result": null,
"Cl": null,
"Cleanliness Grade": null,
"Close Relationship with Bladder and Rectum": null,
"Clue Cells": "Typical clue cells were observed",
"Coagulation Function": null,
"Coagulation Function Test": null,
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": null,
"Complete Blood Count (CBC)": null,
"Complete Blood Count and Coagulation Function Test": null,
"Comprehensive Thyroid Function Test": null,
"Compression": null,
"Cranial CT": null,
"Culture Method": null,
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": null,
"Cytomegalovirus Test": null,
"Delayed Scanning": null,
"Discharge Observation": null,
"E": null,
"ESR": null,
"ESR and CRP": null,
"Echocardiography": null,
"Electrocardiogram": null,
"Electrocardiogram (ECG)": null,
"Electrolyte Test": null,
"Endocrine Profile": null,
"Endometrial Blood Flow PI": null,
"Endometrial Blood Flow RI": null,
"Endometrial Cavity": null,
"Endometrial Echogenicity": null,
"Endometrial MRI": null,
"Endometrial Thickness": null,
"Endometrium": null,
"Enhanced Scanning": null,
"Epithelial Neoplasia": null,
"Erythrocyte Sedimentation Rate": null,
"Erythrocyte Sedimentation Rate (ESR)": null,
"Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Blood Biochemistry, Chest X-ray, and Electrocardiogram (ECG)": null,
"Estradiol": null,
"Estradiol (E2)": null,
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": null,
"Fasting Insulin (FINS)": null,
"Fasting Plasma Glucose (FPG)": null,
"Fiberoptic Colonoscopy": null,
"Fluid-like Density": null,
"Follicle-Stimulating Hormone (FSH)": null,
"Follicles": null,
"Full Abdominal CT": null,
"Fundus Examination": null,
"Fungal Pseudohyphae or Spores": null,
"GLO": null,
"General Examination Profile": null,
"GnRH FSH": null,
"GnRH LH": null,
"GnRH Stimulation Test": null,
"Gram Staining Method": null,
"Gram-negative Diplococci": null,
"Greater Omentum CT": null,
"HDL": null,
"HOMA-IR": null,
"HPV Test": null,
"HPV-DNA": null,
"Hb": null,
"Hemoglobin": null,
"Hemoglobin Level": null,
"Hemoglobin Test": null,
"Hepatic Function": null,
"Herpes Simplex Virus Test": null,
"High-Density Lipoprotein (HDL)": null,
"High-risk HPV Test": null,
"High-risk HPV-DNA Test": null,
"Hysterosalpingography": null,
"Hysterosalpingography (HSG)": null,
"Hysteroscopy": null,
"Hysteroscopy Cervical Canal": null,
"Hysteroscopy Distension Medium": null,
"Hysteroscopy Endometrium": null,
"Hysteroscopy Examination": null,
"Hysteroscopy Pressure": null,
"Hysteroscopy Right Uterine Horn": null,
"Hysteroscopy Uterine Cavity": null,
"IVP": null,
"Imaging Diagnostics": null,
"Infiltration in Anterior Wall of Rectum": null,
"Intestinal Spaces and Paracolic Gutters CT": null,
"Intracranial Lesions": null,
"Intravenous Pyelography": null,
"Intravenous Pyelography (IVP)": null,
"K": null,
"KUB X-ray": null,
"Karyotype": null,
"Kidney Function": null,
"Kidney Function Test": null,
"Kidney Function Tests": null,
"Kidney Ultrasound": null,
"Kidneys Ultrasound": null,
"LDL": null,
"LH": null,
"LH 120 minutes after injection": null,
"LH 15 minutes after injection": null,
"LH 30 minutes after injection": null,
"LH 60 minutes after injection": null,
"LH After Injection 120 Minutes": null,
"LH After Injection 15 Minutes": null,
"LH After Injection 30 Minutes": null,
"LH After Injection 60 Minutes": null,
"LH Before Injection": null,
"LH before injection": null,
"LH/FSH Ratio": null,
"Laboratory Results": null,
"Left Adnexa Ultrasound": null,
"Left Mid-Abdomen Ultrasound": null,
"Left Ovary": null,
"Left Ovary Size": null,
"Left Ovary Volume": null,
"Left Pelvic Wall CT": null,
"Lesion Acetic Acid White Test": null,
"Liquefaction Time": null,
"Liver Function": null,
"Liver Function Test": null,
"Liver Function Tests": null,
"Liver and Gallbladder Ultrasound": null,
"Liver and Kidney Function Test": null,
"Liver and Kidney Function Tests": null,
"Liver and Kidney Function Tests, Coagulation Function": null,
"Liver, Gallbladder, Pancreas, Spleen Ultrasound": null,
"Liver, Kidney Function, and Electrolytes": null,
"Low-Density Lipoprotein (LDL)": null,
"Lung CT": null,
"Lung Function Test": null,
"Lungs CT": null,
"Luteinizing Hormone (LH)": null,
"Lymph Nodes CT": null,
"MRI": null,
"MRI Contrast Imaging": null,
"Maximum Urethral Closure Pressure": null,
"Mixed-Density Shadow": null,
"Morphological Abnormality Rate": null,
"Motility Grade 0": null,
"Motility Grade I": null,
"Motility Grade II": null,
"Motility Grade III": null,
"Mucoblood Reaction": null,
"Mycoplasma Test": null,
"Myometrial Echo": null,
"N": null,
"Na": null,
"Neisseria Gonorrhoeae Culture": null,
"Neutrophil Percentage": null,
"Neutrophil Ratio (N)": null,
"Neutrophils": null,
"No Masses Observed": null,
"Nuclear Bone Scan": null,
"OGTT": null,
"Orthopedic X-ray": null,
"Ovarian Mass Shadows": null,
"Ovarian Tumor Size": null,
"Ovaries": null,
"Ovaries Ultrasound": null,
"P": null,
"PLT": null,
"PPD Test": null,
"PRL": null,
"Pathogen Test for STDs": null,
"Pelvic CT": null,
"Pelvic CT Examination": null,
"Pelvic CT Scan": null,
"Pelvic CT/MRI": null,
"Pelvic Cavity CT": null,
"Pelvic Cavity Ultrasound": null,
"Pelvic Cystic-Solid Mass": null,
"Pelvic Lymph Nodes": null,
"Pelvic Ultrasound": null,
"Pelvic X-ray": null,
"Pelvic X-ray Follow-up": null,
"Pelvic X-ray Plain Film": null,
"Pelvic and Abdominal CT/MRI": null,
"Pelvic and Upper Abdominal CT": null,
"Pituitary MRI": null,
"Pituitary Stimulation Procedure": null,
"Pituitary Stimulation Test": null,
"Pituitary Stimulation Test Procedure": null,
"Pituitary Stimulation Test Results": null,
"Platelet Count": null,
"Preoperative Peripheral Blood Tests": null,
"Progesterone": null,
"Progesterone (P)": null,
"Progesterone Level": null,
"Prolactin": null,
"Prolactin (PRL)": null,
"Pulmonary CT": null,
"Pulmonary Diffusion Function": null,
"Pulmonary Diffusion Function Test": null,
"Pulmonary Function": null,
"Pulmonary Function Test": null,
"Pulmonary Ventilation Function": null,
"Pulmonary Ventilation Function Test": null,
"Q-tip Test": null,
"RBC": null,
"Rectouterine Pouch CT": null,
"Red Blood Cell Count": null,
"Renal Function": null,
"Renal Function Test": null,
"Reproductive Endocrine Hormone Test": null,
"Reproductive Endocrine Test": null,
"Residual Urine Volume": null,
"Right Adnexa Ultrasound": null,
"Right Adnexal Region CT": null,
"Right Ovary": null,
"Right Ovary Size": null,
"Right Ovary Ultrasound": null,
"Right Ovary Volume": null,
"Routine Blood Biochemistry": null,
"Routine Blood Test": null,
"Routine Blood and Urine Tests": null,
"Routine Laboratory Tests, Chest X-ray, and Electrocardiogram": null,
"Routine Stool Test": null,
"Routine Urinalysis": null,
"Routine Urine Test": null,
"Routine Urine and Stool Test": null,
"Routine Vaginal Discharge Test": null,
"Rubella Virus Test": null,
"Semen Analysis": null,
"Semen Volume": null,
"Serum CA125": null,
"Serum Squamous Cell Carcinoma Antigen": null,
"Serum Tumor Markers": null,
"Serum Tumor Markers Profile": null,
"Serum hCG Level": null,
"Serum hCG Test": null,
"Serum β-hCG": null,
"Solid Mass in Left Adnexal Region": null,
"Sperm Density": null,
"Stool Routine Test": null,
"T": null,
"T Levels": null,
"TBL": null,
"TC": null,
"TG": null,
"TP": null,
"TPHA": null,
"TSH, T3, and T4": null,
"Testicular Biopsy Pathology": null,
"Testosterone": null,
"Testosterone (T)": null,
"Thyroid Function Test": null,
"Total Cholesterol (TC)": null,
"Toxoplasma Test": null,
"Transvaginal Color Doppler Ultrasound": null,
"Transvaginal Ultrasound": null,
"Trichomonads": "No",
"Trichomonas": null,
"Triglycerides (TG)": null,
"Tumor Markers": null,
"Tumor Markers Panel": null,
"Tumor Shape": null,
"UA": null,
"UREA": null,
"Ultrasound": null,
"Ultrasound Examination": null,
"Ultrasound Findings": null,
"Ultrasound and Intravenous Pyelography": null,
"Ureters Ultrasound": null,
"Urinalysis": null,
"Urine Flow Rate": null,
"Urine Pregnancy Test": null,
"Urine Routine": null,
"Urine Routine Test": null,
"Urine Test": null,
"Urine hCG": null,
"Uterine B-ultrasound": null,
"Uterine Body Size": null,
"Uterine Cavity": null,
"Uterine Cavity B-ultrasound": null,
"Uterine Hysteroscopy": null,
"Uterine MRI": null,
"Uterine Ultrasound": null,
"Uterine Volume": null,
"Uterine and Fallopian Tube HSG": null,
"Uterus": null,
"Uterus Boundaries": null,
"Uterus CT": null,
"Uterus Dimensions": null,
"Uterus Size": null,
"Uterus Ultrasound": null,
"Uterus and Bilateral Adnexa Ultrasound": null,
"Vaginal Color Doppler Ultrasound": null,
"Vaginal Fluid AG": null,
"Vaginal Fluid Analysis": null,
"Vaginal Fluid CREA": null,
"Vaginal Fluid Ca2+": null,
"Vaginal Fluid Cl": null,
"Vaginal Fluid CysC": null,
"Vaginal Fluid GFR": null,
"Vaginal Fluid HCO3-": null,
"Vaginal Fluid K+": null,
"Vaginal Fluid Mg2+": null,
"Vaginal Fluid Na+": null,
"Vaginal Fluid PHO": null,
"Vaginal Fluid UA": null,
"Vaginal Fluid UREA": null,
"Vaginal Inflammation": null,
"Vaginal Microscopic Exam": "No trichomonads, Candida pseudohyphae, or spores were observed under the microscope. Typical clue cells were observed under the microscope.",
"Vaginal Physical/Chemical Profile": "Amine odor test (+). pH is 5.5.",
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": null,
"Vaginal pH": "5.5",
"WBC": null,
"White Blood Cell (WBC)": null,
"White Blood Cell Count": null,
"White Blood Cells": null,
"White Blood Cells (Microscopic)": null,
"White Blood Cells and Platelets": null,
"White Blood Cells in Cervical Secretions": null,
"Wrist X-ray": null,
"hCG": null
}
|
**Basic information**: Female, 36 years old,system ID is W-4
|
**Basic information**: Female, 36 years old,system ID is W-4.
**Chief complaint**: Increased vaginal discharge persisting for 1 week, occasionally accompanied by vulvar itching..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Previously healthy, with regular menstruation. No history of unprotected sexual activity, no history of vaginitis, and no history of long-term use of antibiotics. Has one fixed sexual partner. In the past week, there has been an increase in vaginal discharge with a fishy odor. No vulvar itching, and no urinary system symptoms such as urgency, frequency, or pain during urination. No lower abdominal pain and no fever..
|
[
"Bacterial Vaginosis"
] |
**Physical examination**: The vulva is normally developed, with no redness or swelling. The vagina is unobstructed, and the vaginal mucosa is pale pink, without signs of congestion or edema. A large amount of vaginal discharge is observed inside the vagina, grayish-white in color, homogeneous, thin, without foam, and has a fishy odor, located in the posterior fornix and vaginal sidewalls. The cervix is smooth, the uterus is anteverted, of normal size, mobile, and non-tender. No thickening or tenderness is palpated in the bilateral adnexal regions. On bimanual examination, no thickening or tenderness is detected in the uterus or bilateral adnexal regions. The bilateral cardinal ligaments and sacral ligaments show no thickening or tenderness..
|
W-5
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": null,
"Abdominal Cavity Ultrasound": null,
"Abdominal Paracentesis": null,
"Abdominal Ultrasound": null,
"Abdominal X-ray": null,
"Above Uterus CT": null,
"Additional Information": null,
"Additional Testing Recommendation": null,
"Adrenal Glands": null,
"Adrenal Glands Ultrasound": null,
"Alpha-Fetoprotein (AFP)": null,
"Amine Test": "Negative",
"Anti-SM Antibody": null,
"Anti-double-stranded DNA Antibody": null,
"Ascites": null,
"Autoantibody Test": null,
"Bacterial Culture": "Streptococcus viridans",
"Basal Body Temperature": null,
"Basal Cells": "A large number observed",
"Baseline Endocrine Test": null,
"Baseline Endocrine Test Results": null,
"Bilateral Fallopian Tubes": null,
"Bladder Cavity Ultrasound": null,
"Bladder Condition": null,
"Bladder Cystoscopy": null,
"Bladder Drainage Urine Analysis": null,
"Bladder Neck Elevation Test": null,
"Bladder Ultrasound": null,
"Bladder Urine AG": null,
"Bladder Urine CREA": null,
"Bladder Urine Ca2+": null,
"Bladder Urine Cl": null,
"Bladder Urine CysC": null,
"Bladder Urine GFR": null,
"Bladder Urine HCO3-": null,
"Bladder Urine K+": null,
"Bladder Urine Mg2+": null,
"Bladder Urine Na+": null,
"Bladder Urine PHO": null,
"Bladder Urine UA": null,
"Bladder Urine UREA": null,
"Bladder Wall Ultrasound": null,
"Blood Antinuclear Antibody": null,
"Blood Biochemistry Test": null,
"Blood CA125": null,
"Blood CA125 Level": null,
"Blood CEA and AFP": null,
"Blood Endocrine Examination": null,
"Blood Endocrine Panel": null,
"Blood Estradiol": null,
"Blood Estradiol (E2)": null,
"Blood FSH": null,
"Blood Flow Signals": null,
"Blood Glucose Test": null,
"Blood Hormone Levels": null,
"Blood Hormone Panel": null,
"Blood Karyotype Analysis": null,
"Blood LH": null,
"Blood Lipid Test": null,
"Blood Liver and Kidney Function Test": null,
"Blood PRL": null,
"Blood Pressure": null,
"Blood Progesterone Level": null,
"Blood RPR": null,
"Blood Routine": null,
"Blood Routine Test": null,
"Blood Routine and Urine Routine": null,
"Blood Routine, CRP, ESR Profile": null,
"Blood Routine, Urine Routine, Electrocardiogram, Liver and Kidney Function Tests": null,
"Blood SCC": null,
"Blood Test": null,
"Blood Test Results": null,
"Blood Tumor Markers": null,
"Blood Tumor Markers Profile": null,
"Blood Type - Female": null,
"Blood Type - Male": null,
"Blood hCG": null,
"Blood hCG Level": null,
"Blood β-hCG": null,
"Blood β-hCG Level": null,
"Bone Age": null,
"Bone Density Test": null,
"Bone ECT": null,
"Brain MRI": null,
"C-Reactive Protein (CRP)": null,
"C-reactive Protein": null,
"CA125": null,
"CA125 Level": null,
"CA19-9": null,
"CEA": null,
"CP2": null,
"CREA": null,
"CRP": null,
"CT Imaging": null,
"Candida Albicans": null,
"Candida Hyphae": null,
"Candida Pseudohyphae": null,
"Candida Spores": null,
"Candida Spores/Hyphae": null,
"Carcinoembryonic Antigen (CEA)": null,
"Cardiac Function": null,
"Cardiac and Pulmonary Function Examination": null,
"Cardiac and Renal Ultrasound": null,
"Cervical CT and MRI": null,
"Cervical Canal Curettage": null,
"Cervical Cancer Screening Smear": null,
"Cervical Cytology Examination": "No abnormal epithelial cells.",
"Cervical Cytology Smear": null,
"Cervical Cytology Test": null,
"Cervical MRI": null,
"Cervical Secretion Culture": null,
"Cervical Secretion HPV-DNA Test": null,
"Cervical Secretion High-Risk HPV-DNA Test": null,
"Cervical Ultrasound": null,
"Cervix-to-Uterine Body Ratio": null,
"Chest CT": null,
"Chest CT Scan": null,
"Chest X-ray": null,
"Chest X-ray 1": null,
"Chest X-ray 2": null,
"Chest X-ray Imaging": null,
"Chest X-ray and Abdominal B-ultrasound": null,
"Chest X-ray and ECG": null,
"Chest X-ray and Lung CT": null,
"Chlamydia Culture": null,
"Chlamydia Test": null,
"Chromosome Analysis": null,
"Chromosome Analysis - Husband": null,
"Chromosome Analysis - Patient": null,
"Chromosome Result": null,
"Cl": null,
"Cleanliness Grade": null,
"Close Relationship with Bladder and Rectum": null,
"Clue Cells": "No found",
"Coagulation Function": null,
"Coagulation Function Test": null,
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": null,
"Complete Blood Count (CBC)": null,
"Complete Blood Count and Coagulation Function Test": null,
"Comprehensive Thyroid Function Test": null,
"Compression": null,
"Cranial CT": null,
"Culture Method": null,
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": null,
"Cytomegalovirus Test": null,
"Delayed Scanning": null,
"Discharge Observation": null,
"E": null,
"ESR": null,
"ESR and CRP": null,
"Echocardiography": null,
"Electrocardiogram": null,
"Electrocardiogram (ECG)": null,
"Electrolyte Test": null,
"Endocrine Profile": null,
"Endometrial Blood Flow PI": null,
"Endometrial Blood Flow RI": null,
"Endometrial Cavity": null,
"Endometrial Echogenicity": null,
"Endometrial MRI": null,
"Endometrial Thickness": null,
"Endometrium": null,
"Enhanced Scanning": null,
"Epithelial Neoplasia": null,
"Erythrocyte Sedimentation Rate": null,
"Erythrocyte Sedimentation Rate (ESR)": null,
"Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Blood Biochemistry, Chest X-ray, and Electrocardiogram (ECG)": null,
"Estradiol": null,
"Estradiol (E2)": null,
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": null,
"Fasting Insulin (FINS)": null,
"Fasting Plasma Glucose (FPG)": null,
"Fiberoptic Colonoscopy": null,
"Fluid-like Density": null,
"Follicle-Stimulating Hormone (FSH)": null,
"Follicles": null,
"Full Abdominal CT": null,
"Fundus Examination": null,
"Fungal Pseudohyphae or Spores": "No observed",
"GLO": null,
"General Examination Profile": null,
"GnRH FSH": null,
"GnRH LH": null,
"GnRH Stimulation Test": null,
"Gram Staining Method": null,
"Gram-negative Diplococci": null,
"Greater Omentum CT": null,
"HDL": null,
"HOMA-IR": null,
"HPV Test": null,
"HPV-DNA": null,
"Hb": null,
"Hemoglobin": null,
"Hemoglobin Level": null,
"Hemoglobin Test": null,
"Hepatic Function": null,
"Herpes Simplex Virus Test": null,
"High-Density Lipoprotein (HDL)": null,
"High-risk HPV Test": null,
"High-risk HPV-DNA Test": null,
"Hysterosalpingography": null,
"Hysterosalpingography (HSG)": null,
"Hysteroscopy": null,
"Hysteroscopy Cervical Canal": null,
"Hysteroscopy Distension Medium": null,
"Hysteroscopy Endometrium": null,
"Hysteroscopy Examination": null,
"Hysteroscopy Pressure": null,
"Hysteroscopy Right Uterine Horn": null,
"Hysteroscopy Uterine Cavity": null,
"IVP": null,
"Imaging Diagnostics": null,
"Infiltration in Anterior Wall of Rectum": null,
"Intestinal Spaces and Paracolic Gutters CT": null,
"Intracranial Lesions": null,
"Intravenous Pyelography": null,
"Intravenous Pyelography (IVP)": null,
"K": null,
"KUB X-ray": null,
"Karyotype": null,
"Kidney Function": null,
"Kidney Function Test": null,
"Kidney Function Tests": null,
"Kidney Ultrasound": null,
"Kidneys Ultrasound": null,
"LDL": null,
"LH": null,
"LH 120 minutes after injection": null,
"LH 15 minutes after injection": null,
"LH 30 minutes after injection": null,
"LH 60 minutes after injection": null,
"LH After Injection 120 Minutes": null,
"LH After Injection 15 Minutes": null,
"LH After Injection 30 Minutes": null,
"LH After Injection 60 Minutes": null,
"LH Before Injection": null,
"LH before injection": null,
"LH/FSH Ratio": null,
"Laboratory Results": null,
"Left Adnexa Ultrasound": null,
"Left Mid-Abdomen Ultrasound": null,
"Left Ovary": null,
"Left Ovary Size": null,
"Left Ovary Volume": null,
"Left Pelvic Wall CT": null,
"Lesion Acetic Acid White Test": null,
"Liquefaction Time": null,
"Liver Function": null,
"Liver Function Test": null,
"Liver Function Tests": null,
"Liver and Gallbladder Ultrasound": null,
"Liver and Kidney Function Test": null,
"Liver and Kidney Function Tests": null,
"Liver and Kidney Function Tests, Coagulation Function": null,
"Liver, Gallbladder, Pancreas, Spleen Ultrasound": null,
"Liver, Kidney Function, and Electrolytes": null,
"Low-Density Lipoprotein (LDL)": null,
"Lung CT": null,
"Lung Function Test": null,
"Lungs CT": null,
"Luteinizing Hormone (LH)": null,
"Lymph Nodes CT": null,
"MRI": null,
"MRI Contrast Imaging": null,
"Maximum Urethral Closure Pressure": null,
"Mixed-Density Shadow": null,
"Morphological Abnormality Rate": null,
"Motility Grade 0": null,
"Motility Grade I": null,
"Motility Grade II": null,
"Motility Grade III": null,
"Mucoblood Reaction": null,
"Mycoplasma Test": null,
"Myometrial Echo": null,
"N": null,
"Na": null,
"Neisseria Gonorrhoeae Culture": null,
"Neutrophil Percentage": null,
"Neutrophil Ratio (N)": null,
"Neutrophils": null,
"No Masses Observed": null,
"Nuclear Bone Scan": null,
"OGTT": null,
"Orthopedic X-ray": null,
"Ovarian Mass Shadows": null,
"Ovarian Tumor Size": null,
"Ovaries": null,
"Ovaries Ultrasound": null,
"P": null,
"PLT": null,
"PPD Test": null,
"PRL": null,
"Pathogen Test for STDs": null,
"Pelvic CT": null,
"Pelvic CT Examination": null,
"Pelvic CT Scan": null,
"Pelvic CT/MRI": null,
"Pelvic Cavity CT": null,
"Pelvic Cavity Ultrasound": null,
"Pelvic Cystic-Solid Mass": null,
"Pelvic Lymph Nodes": null,
"Pelvic Ultrasound": null,
"Pelvic X-ray": null,
"Pelvic X-ray Follow-up": null,
"Pelvic X-ray Plain Film": null,
"Pelvic and Abdominal CT/MRI": null,
"Pelvic and Upper Abdominal CT": null,
"Pituitary MRI": null,
"Pituitary Stimulation Procedure": null,
"Pituitary Stimulation Test": null,
"Pituitary Stimulation Test Procedure": null,
"Pituitary Stimulation Test Results": null,
"Platelet Count": null,
"Preoperative Peripheral Blood Tests": null,
"Progesterone": null,
"Progesterone (P)": null,
"Progesterone Level": null,
"Prolactin": null,
"Prolactin (PRL)": null,
"Pulmonary CT": null,
"Pulmonary Diffusion Function": null,
"Pulmonary Diffusion Function Test": null,
"Pulmonary Function": null,
"Pulmonary Function Test": null,
"Pulmonary Ventilation Function": null,
"Pulmonary Ventilation Function Test": null,
"Q-tip Test": null,
"RBC": null,
"Rectouterine Pouch CT": null,
"Red Blood Cell Count": null,
"Renal Function": null,
"Renal Function Test": null,
"Reproductive Endocrine Hormone Test": null,
"Reproductive Endocrine Test": null,
"Residual Urine Volume": null,
"Right Adnexa Ultrasound": null,
"Right Adnexal Region CT": null,
"Right Ovary": null,
"Right Ovary Size": null,
"Right Ovary Ultrasound": null,
"Right Ovary Volume": null,
"Routine Blood Biochemistry": null,
"Routine Blood Test": null,
"Routine Blood and Urine Tests": null,
"Routine Laboratory Tests, Chest X-ray, and Electrocardiogram": null,
"Routine Stool Test": null,
"Routine Urinalysis": null,
"Routine Urine Test": null,
"Routine Urine and Stool Test": null,
"Routine Vaginal Discharge Test": null,
"Rubella Virus Test": null,
"Semen Analysis": null,
"Semen Volume": null,
"Serum CA125": null,
"Serum Squamous Cell Carcinoma Antigen": null,
"Serum Tumor Markers": null,
"Serum Tumor Markers Profile": null,
"Serum hCG Level": null,
"Serum hCG Test": null,
"Serum β-hCG": null,
"Solid Mass in Left Adnexal Region": null,
"Sperm Density": null,
"Stool Routine Test": null,
"T": null,
"T Levels": null,
"TBL": null,
"TC": null,
"TG": null,
"TP": null,
"TPHA": null,
"TSH, T3, and T4": null,
"Testicular Biopsy Pathology": null,
"Testosterone": null,
"Testosterone (T)": null,
"Thyroid Function Test": null,
"Total Cholesterol (TC)": null,
"Toxoplasma Test": null,
"Transvaginal Color Doppler Ultrasound": null,
"Transvaginal Ultrasound": null,
"Trichomonads": "No detected",
"Trichomonas": null,
"Triglycerides (TG)": null,
"Tumor Markers": null,
"Tumor Markers Panel": null,
"Tumor Shape": null,
"UA": null,
"UREA": null,
"Ultrasound": null,
"Ultrasound Examination": null,
"Ultrasound Findings": null,
"Ultrasound and Intravenous Pyelography": null,
"Ureters Ultrasound": null,
"Urinalysis": null,
"Urine Flow Rate": null,
"Urine Pregnancy Test": null,
"Urine Routine": null,
"Urine Routine Test": null,
"Urine Test": null,
"Urine hCG": null,
"Uterine B-ultrasound": null,
"Uterine Body Size": null,
"Uterine Cavity": null,
"Uterine Cavity B-ultrasound": null,
"Uterine Hysteroscopy": null,
"Uterine MRI": null,
"Uterine Ultrasound": null,
"Uterine Volume": null,
"Uterine and Fallopian Tube HSG": null,
"Uterus": null,
"Uterus Boundaries": null,
"Uterus CT": null,
"Uterus Dimensions": null,
"Uterus Size": null,
"Uterus Ultrasound": null,
"Uterus and Bilateral Adnexa Ultrasound": null,
"Vaginal Color Doppler Ultrasound": null,
"Vaginal Fluid AG": null,
"Vaginal Fluid Analysis": null,
"Vaginal Fluid CREA": null,
"Vaginal Fluid Ca2+": null,
"Vaginal Fluid Cl": null,
"Vaginal Fluid CysC": null,
"Vaginal Fluid GFR": null,
"Vaginal Fluid HCO3-": null,
"Vaginal Fluid K+": null,
"Vaginal Fluid Mg2+": null,
"Vaginal Fluid Na+": null,
"Vaginal Fluid PHO": null,
"Vaginal Fluid UA": null,
"Vaginal Fluid UREA": null,
"Vaginal Inflammation": null,
"Vaginal Microscopic Exam": "A large number of basal cells and white blood cells observed, no trichomonads detected, no fungal pseudohyphae or spores observed, no clue cells found.",
"Vaginal Physical/Chemical Profile": "Vaginal discharge pH 6.5, amine test negative.",
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": null,
"Vaginal pH": "6.5",
"WBC": null,
"White Blood Cell (WBC)": null,
"White Blood Cell Count": null,
"White Blood Cells": "A large number observed",
"White Blood Cells (Microscopic)": null,
"White Blood Cells and Platelets": null,
"White Blood Cells in Cervical Secretions": null,
"Wrist X-ray": null,
"hCG": null
}
|
**Basic information**: Female, 60 years old,system ID is W-5
|
**Basic information**: Female, 60 years old,system ID is W-5.
**Chief complaint**: Due to menopause for 10 years, increased vaginal discharge accompanied by vulvar itching for 1 week..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Healthy body, no history of infectious diseases such as hepatitis or tuberculosis. Menopause for 10 years, no irregular vaginal bleeding. Recently, for about 1 week, increased vaginal discharge was noticed, yellow in color, without obvious odor, and the discharge was not mixed with blood streaks. No abdominal pain, no fever. Pain during sexual intercourse for the past 2 years, but no contact bleeding. Had a urinary tract infection 1 year ago, which improved after self-administering antibiotics. Spouse is in good health..
|
[
"Senile Vaginitis"
] |
**Physical examination**: No abnormalities were found during the general physical examination, and there was no tenderness in the lower abdomen.
Gynecological examination: Postmenopausal multiparous vulva. Vaginal mucosa atrophy, disappearance of folds, vaginal wall congestion, scattered small bleeding points visible. Vaginal discharge is scant, pale yellow, and odorless. Cervix is atrophic, smooth, without congestion, and no purulent discharge is observed from the cervical os. Uterus is atrophic, anteverted, medium texture, mobile, and non-tender. No abnormalities were found in the bilateral adnexal regions..
|
W-6
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": null,
"Abdominal Cavity Ultrasound": null,
"Abdominal Paracentesis": null,
"Abdominal Ultrasound": null,
"Abdominal X-ray": null,
"Above Uterus CT": null,
"Additional Information": null,
"Additional Testing Recommendation": null,
"Adrenal Glands": null,
"Adrenal Glands Ultrasound": null,
"Alpha-Fetoprotein (AFP)": null,
"Amine Test": null,
"Anti-SM Antibody": null,
"Anti-double-stranded DNA Antibody": null,
"Ascites": null,
"Autoantibody Test": null,
"Bacterial Culture": null,
"Basal Body Temperature": null,
"Basal Cells": null,
"Baseline Endocrine Test": null,
"Baseline Endocrine Test Results": null,
"Bilateral Fallopian Tubes": null,
"Bladder Cavity Ultrasound": null,
"Bladder Condition": null,
"Bladder Cystoscopy": null,
"Bladder Drainage Urine Analysis": null,
"Bladder Neck Elevation Test": null,
"Bladder Ultrasound": null,
"Bladder Urine AG": null,
"Bladder Urine CREA": null,
"Bladder Urine Ca2+": null,
"Bladder Urine Cl": null,
"Bladder Urine CysC": null,
"Bladder Urine GFR": null,
"Bladder Urine HCO3-": null,
"Bladder Urine K+": null,
"Bladder Urine Mg2+": null,
"Bladder Urine Na+": null,
"Bladder Urine PHO": null,
"Bladder Urine UA": null,
"Bladder Urine UREA": null,
"Bladder Wall Ultrasound": null,
"Blood Antinuclear Antibody": null,
"Blood Biochemistry Test": null,
"Blood CA125": null,
"Blood CA125 Level": null,
"Blood CEA and AFP": null,
"Blood Endocrine Examination": null,
"Blood Endocrine Panel": null,
"Blood Estradiol": null,
"Blood Estradiol (E2)": null,
"Blood FSH": null,
"Blood Flow Signals": null,
"Blood Glucose Test": null,
"Blood Hormone Levels": null,
"Blood Hormone Panel": null,
"Blood Karyotype Analysis": null,
"Blood LH": null,
"Blood Lipid Test": null,
"Blood Liver and Kidney Function Test": null,
"Blood PRL": null,
"Blood Pressure": null,
"Blood Progesterone Level": null,
"Blood RPR": null,
"Blood Routine": null,
"Blood Routine Test": null,
"Blood Routine and Urine Routine": null,
"Blood Routine, CRP, ESR Profile": null,
"Blood Routine, Urine Routine, Electrocardiogram, Liver and Kidney Function Tests": null,
"Blood SCC": null,
"Blood Test": null,
"Blood Test Results": null,
"Blood Tumor Markers": null,
"Blood Tumor Markers Profile": null,
"Blood Type - Female": null,
"Blood Type - Male": null,
"Blood hCG": null,
"Blood hCG Level": null,
"Blood β-hCG": null,
"Blood β-hCG Level": null,
"Bone Age": null,
"Bone Density Test": null,
"Bone ECT": null,
"Brain MRI": null,
"C-Reactive Protein (CRP)": null,
"C-reactive Protein": null,
"CA125": null,
"CA125 Level": null,
"CA19-9": null,
"CEA": null,
"CP2": null,
"CREA": null,
"CRP": null,
"CT Imaging": null,
"Candida Albicans": null,
"Candida Hyphae": null,
"Candida Pseudohyphae": null,
"Candida Spores": null,
"Candida Spores/Hyphae": null,
"Carcinoembryonic Antigen (CEA)": null,
"Cardiac Function": null,
"Cardiac and Pulmonary Function Examination": null,
"Cardiac and Renal Ultrasound": null,
"Cervical CT and MRI": null,
"Cervical Canal Curettage": null,
"Cervical Cancer Screening Smear": null,
"Cervical Cytology Examination": null,
"Cervical Cytology Smear": null,
"Cervical Cytology Test": null,
"Cervical MRI": null,
"Cervical Secretion Culture": null,
"Cervical Secretion HPV-DNA Test": null,
"Cervical Secretion High-Risk HPV-DNA Test": null,
"Cervical Ultrasound": null,
"Cervix-to-Uterine Body Ratio": null,
"Chest CT": null,
"Chest CT Scan": null,
"Chest X-ray": null,
"Chest X-ray 1": null,
"Chest X-ray 2": null,
"Chest X-ray Imaging": null,
"Chest X-ray and Abdominal B-ultrasound": null,
"Chest X-ray and ECG": null,
"Chest X-ray and Lung CT": null,
"Chlamydia Culture": "Negative",
"Chlamydia Test": null,
"Chromosome Analysis": null,
"Chromosome Analysis - Husband": null,
"Chromosome Analysis - Patient": null,
"Chromosome Result": null,
"Cl": null,
"Cleanliness Grade": null,
"Close Relationship with Bladder and Rectum": null,
"Clue Cells": null,
"Coagulation Function": null,
"Coagulation Function Test": null,
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": null,
"Complete Blood Count (CBC)": null,
"Complete Blood Count and Coagulation Function Test": null,
"Comprehensive Thyroid Function Test": null,
"Compression": null,
"Cranial CT": null,
"Culture Method": null,
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": null,
"Cytomegalovirus Test": null,
"Delayed Scanning": null,
"Discharge Observation": "Mucopurulent discharge is observed flowing from the cervical canal",
"E": null,
"ESR": null,
"ESR and CRP": null,
"Echocardiography": null,
"Electrocardiogram": null,
"Electrocardiogram (ECG)": null,
"Electrolyte Test": null,
"Endocrine Profile": null,
"Endometrial Blood Flow PI": null,
"Endometrial Blood Flow RI": null,
"Endometrial Cavity": null,
"Endometrial Echogenicity": null,
"Endometrial MRI": null,
"Endometrial Thickness": null,
"Endometrium": null,
"Enhanced Scanning": null,
"Epithelial Neoplasia": null,
"Erythrocyte Sedimentation Rate": null,
"Erythrocyte Sedimentation Rate (ESR)": null,
"Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Blood Biochemistry, Chest X-ray, and Electrocardiogram (ECG)": null,
"Estradiol": null,
"Estradiol (E2)": null,
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": null,
"Fasting Insulin (FINS)": null,
"Fasting Plasma Glucose (FPG)": null,
"Fiberoptic Colonoscopy": null,
"Fluid-like Density": null,
"Follicle-Stimulating Hormone (FSH)": null,
"Follicles": null,
"Full Abdominal CT": null,
"Fundus Examination": null,
"Fungal Pseudohyphae or Spores": null,
"GLO": null,
"General Examination Profile": null,
"GnRH FSH": null,
"GnRH LH": null,
"GnRH Stimulation Test": null,
"Gram Staining Method": null,
"Gram-negative Diplococci": "Observed within neutrophils",
"Greater Omentum CT": null,
"HDL": null,
"HOMA-IR": null,
"HPV Test": null,
"HPV-DNA": null,
"Hb": null,
"Hemoglobin": null,
"Hemoglobin Level": null,
"Hemoglobin Test": null,
"Hepatic Function": null,
"Herpes Simplex Virus Test": null,
"High-Density Lipoprotein (HDL)": null,
"High-risk HPV Test": null,
"High-risk HPV-DNA Test": null,
"Hysterosalpingography": null,
"Hysterosalpingography (HSG)": null,
"Hysteroscopy": null,
"Hysteroscopy Cervical Canal": null,
"Hysteroscopy Distension Medium": null,
"Hysteroscopy Endometrium": null,
"Hysteroscopy Examination": null,
"Hysteroscopy Pressure": null,
"Hysteroscopy Right Uterine Horn": null,
"Hysteroscopy Uterine Cavity": null,
"IVP": null,
"Imaging Diagnostics": null,
"Infiltration in Anterior Wall of Rectum": null,
"Intestinal Spaces and Paracolic Gutters CT": null,
"Intracranial Lesions": null,
"Intravenous Pyelography": null,
"Intravenous Pyelography (IVP)": null,
"K": null,
"KUB X-ray": null,
"Karyotype": null,
"Kidney Function": null,
"Kidney Function Test": null,
"Kidney Function Tests": null,
"Kidney Ultrasound": null,
"Kidneys Ultrasound": null,
"LDL": null,
"LH": null,
"LH 120 minutes after injection": null,
"LH 15 minutes after injection": null,
"LH 30 minutes after injection": null,
"LH 60 minutes after injection": null,
"LH After Injection 120 Minutes": null,
"LH After Injection 15 Minutes": null,
"LH After Injection 30 Minutes": null,
"LH After Injection 60 Minutes": null,
"LH Before Injection": null,
"LH before injection": null,
"LH/FSH Ratio": null,
"Laboratory Results": null,
"Left Adnexa Ultrasound": null,
"Left Mid-Abdomen Ultrasound": null,
"Left Ovary": null,
"Left Ovary Size": null,
"Left Ovary Volume": null,
"Left Pelvic Wall CT": null,
"Lesion Acetic Acid White Test": null,
"Liquefaction Time": null,
"Liver Function": null,
"Liver Function Test": null,
"Liver Function Tests": null,
"Liver and Gallbladder Ultrasound": null,
"Liver and Kidney Function Test": null,
"Liver and Kidney Function Tests": null,
"Liver and Kidney Function Tests, Coagulation Function": null,
"Liver, Gallbladder, Pancreas, Spleen Ultrasound": null,
"Liver, Kidney Function, and Electrolytes": null,
"Low-Density Lipoprotein (LDL)": null,
"Lung CT": null,
"Lung Function Test": null,
"Lungs CT": null,
"Luteinizing Hormone (LH)": null,
"Lymph Nodes CT": null,
"MRI": null,
"MRI Contrast Imaging": null,
"Maximum Urethral Closure Pressure": null,
"Mixed-Density Shadow": null,
"Morphological Abnormality Rate": null,
"Motility Grade 0": null,
"Motility Grade I": null,
"Motility Grade II": null,
"Motility Grade III": null,
"Mucoblood Reaction": "Positive with a cotton swab",
"Mycoplasma Test": null,
"Myometrial Echo": null,
"N": null,
"Na": null,
"Neisseria Gonorrhoeae Culture": "Confirmed presence",
"Neutrophil Percentage": null,
"Neutrophil Ratio (N)": null,
"Neutrophils": null,
"No Masses Observed": null,
"Nuclear Bone Scan": null,
"OGTT": null,
"Orthopedic X-ray": null,
"Ovarian Mass Shadows": null,
"Ovarian Tumor Size": null,
"Ovaries": null,
"Ovaries Ultrasound": null,
"P": null,
"PLT": null,
"PPD Test": null,
"PRL": null,
"Pathogen Test for STDs": null,
"Pelvic CT": null,
"Pelvic CT Examination": null,
"Pelvic CT Scan": null,
"Pelvic CT/MRI": null,
"Pelvic Cavity CT": null,
"Pelvic Cavity Ultrasound": null,
"Pelvic Cystic-Solid Mass": null,
"Pelvic Lymph Nodes": null,
"Pelvic Ultrasound": null,
"Pelvic X-ray": null,
"Pelvic X-ray Follow-up": null,
"Pelvic X-ray Plain Film": null,
"Pelvic and Abdominal CT/MRI": null,
"Pelvic and Upper Abdominal CT": null,
"Pituitary MRI": null,
"Pituitary Stimulation Procedure": null,
"Pituitary Stimulation Test": null,
"Pituitary Stimulation Test Procedure": null,
"Pituitary Stimulation Test Results": null,
"Platelet Count": null,
"Preoperative Peripheral Blood Tests": null,
"Progesterone": null,
"Progesterone (P)": null,
"Progesterone Level": null,
"Prolactin": null,
"Prolactin (PRL)": null,
"Pulmonary CT": null,
"Pulmonary Diffusion Function": null,
"Pulmonary Diffusion Function Test": null,
"Pulmonary Function": null,
"Pulmonary Function Test": null,
"Pulmonary Ventilation Function": null,
"Pulmonary Ventilation Function Test": null,
"Q-tip Test": null,
"RBC": null,
"Rectouterine Pouch CT": null,
"Red Blood Cell Count": null,
"Renal Function": null,
"Renal Function Test": null,
"Reproductive Endocrine Hormone Test": null,
"Reproductive Endocrine Test": null,
"Residual Urine Volume": null,
"Right Adnexa Ultrasound": null,
"Right Adnexal Region CT": null,
"Right Ovary": null,
"Right Ovary Size": null,
"Right Ovary Ultrasound": null,
"Right Ovary Volume": null,
"Routine Blood Biochemistry": null,
"Routine Blood Test": null,
"Routine Blood and Urine Tests": null,
"Routine Laboratory Tests, Chest X-ray, and Electrocardiogram": null,
"Routine Stool Test": null,
"Routine Urinalysis": null,
"Routine Urine Test": null,
"Routine Urine and Stool Test": null,
"Routine Vaginal Discharge Test": null,
"Rubella Virus Test": null,
"Semen Analysis": null,
"Semen Volume": null,
"Serum CA125": null,
"Serum Squamous Cell Carcinoma Antigen": null,
"Serum Tumor Markers": null,
"Serum Tumor Markers Profile": null,
"Serum hCG Level": null,
"Serum hCG Test": null,
"Serum β-hCG": null,
"Solid Mass in Left Adnexal Region": null,
"Sperm Density": null,
"Stool Routine Test": null,
"T": null,
"T Levels": null,
"TBL": null,
"TC": null,
"TG": null,
"TP": null,
"TPHA": null,
"TSH, T3, and T4": null,
"Testicular Biopsy Pathology": null,
"Testosterone": null,
"Testosterone (T)": null,
"Thyroid Function Test": null,
"Total Cholesterol (TC)": null,
"Toxoplasma Test": null,
"Transvaginal Color Doppler Ultrasound": null,
"Transvaginal Ultrasound": null,
"Trichomonads": null,
"Trichomonas": null,
"Triglycerides (TG)": null,
"Tumor Markers": null,
"Tumor Markers Panel": null,
"Tumor Shape": null,
"UA": null,
"UREA": null,
"Ultrasound": null,
"Ultrasound Examination": null,
"Ultrasound Findings": null,
"Ultrasound and Intravenous Pyelography": null,
"Ureters Ultrasound": null,
"Urinalysis": null,
"Urine Flow Rate": null,
"Urine Pregnancy Test": null,
"Urine Routine": null,
"Urine Routine Test": null,
"Urine Test": null,
"Urine hCG": null,
"Uterine B-ultrasound": null,
"Uterine Body Size": null,
"Uterine Cavity": null,
"Uterine Cavity B-ultrasound": null,
"Uterine Hysteroscopy": null,
"Uterine MRI": null,
"Uterine Ultrasound": null,
"Uterine Volume": null,
"Uterine and Fallopian Tube HSG": null,
"Uterus": null,
"Uterus Boundaries": null,
"Uterus CT": null,
"Uterus Dimensions": null,
"Uterus Size": null,
"Uterus Ultrasound": null,
"Uterus and Bilateral Adnexa Ultrasound": null,
"Vaginal Color Doppler Ultrasound": null,
"Vaginal Fluid AG": null,
"Vaginal Fluid Analysis": null,
"Vaginal Fluid CREA": null,
"Vaginal Fluid Ca2+": null,
"Vaginal Fluid Cl": null,
"Vaginal Fluid CysC": null,
"Vaginal Fluid GFR": null,
"Vaginal Fluid HCO3-": null,
"Vaginal Fluid K+": null,
"Vaginal Fluid Mg2+": null,
"Vaginal Fluid Na+": null,
"Vaginal Fluid PHO": null,
"Vaginal Fluid UA": null,
"Vaginal Fluid UREA": null,
"Vaginal Inflammation": null,
"Vaginal Microscopic Exam": "Cervical canal secretions were collected for smear microscopy, and Gram-negative diplococci were observed within neutrophils. Further culture confirmed the presence of Neisseria gonorrhoeae, while Chlamydia culture was negative.",
"Vaginal Physical/Chemical Profile": "Mucopurulent discharge is observed flowing from the cervical canal, and the cervical canal shows a positive mucoblood reaction with a cotton swab.",
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": null,
"Vaginal pH": null,
"WBC": null,
"White Blood Cell (WBC)": null,
"White Blood Cell Count": null,
"White Blood Cells": null,
"White Blood Cells (Microscopic)": null,
"White Blood Cells and Platelets": null,
"White Blood Cells in Cervical Secretions": null,
"Wrist X-ray": null,
"hCG": null
}
|
**Basic information**: Female, 24 years old,system ID is W-6
|
**Basic information**: Female, 24 years old,system ID is W-6.
**Chief complaint**: Increased vaginal discharge for 7 days, purulent in nature, accompanied by postcoital bleeding once..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient had a history of unprotected sexual intercourse 10 days prior to the onset of symptoms. There is no previous history of gynecological tumors. The characteristics of vaginal discharge are mucopurulent, yellow, and malodorous, accompanied by vulvar itching and burning pain. There is no lower abdominal pain or discomfort, nor symptoms of urinary urgency or frequency..
|
[
"Acute Cervicitis"
] |
**Physical examination**: Routine physical examination revealed no abnormalities. Gynecological examination showed vulvar and vaginal congestion and edema, with no masses; urethral orifice was congested and edematous, and purulent discharge was observed upon compression; cervical congestion was significant, with edema, and purulent discharge was seen flowing out from the cervical os; uterus was of normal size, soft in texture, non-tender, and had normal mobility; no masses were palpated in the bilateral adnexal regions, and there was no tenderness..
|
W-7
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": null,
"Abdominal Cavity Ultrasound": null,
"Abdominal Paracentesis": null,
"Abdominal Ultrasound": null,
"Abdominal X-ray": null,
"Above Uterus CT": null,
"Additional Information": null,
"Additional Testing Recommendation": null,
"Adrenal Glands": null,
"Adrenal Glands Ultrasound": null,
"Alpha-Fetoprotein (AFP)": null,
"Amine Test": null,
"Anti-SM Antibody": null,
"Anti-double-stranded DNA Antibody": null,
"Ascites": null,
"Autoantibody Test": null,
"Bacterial Culture": null,
"Basal Body Temperature": null,
"Basal Cells": null,
"Baseline Endocrine Test": null,
"Baseline Endocrine Test Results": null,
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"Bladder Cavity Ultrasound": null,
"Bladder Condition": null,
"Bladder Cystoscopy": null,
"Bladder Drainage Urine Analysis": null,
"Bladder Neck Elevation Test": null,
"Bladder Ultrasound": null,
"Bladder Urine AG": null,
"Bladder Urine CREA": null,
"Bladder Urine Ca2+": null,
"Bladder Urine Cl": null,
"Bladder Urine CysC": null,
"Bladder Urine GFR": null,
"Bladder Urine HCO3-": null,
"Bladder Urine K+": null,
"Bladder Urine Mg2+": null,
"Bladder Urine Na+": null,
"Bladder Urine PHO": null,
"Bladder Urine UA": null,
"Bladder Urine UREA": null,
"Bladder Wall Ultrasound": null,
"Blood Antinuclear Antibody": null,
"Blood Biochemistry Test": null,
"Blood CA125": null,
"Blood CA125 Level": null,
"Blood CEA and AFP": null,
"Blood Endocrine Examination": null,
"Blood Endocrine Panel": null,
"Blood Estradiol": null,
"Blood Estradiol (E2)": null,
"Blood FSH": null,
"Blood Flow Signals": null,
"Blood Glucose Test": null,
"Blood Hormone Levels": null,
"Blood Hormone Panel": null,
"Blood Karyotype Analysis": null,
"Blood LH": null,
"Blood Lipid Test": null,
"Blood Liver and Kidney Function Test": null,
"Blood PRL": null,
"Blood Pressure": null,
"Blood Progesterone Level": null,
"Blood RPR": null,
"Blood Routine": null,
"Blood Routine Test": null,
"Blood Routine and Urine Routine": null,
"Blood Routine, CRP, ESR Profile": null,
"Blood Routine, Urine Routine, Electrocardiogram, Liver and Kidney Function Tests": null,
"Blood SCC": null,
"Blood Test": null,
"Blood Test Results": null,
"Blood Tumor Markers": null,
"Blood Tumor Markers Profile": null,
"Blood Type - Female": null,
"Blood Type - Male": null,
"Blood hCG": null,
"Blood hCG Level": null,
"Blood β-hCG": null,
"Blood β-hCG Level": null,
"Bone Age": null,
"Bone Density Test": null,
"Bone ECT": null,
"Brain MRI": null,
"C-Reactive Protein (CRP)": null,
"C-reactive Protein": null,
"CA125": null,
"CA125 Level": null,
"CA19-9": null,
"CEA": null,
"CP2": null,
"CREA": null,
"CRP": null,
"CT Imaging": null,
"Candida Albicans": null,
"Candida Hyphae": null,
"Candida Pseudohyphae": null,
"Candida Spores": null,
"Candida Spores/Hyphae": null,
"Carcinoembryonic Antigen (CEA)": null,
"Cardiac Function": null,
"Cardiac and Pulmonary Function Examination": null,
"Cardiac and Renal Ultrasound": null,
"Cervical CT and MRI": null,
"Cervical Canal Curettage": null,
"Cervical Cancer Screening Smear": null,
"Cervical Cytology Examination": null,
"Cervical Cytology Smear": null,
"Cervical Cytology Test": null,
"Cervical MRI": null,
"Cervical Secretion Culture": "Staphylococcus aureus",
"Cervical Secretion HPV-DNA Test": null,
"Cervical Secretion High-Risk HPV-DNA Test": null,
"Cervical Ultrasound": null,
"Cervix-to-Uterine Body Ratio": null,
"Chest CT": null,
"Chest CT Scan": null,
"Chest X-ray": null,
"Chest X-ray 1": null,
"Chest X-ray 2": null,
"Chest X-ray Imaging": null,
"Chest X-ray and Abdominal B-ultrasound": null,
"Chest X-ray and ECG": null,
"Chest X-ray and Lung CT": null,
"Chlamydia Culture": null,
"Chlamydia Test": null,
"Chromosome Analysis": null,
"Chromosome Analysis - Husband": null,
"Chromosome Analysis - Patient": null,
"Chromosome Result": null,
"Cl": null,
"Cleanliness Grade": null,
"Close Relationship with Bladder and Rectum": null,
"Clue Cells": null,
"Coagulation Function": null,
"Coagulation Function Test": null,
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": null,
"Complete Blood Count (CBC)": null,
"Complete Blood Count and Coagulation Function Test": null,
"Comprehensive Thyroid Function Test": null,
"Compression": null,
"Cranial CT": null,
"Culture Method": null,
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": null,
"Cytomegalovirus Test": null,
"Delayed Scanning": null,
"Discharge Observation": null,
"E": null,
"ESR": null,
"ESR and CRP": null,
"Echocardiography": null,
"Electrocardiogram": null,
"Electrocardiogram (ECG)": null,
"Electrolyte Test": null,
"Endocrine Profile": null,
"Endometrial Blood Flow PI": null,
"Endometrial Blood Flow RI": null,
"Endometrial Cavity": null,
"Endometrial Echogenicity": null,
"Endometrial MRI": null,
"Endometrial Thickness": null,
"Endometrium": null,
"Enhanced Scanning": null,
"Epithelial Neoplasia": null,
"Erythrocyte Sedimentation Rate": null,
"Erythrocyte Sedimentation Rate (ESR)": null,
"Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Blood Biochemistry, Chest X-ray, and Electrocardiogram (ECG)": null,
"Estradiol": null,
"Estradiol (E2)": null,
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": null,
"Fasting Insulin (FINS)": null,
"Fasting Plasma Glucose (FPG)": null,
"Fiberoptic Colonoscopy": null,
"Fluid-like Density": null,
"Follicle-Stimulating Hormone (FSH)": null,
"Follicles": null,
"Full Abdominal CT": null,
"Fundus Examination": null,
"Fungal Pseudohyphae or Spores": null,
"GLO": null,
"General Examination Profile": null,
"GnRH FSH": null,
"GnRH LH": null,
"GnRH Stimulation Test": null,
"Gram Staining Method": null,
"Gram-negative Diplococci": null,
"Greater Omentum CT": null,
"HDL": null,
"HOMA-IR": null,
"HPV Test": null,
"HPV-DNA": null,
"Hb": null,
"Hemoglobin": null,
"Hemoglobin Level": null,
"Hemoglobin Test": null,
"Hepatic Function": null,
"Herpes Simplex Virus Test": null,
"High-Density Lipoprotein (HDL)": null,
"High-risk HPV Test": null,
"High-risk HPV-DNA Test": null,
"Hysterosalpingography": null,
"Hysterosalpingography (HSG)": null,
"Hysteroscopy": null,
"Hysteroscopy Cervical Canal": null,
"Hysteroscopy Distension Medium": null,
"Hysteroscopy Endometrium": null,
"Hysteroscopy Examination": null,
"Hysteroscopy Pressure": null,
"Hysteroscopy Right Uterine Horn": null,
"Hysteroscopy Uterine Cavity": null,
"IVP": null,
"Imaging Diagnostics": null,
"Infiltration in Anterior Wall of Rectum": null,
"Intestinal Spaces and Paracolic Gutters CT": null,
"Intracranial Lesions": null,
"Intravenous Pyelography": null,
"Intravenous Pyelography (IVP)": null,
"K": null,
"KUB X-ray": null,
"Karyotype": null,
"Kidney Function": null,
"Kidney Function Test": null,
"Kidney Function Tests": null,
"Kidney Ultrasound": null,
"Kidneys Ultrasound": null,
"LDL": null,
"LH": null,
"LH 120 minutes after injection": null,
"LH 15 minutes after injection": null,
"LH 30 minutes after injection": null,
"LH 60 minutes after injection": null,
"LH After Injection 120 Minutes": null,
"LH After Injection 15 Minutes": null,
"LH After Injection 30 Minutes": null,
"LH After Injection 60 Minutes": null,
"LH Before Injection": null,
"LH before injection": null,
"LH/FSH Ratio": null,
"Laboratory Results": null,
"Left Adnexa Ultrasound": null,
"Left Mid-Abdomen Ultrasound": null,
"Left Ovary": null,
"Left Ovary Size": null,
"Left Ovary Volume": null,
"Left Pelvic Wall CT": null,
"Lesion Acetic Acid White Test": null,
"Liquefaction Time": null,
"Liver Function": null,
"Liver Function Test": null,
"Liver Function Tests": null,
"Liver and Gallbladder Ultrasound": null,
"Liver and Kidney Function Test": null,
"Liver and Kidney Function Tests": null,
"Liver and Kidney Function Tests, Coagulation Function": null,
"Liver, Gallbladder, Pancreas, Spleen Ultrasound": null,
"Liver, Kidney Function, and Electrolytes": null,
"Low-Density Lipoprotein (LDL)": null,
"Lung CT": null,
"Lung Function Test": null,
"Lungs CT": null,
"Luteinizing Hormone (LH)": null,
"Lymph Nodes CT": null,
"MRI": null,
"MRI Contrast Imaging": null,
"Maximum Urethral Closure Pressure": null,
"Mixed-Density Shadow": null,
"Morphological Abnormality Rate": null,
"Motility Grade 0": null,
"Motility Grade I": null,
"Motility Grade II": null,
"Motility Grade III": null,
"Mucoblood Reaction": null,
"Mycoplasma Test": null,
"Myometrial Echo": null,
"N": null,
"Na": null,
"Neisseria Gonorrhoeae Culture": null,
"Neutrophil Percentage": null,
"Neutrophil Ratio (N)": null,
"Neutrophils": "79%",
"No Masses Observed": null,
"Nuclear Bone Scan": null,
"OGTT": null,
"Orthopedic X-ray": null,
"Ovarian Mass Shadows": null,
"Ovarian Tumor Size": null,
"Ovaries": null,
"Ovaries Ultrasound": null,
"P": null,
"PLT": null,
"PPD Test": null,
"PRL": null,
"Pathogen Test for STDs": null,
"Pelvic CT": null,
"Pelvic CT Examination": null,
"Pelvic CT Scan": null,
"Pelvic CT/MRI": null,
"Pelvic Cavity CT": null,
"Pelvic Cavity Ultrasound": null,
"Pelvic Cystic-Solid Mass": null,
"Pelvic Lymph Nodes": null,
"Pelvic Ultrasound": "B-mode ultrasound report: No abnormal echogenic mass observed in the uterine cavity, bilateral fallopian tubes thickened, posterior fornix fluid accumulation of 30 mm.",
"Pelvic X-ray": null,
"Pelvic X-ray Follow-up": null,
"Pelvic X-ray Plain Film": null,
"Pelvic and Abdominal CT/MRI": null,
"Pelvic and Upper Abdominal CT": null,
"Pituitary MRI": null,
"Pituitary Stimulation Procedure": null,
"Pituitary Stimulation Test": null,
"Pituitary Stimulation Test Procedure": null,
"Pituitary Stimulation Test Results": null,
"Platelet Count": null,
"Preoperative Peripheral Blood Tests": null,
"Progesterone": null,
"Progesterone (P)": null,
"Progesterone Level": null,
"Prolactin": null,
"Prolactin (PRL)": null,
"Pulmonary CT": null,
"Pulmonary Diffusion Function": null,
"Pulmonary Diffusion Function Test": null,
"Pulmonary Function": null,
"Pulmonary Function Test": null,
"Pulmonary Ventilation Function": null,
"Pulmonary Ventilation Function Test": null,
"Q-tip Test": null,
"RBC": null,
"Rectouterine Pouch CT": null,
"Red Blood Cell Count": null,
"Renal Function": null,
"Renal Function Test": null,
"Reproductive Endocrine Hormone Test": null,
"Reproductive Endocrine Test": null,
"Residual Urine Volume": null,
"Right Adnexa Ultrasound": null,
"Right Adnexal Region CT": null,
"Right Ovary": null,
"Right Ovary Size": null,
"Right Ovary Ultrasound": null,
"Right Ovary Volume": null,
"Routine Blood Biochemistry": null,
"Routine Blood Test": "Routine blood test WBC: 13.0 × 10⁹/L, neutrophils: 79%.",
"Routine Blood and Urine Tests": null,
"Routine Laboratory Tests, Chest X-ray, and Electrocardiogram": null,
"Routine Stool Test": null,
"Routine Urinalysis": null,
"Routine Urine Test": null,
"Routine Urine and Stool Test": null,
"Routine Vaginal Discharge Test": null,
"Rubella Virus Test": null,
"Semen Analysis": null,
"Semen Volume": null,
"Serum CA125": null,
"Serum Squamous Cell Carcinoma Antigen": null,
"Serum Tumor Markers": null,
"Serum Tumor Markers Profile": null,
"Serum hCG Level": null,
"Serum hCG Test": null,
"Serum β-hCG": null,
"Solid Mass in Left Adnexal Region": null,
"Sperm Density": null,
"Stool Routine Test": null,
"T": null,
"T Levels": null,
"TBL": null,
"TC": null,
"TG": null,
"TP": null,
"TPHA": null,
"TSH, T3, and T4": null,
"Testicular Biopsy Pathology": null,
"Testosterone": null,
"Testosterone (T)": null,
"Thyroid Function Test": null,
"Total Cholesterol (TC)": null,
"Toxoplasma Test": null,
"Transvaginal Color Doppler Ultrasound": null,
"Transvaginal Ultrasound": null,
"Trichomonads": null,
"Trichomonas": null,
"Triglycerides (TG)": null,
"Tumor Markers": null,
"Tumor Markers Panel": null,
"Tumor Shape": null,
"UA": null,
"UREA": null,
"Ultrasound": null,
"Ultrasound Examination": null,
"Ultrasound Findings": null,
"Ultrasound and Intravenous Pyelography": null,
"Ureters Ultrasound": null,
"Urinalysis": null,
"Urine Flow Rate": null,
"Urine Pregnancy Test": null,
"Urine Routine": null,
"Urine Routine Test": null,
"Urine Test": null,
"Urine hCG": null,
"Uterine B-ultrasound": null,
"Uterine Body Size": null,
"Uterine Cavity": null,
"Uterine Cavity B-ultrasound": null,
"Uterine Hysteroscopy": null,
"Uterine MRI": null,
"Uterine Ultrasound": null,
"Uterine Volume": null,
"Uterine and Fallopian Tube HSG": null,
"Uterus": null,
"Uterus Boundaries": null,
"Uterus CT": null,
"Uterus Dimensions": null,
"Uterus Size": null,
"Uterus Ultrasound": null,
"Uterus and Bilateral Adnexa Ultrasound": null,
"Vaginal Color Doppler Ultrasound": null,
"Vaginal Fluid AG": null,
"Vaginal Fluid Analysis": null,
"Vaginal Fluid CREA": null,
"Vaginal Fluid Ca2+": null,
"Vaginal Fluid Cl": null,
"Vaginal Fluid CysC": null,
"Vaginal Fluid GFR": null,
"Vaginal Fluid HCO3-": null,
"Vaginal Fluid K+": null,
"Vaginal Fluid Mg2+": null,
"Vaginal Fluid Na+": null,
"Vaginal Fluid PHO": null,
"Vaginal Fluid UA": null,
"Vaginal Fluid UREA": null,
"Vaginal Inflammation": null,
"Vaginal Microscopic Exam": "Vaginal secretion saline smear shows a large number of white blood cells.",
"Vaginal Physical/Chemical Profile": null,
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": null,
"Vaginal pH": null,
"WBC": "13.0 × 10⁹/L",
"White Blood Cell (WBC)": null,
"White Blood Cell Count": null,
"White Blood Cells": null,
"White Blood Cells (Microscopic)": "Large number",
"White Blood Cells and Platelets": null,
"White Blood Cells in Cervical Secretions": null,
"Wrist X-ray": null,
"hCG": null
}
|
**Basic information**: Female, 23 years old,system ID is W-7
|
**Basic information**: Female, 23 years old,system ID is W-7.
**Chief complaint**: 15 days after induced abortion, lower abdominal pain for 7 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: 15 days ago, due to 50 days of amenorrhea, the patient was clinically diagnosed with early intrauterine pregnancy and underwent an induced abortion. The intraoperative course was uneventful. Postoperatively, there was minimal vaginal bleeding, which has persisted to date. On the 7th day after the procedure, the patient developed dull lower abdominal pain, a small amount of bloody vaginal discharge, accompanied by lower back soreness, fever, and poor appetite. There was no nausea, vomiting, or abnormalities in urination and defecation..
|
[
"Pelvic Inflammatory Disease"
] |
**Physical examination**: General physical examination: Temperature 38.5 ℃, pulse 90 beats/min, respiration 22 breaths/min, blood pressure 120/70 mmHg. The lower abdomen is soft with tenderness (+), rebound tenderness (-), and normal bowel sounds. Gynecological examination shows a small amount of purulent and slightly bloody discharge from the vulva and vagina, with a slightly full posterior fornix and no obvious tenderness. The cervix is congested, the cervical os is closed, with no tissue obstruction, and purulent discharge is visible, with cervical motion tenderness (+). The uterus is slightly enlarged, with significant tenderness, soft texture, and moderate mobility. No masses are palpable in the adnexal regions on both sides, tenderness (+)..
|
W-8
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": null,
"Abdominal Cavity Ultrasound": null,
"Abdominal Paracentesis": null,
"Abdominal Ultrasound": null,
"Abdominal X-ray": null,
"Above Uterus CT": null,
"Additional Information": null,
"Additional Testing Recommendation": null,
"Adrenal Glands": null,
"Adrenal Glands Ultrasound": null,
"Alpha-Fetoprotein (AFP)": null,
"Amine Test": "Positive (+)",
"Anti-SM Antibody": null,
"Anti-double-stranded DNA Antibody": null,
"Ascites": null,
"Autoantibody Test": null,
"Bacterial Culture": null,
"Basal Body Temperature": null,
"Basal Cells": null,
"Baseline Endocrine Test": null,
"Baseline Endocrine Test Results": null,
"Bilateral Fallopian Tubes": null,
"Bladder Cavity Ultrasound": null,
"Bladder Condition": null,
"Bladder Cystoscopy": null,
"Bladder Drainage Urine Analysis": null,
"Bladder Neck Elevation Test": null,
"Bladder Ultrasound": null,
"Bladder Urine AG": null,
"Bladder Urine CREA": null,
"Bladder Urine Ca2+": null,
"Bladder Urine Cl": null,
"Bladder Urine CysC": null,
"Bladder Urine GFR": null,
"Bladder Urine HCO3-": null,
"Bladder Urine K+": null,
"Bladder Urine Mg2+": null,
"Bladder Urine Na+": null,
"Bladder Urine PHO": null,
"Bladder Urine UA": null,
"Bladder Urine UREA": null,
"Bladder Wall Ultrasound": null,
"Blood Antinuclear Antibody": null,
"Blood Biochemistry Test": null,
"Blood CA125": null,
"Blood CA125 Level": null,
"Blood CEA and AFP": null,
"Blood Endocrine Examination": null,
"Blood Endocrine Panel": null,
"Blood Estradiol": null,
"Blood Estradiol (E2)": null,
"Blood FSH": null,
"Blood Flow Signals": null,
"Blood Glucose Test": null,
"Blood Hormone Levels": null,
"Blood Hormone Panel": null,
"Blood Karyotype Analysis": null,
"Blood LH": null,
"Blood Lipid Test": null,
"Blood Liver and Kidney Function Test": null,
"Blood PRL": null,
"Blood Pressure": null,
"Blood Progesterone Level": null,
"Blood RPR": null,
"Blood Routine": null,
"Blood Routine Test": null,
"Blood Routine and Urine Routine": null,
"Blood Routine, CRP, ESR Profile": null,
"Blood Routine, Urine Routine, Electrocardiogram, Liver and Kidney Function Tests": null,
"Blood SCC": null,
"Blood Test": null,
"Blood Test Results": null,
"Blood Tumor Markers": null,
"Blood Tumor Markers Profile": null,
"Blood Type - Female": null,
"Blood Type - Male": null,
"Blood hCG": null,
"Blood hCG Level": null,
"Blood β-hCG": null,
"Blood β-hCG Level": null,
"Bone Age": null,
"Bone Density Test": null,
"Bone ECT": null,
"Brain MRI": null,
"C-Reactive Protein (CRP)": null,
"C-reactive Protein": null,
"CA125": null,
"CA125 Level": null,
"CA19-9": null,
"CEA": null,
"CP2": null,
"CREA": null,
"CRP": null,
"CT Imaging": null,
"Candida Albicans": null,
"Candida Hyphae": null,
"Candida Pseudohyphae": null,
"Candida Spores": null,
"Candida Spores/Hyphae": null,
"Carcinoembryonic Antigen (CEA)": null,
"Cardiac Function": null,
"Cardiac and Pulmonary Function Examination": null,
"Cardiac and Renal Ultrasound": null,
"Cervical CT and MRI": null,
"Cervical Canal Curettage": null,
"Cervical Cancer Screening Smear": null,
"Cervical Cytology Examination": null,
"Cervical Cytology Smear": null,
"Cervical Cytology Test": null,
"Cervical MRI": null,
"Cervical Secretion Culture": null,
"Cervical Secretion HPV-DNA Test": null,
"Cervical Secretion High-Risk HPV-DNA Test": null,
"Cervical Ultrasound": null,
"Cervix-to-Uterine Body Ratio": null,
"Chest CT": null,
"Chest CT Scan": null,
"Chest X-ray": null,
"Chest X-ray 1": null,
"Chest X-ray 2": null,
"Chest X-ray Imaging": null,
"Chest X-ray and Abdominal B-ultrasound": null,
"Chest X-ray and ECG": null,
"Chest X-ray and Lung CT": null,
"Chlamydia Culture": null,
"Chlamydia Test": null,
"Chromosome Analysis": null,
"Chromosome Analysis - Husband": null,
"Chromosome Analysis - Patient": null,
"Chromosome Result": null,
"Cl": null,
"Cleanliness Grade": null,
"Close Relationship with Bladder and Rectum": null,
"Clue Cells": "Present (+)",
"Coagulation Function": null,
"Coagulation Function Test": null,
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": null,
"Complete Blood Count (CBC)": null,
"Complete Blood Count and Coagulation Function Test": null,
"Comprehensive Thyroid Function Test": null,
"Compression": null,
"Cranial CT": null,
"Culture Method": null,
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": null,
"Cytomegalovirus Test": null,
"Delayed Scanning": null,
"Discharge Observation": null,
"E": null,
"ESR": null,
"ESR and CRP": null,
"Echocardiography": null,
"Electrocardiogram": null,
"Electrocardiogram (ECG)": null,
"Electrolyte Test": null,
"Endocrine Profile": null,
"Endometrial Blood Flow PI": null,
"Endometrial Blood Flow RI": null,
"Endometrial Cavity": null,
"Endometrial Echogenicity": null,
"Endometrial MRI": null,
"Endometrial Thickness": null,
"Endometrium": null,
"Enhanced Scanning": null,
"Epithelial Neoplasia": null,
"Erythrocyte Sedimentation Rate": null,
"Erythrocyte Sedimentation Rate (ESR)": null,
"Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Blood Biochemistry, Chest X-ray, and Electrocardiogram (ECG)": null,
"Estradiol": null,
"Estradiol (E2)": null,
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": null,
"Fasting Insulin (FINS)": null,
"Fasting Plasma Glucose (FPG)": null,
"Fiberoptic Colonoscopy": null,
"Fluid-like Density": null,
"Follicle-Stimulating Hormone (FSH)": null,
"Follicles": null,
"Full Abdominal CT": null,
"Fundus Examination": null,
"Fungal Pseudohyphae or Spores": null,
"GLO": null,
"General Examination Profile": null,
"GnRH FSH": null,
"GnRH LH": null,
"GnRH Stimulation Test": null,
"Gram Staining Method": null,
"Gram-negative Diplococci": null,
"Greater Omentum CT": null,
"HDL": null,
"HOMA-IR": null,
"HPV Test": null,
"HPV-DNA": null,
"Hb": null,
"Hemoglobin": null,
"Hemoglobin Level": null,
"Hemoglobin Test": null,
"Hepatic Function": null,
"Herpes Simplex Virus Test": null,
"High-Density Lipoprotein (HDL)": null,
"High-risk HPV Test": null,
"High-risk HPV-DNA Test": null,
"Hysterosalpingography": null,
"Hysterosalpingography (HSG)": null,
"Hysteroscopy": null,
"Hysteroscopy Cervical Canal": null,
"Hysteroscopy Distension Medium": null,
"Hysteroscopy Endometrium": null,
"Hysteroscopy Examination": null,
"Hysteroscopy Pressure": null,
"Hysteroscopy Right Uterine Horn": null,
"Hysteroscopy Uterine Cavity": null,
"IVP": null,
"Imaging Diagnostics": null,
"Infiltration in Anterior Wall of Rectum": null,
"Intestinal Spaces and Paracolic Gutters CT": null,
"Intracranial Lesions": null,
"Intravenous Pyelography": null,
"Intravenous Pyelography (IVP)": null,
"K": null,
"KUB X-ray": null,
"Karyotype": null,
"Kidney Function": null,
"Kidney Function Test": null,
"Kidney Function Tests": null,
"Kidney Ultrasound": null,
"Kidneys Ultrasound": null,
"LDL": null,
"LH": null,
"LH 120 minutes after injection": null,
"LH 15 minutes after injection": null,
"LH 30 minutes after injection": null,
"LH 60 minutes after injection": null,
"LH After Injection 120 Minutes": null,
"LH After Injection 15 Minutes": null,
"LH After Injection 30 Minutes": null,
"LH After Injection 60 Minutes": null,
"LH Before Injection": null,
"LH before injection": null,
"LH/FSH Ratio": null,
"Laboratory Results": null,
"Left Adnexa Ultrasound": null,
"Left Mid-Abdomen Ultrasound": null,
"Left Ovary": null,
"Left Ovary Size": null,
"Left Ovary Volume": null,
"Left Pelvic Wall CT": null,
"Lesion Acetic Acid White Test": null,
"Liquefaction Time": null,
"Liver Function": null,
"Liver Function Test": null,
"Liver Function Tests": null,
"Liver and Gallbladder Ultrasound": null,
"Liver and Kidney Function Test": null,
"Liver and Kidney Function Tests": null,
"Liver and Kidney Function Tests, Coagulation Function": null,
"Liver, Gallbladder, Pancreas, Spleen Ultrasound": null,
"Liver, Kidney Function, and Electrolytes": null,
"Low-Density Lipoprotein (LDL)": null,
"Lung CT": null,
"Lung Function Test": null,
"Lungs CT": null,
"Luteinizing Hormone (LH)": null,
"Lymph Nodes CT": null,
"MRI": null,
"MRI Contrast Imaging": null,
"Maximum Urethral Closure Pressure": null,
"Mixed-Density Shadow": null,
"Morphological Abnormality Rate": null,
"Motility Grade 0": null,
"Motility Grade I": null,
"Motility Grade II": null,
"Motility Grade III": null,
"Mucoblood Reaction": null,
"Mycoplasma Test": null,
"Myometrial Echo": null,
"N": null,
"Na": null,
"Neisseria Gonorrhoeae Culture": null,
"Neutrophil Percentage": null,
"Neutrophil Ratio (N)": null,
"Neutrophils": "80%",
"No Masses Observed": null,
"Nuclear Bone Scan": null,
"OGTT": null,
"Orthopedic X-ray": null,
"Ovarian Mass Shadows": null,
"Ovarian Tumor Size": null,
"Ovaries": null,
"Ovaries Ultrasound": null,
"P": null,
"PLT": null,
"PPD Test": null,
"PRL": null,
"Pathogen Test for STDs": null,
"Pelvic CT": null,
"Pelvic CT Examination": null,
"Pelvic CT Scan": null,
"Pelvic CT/MRI": null,
"Pelvic Cavity CT": null,
"Pelvic Cavity Ultrasound": null,
"Pelvic Cystic-Solid Mass": null,
"Pelvic Lymph Nodes": null,
"Pelvic Ultrasound": "B-mode ultrasound examination indicates a mass in the left adnexal region posterior to the uterus, approximately 2.4 cm × 3.6 cm, with no abnormal echogenic foci observed inside. The right fallopian tube is thickened, and there is posterior fornix fluid accumulation measuring 27 mm.",
"Pelvic X-ray": null,
"Pelvic X-ray Follow-up": null,
"Pelvic X-ray Plain Film": null,
"Pelvic and Abdominal CT/MRI": null,
"Pelvic and Upper Abdominal CT": null,
"Pituitary MRI": null,
"Pituitary Stimulation Procedure": null,
"Pituitary Stimulation Test": null,
"Pituitary Stimulation Test Procedure": null,
"Pituitary Stimulation Test Results": null,
"Platelet Count": null,
"Preoperative Peripheral Blood Tests": null,
"Progesterone": null,
"Progesterone (P)": null,
"Progesterone Level": null,
"Prolactin": null,
"Prolactin (PRL)": null,
"Pulmonary CT": null,
"Pulmonary Diffusion Function": null,
"Pulmonary Diffusion Function Test": null,
"Pulmonary Function": null,
"Pulmonary Function Test": null,
"Pulmonary Ventilation Function": null,
"Pulmonary Ventilation Function Test": null,
"Q-tip Test": null,
"RBC": null,
"Rectouterine Pouch CT": null,
"Red Blood Cell Count": null,
"Renal Function": null,
"Renal Function Test": null,
"Reproductive Endocrine Hormone Test": null,
"Reproductive Endocrine Test": null,
"Residual Urine Volume": null,
"Right Adnexa Ultrasound": null,
"Right Adnexal Region CT": null,
"Right Ovary": null,
"Right Ovary Size": null,
"Right Ovary Ultrasound": null,
"Right Ovary Volume": null,
"Routine Blood Biochemistry": null,
"Routine Blood Test": null,
"Routine Blood and Urine Tests": null,
"Routine Laboratory Tests, Chest X-ray, and Electrocardiogram": null,
"Routine Stool Test": null,
"Routine Urinalysis": null,
"Routine Urine Test": null,
"Routine Urine and Stool Test": null,
"Routine Vaginal Discharge Test": null,
"Rubella Virus Test": null,
"Semen Analysis": null,
"Semen Volume": null,
"Serum CA125": null,
"Serum Squamous Cell Carcinoma Antigen": null,
"Serum Tumor Markers": null,
"Serum Tumor Markers Profile": null,
"Serum hCG Level": null,
"Serum hCG Test": null,
"Serum β-hCG": null,
"Solid Mass in Left Adnexal Region": null,
"Sperm Density": null,
"Stool Routine Test": null,
"T": null,
"T Levels": null,
"TBL": null,
"TC": null,
"TG": null,
"TP": null,
"TPHA": null,
"TSH, T3, and T4": null,
"Testicular Biopsy Pathology": null,
"Testosterone": null,
"Testosterone (T)": null,
"Thyroid Function Test": null,
"Total Cholesterol (TC)": null,
"Toxoplasma Test": null,
"Transvaginal Color Doppler Ultrasound": null,
"Transvaginal Ultrasound": null,
"Trichomonads": null,
"Trichomonas": null,
"Triglycerides (TG)": null,
"Tumor Markers": null,
"Tumor Markers Panel": null,
"Tumor Shape": null,
"UA": null,
"UREA": null,
"Ultrasound": null,
"Ultrasound Examination": null,
"Ultrasound Findings": null,
"Ultrasound and Intravenous Pyelography": null,
"Ureters Ultrasound": null,
"Urinalysis": null,
"Urine Flow Rate": null,
"Urine Pregnancy Test": null,
"Urine Routine": null,
"Urine Routine Test": null,
"Urine Test": null,
"Urine hCG": null,
"Uterine B-ultrasound": null,
"Uterine Body Size": null,
"Uterine Cavity": null,
"Uterine Cavity B-ultrasound": null,
"Uterine Hysteroscopy": null,
"Uterine MRI": null,
"Uterine Ultrasound": null,
"Uterine Volume": null,
"Uterine and Fallopian Tube HSG": null,
"Uterus": null,
"Uterus Boundaries": null,
"Uterus CT": null,
"Uterus Dimensions": null,
"Uterus Size": null,
"Uterus Ultrasound": null,
"Uterus and Bilateral Adnexa Ultrasound": null,
"Vaginal Color Doppler Ultrasound": null,
"Vaginal Fluid AG": null,
"Vaginal Fluid Analysis": null,
"Vaginal Fluid CREA": null,
"Vaginal Fluid Ca2+": null,
"Vaginal Fluid Cl": null,
"Vaginal Fluid CysC": null,
"Vaginal Fluid GFR": null,
"Vaginal Fluid HCO3-": null,
"Vaginal Fluid K+": null,
"Vaginal Fluid Mg2+": null,
"Vaginal Fluid Na+": null,
"Vaginal Fluid PHO": null,
"Vaginal Fluid UA": null,
"Vaginal Fluid UREA": null,
"Vaginal Inflammation": null,
"Vaginal Microscopic Exam": "Clue cells are present (+). Microscopic examination of cervical secretions reveals white blood cells, >10 per high-power field.",
"Vaginal Physical/Chemical Profile": "Vaginal discharge pH is 6.0, amine odor test is positive (+).",
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": null,
"Vaginal pH": "6.0",
"WBC": "14.0 × 10^9 / L",
"White Blood Cell (WBC)": null,
"White Blood Cell Count": null,
"White Blood Cells": null,
"White Blood Cells (Microscopic)": null,
"White Blood Cells and Platelets": null,
"White Blood Cells in Cervical Secretions": ">10 per high-power field",
"Wrist X-ray": null,
"hCG": null
}
|
**Basic information**: Female, 35 years old,system ID is W-8
|
**Basic information**: Female, 35 years old,system ID is W-8.
**Chief complaint**: Abnormal vaginal discharge accompanied by itching for 14 days, lower abdominal pain accompanied by lower back soreness and discomfort for 8 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstruation for 3 days, with a usual menstrual cycle of 28 days. 14 days ago (2007-9-6), there was an increase in thin white vaginal discharge accompanied by vulvar itching and burning pain. The discharge had a fishy odor, and no medical consultation was sought. The condition worsened after menstruation and has persisted until now. In the past 8 days, there has been lower abdominal pain accompanied by lumbar soreness, more severe on the left side, along with fever (self-measured body temperature 38.7 ℃)..
|
[
"Bacterial vaginosis"
] |
**Physical examination**: General physical examination: T 38.7 ℃, P 92 beats/min, R 23 breaths/min, BP 130/80 mmHg. The lower abdomen is soft, tenderness (+), rebound tenderness (-), bowel sounds normal. Gynecological examination reveals a small amount of white, thin, homogeneous discharge from the vulva and vagina. The posterior fornix is slightly full with significant tenderness. The cervix is congested, with purulent discharge visible, cervical motion tenderness (+). The uterus is of normal size, tenderness (+), and mobility is acceptable. In the left adnexal region, a mass approximately 3 cm × 4 cm is palpable, with a fluctuant sensation and tenderness (+). Tenderness (+) is also noted in the right adnexal region..
|
W-9
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": null,
"Abdominal Cavity Ultrasound": null,
"Abdominal Paracentesis": null,
"Abdominal Ultrasound": null,
"Abdominal X-ray": null,
"Above Uterus CT": null,
"Additional Information": null,
"Additional Testing Recommendation": null,
"Adrenal Glands": null,
"Adrenal Glands Ultrasound": null,
"Alpha-Fetoprotein (AFP)": null,
"Amine Test": null,
"Anti-SM Antibody": null,
"Anti-double-stranded DNA Antibody": null,
"Ascites": null,
"Autoantibody Test": null,
"Bacterial Culture": null,
"Basal Body Temperature": null,
"Basal Cells": null,
"Baseline Endocrine Test": null,
"Baseline Endocrine Test Results": null,
"Bilateral Fallopian Tubes": null,
"Bladder Cavity Ultrasound": null,
"Bladder Condition": null,
"Bladder Cystoscopy": null,
"Bladder Drainage Urine Analysis": null,
"Bladder Neck Elevation Test": null,
"Bladder Ultrasound": null,
"Bladder Urine AG": null,
"Bladder Urine CREA": null,
"Bladder Urine Ca2+": null,
"Bladder Urine Cl": null,
"Bladder Urine CysC": null,
"Bladder Urine GFR": null,
"Bladder Urine HCO3-": null,
"Bladder Urine K+": null,
"Bladder Urine Mg2+": null,
"Bladder Urine Na+": null,
"Bladder Urine PHO": null,
"Bladder Urine UA": null,
"Bladder Urine UREA": null,
"Bladder Wall Ultrasound": null,
"Blood Antinuclear Antibody": null,
"Blood Biochemistry Test": null,
"Blood CA125": null,
"Blood CA125 Level": null,
"Blood CEA and AFP": null,
"Blood Endocrine Examination": null,
"Blood Endocrine Panel": null,
"Blood Estradiol": null,
"Blood Estradiol (E2)": null,
"Blood FSH": null,
"Blood Flow Signals": null,
"Blood Glucose Test": null,
"Blood Hormone Levels": null,
"Blood Hormone Panel": null,
"Blood Karyotype Analysis": null,
"Blood LH": null,
"Blood Lipid Test": null,
"Blood Liver and Kidney Function Test": null,
"Blood PRL": null,
"Blood Pressure": null,
"Blood Progesterone Level": null,
"Blood RPR": null,
"Blood Routine": null,
"Blood Routine Test": null,
"Blood Routine and Urine Routine": null,
"Blood Routine, CRP, ESR Profile": null,
"Blood Routine, Urine Routine, Electrocardiogram, Liver and Kidney Function Tests": null,
"Blood SCC": null,
"Blood Test": null,
"Blood Test Results": null,
"Blood Tumor Markers": null,
"Blood Tumor Markers Profile": null,
"Blood Type - Female": null,
"Blood Type - Male": null,
"Blood hCG": null,
"Blood hCG Level": null,
"Blood β-hCG": null,
"Blood β-hCG Level": null,
"Bone Age": null,
"Bone Density Test": null,
"Bone ECT": null,
"Brain MRI": null,
"C-Reactive Protein (CRP)": null,
"C-reactive Protein": null,
"CA125": null,
"CA125 Level": null,
"CA19-9": null,
"CEA": null,
"CP2": null,
"CREA": null,
"CRP": null,
"CT Imaging": null,
"Candida Albicans": null,
"Candida Hyphae": null,
"Candida Pseudohyphae": null,
"Candida Spores": null,
"Candida Spores/Hyphae": null,
"Carcinoembryonic Antigen (CEA)": null,
"Cardiac Function": null,
"Cardiac and Pulmonary Function Examination": null,
"Cardiac and Renal Ultrasound": null,
"Cervical CT and MRI": null,
"Cervical Canal Curettage": null,
"Cervical Cancer Screening Smear": null,
"Cervical Cytology Examination": null,
"Cervical Cytology Smear": null,
"Cervical Cytology Test": null,
"Cervical MRI": null,
"Cervical Secretion Culture": null,
"Cervical Secretion HPV-DNA Test": null,
"Cervical Secretion High-Risk HPV-DNA Test": null,
"Cervical Ultrasound": null,
"Cervix-to-Uterine Body Ratio": null,
"Chest CT": null,
"Chest CT Scan": null,
"Chest X-ray": "Chest X-ray shows scattered old small nodules in the lungs.",
"Chest X-ray 1": null,
"Chest X-ray 2": null,
"Chest X-ray Imaging": null,
"Chest X-ray and Abdominal B-ultrasound": null,
"Chest X-ray and ECG": null,
"Chest X-ray and Lung CT": null,
"Chlamydia Culture": null,
"Chlamydia Test": null,
"Chromosome Analysis": null,
"Chromosome Analysis - Husband": null,
"Chromosome Analysis - Patient": null,
"Chromosome Result": null,
"Cl": null,
"Cleanliness Grade": null,
"Close Relationship with Bladder and Rectum": null,
"Clue Cells": null,
"Coagulation Function": null,
"Coagulation Function Test": null,
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": null,
"Complete Blood Count (CBC)": null,
"Complete Blood Count and Coagulation Function Test": null,
"Comprehensive Thyroid Function Test": null,
"Compression": null,
"Cranial CT": null,
"Culture Method": null,
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": null,
"Cytomegalovirus Test": null,
"Delayed Scanning": null,
"Discharge Observation": null,
"E": null,
"ESR": null,
"ESR and CRP": null,
"Echocardiography": null,
"Electrocardiogram": null,
"Electrocardiogram (ECG)": null,
"Electrolyte Test": null,
"Endocrine Profile": null,
"Endometrial Blood Flow PI": null,
"Endometrial Blood Flow RI": null,
"Endometrial Cavity": null,
"Endometrial Echogenicity": null,
"Endometrial MRI": null,
"Endometrial Thickness": null,
"Endometrium": null,
"Enhanced Scanning": null,
"Epithelial Neoplasia": null,
"Erythrocyte Sedimentation Rate": null,
"Erythrocyte Sedimentation Rate (ESR)": null,
"Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Blood Biochemistry, Chest X-ray, and Electrocardiogram (ECG)": null,
"Estradiol": null,
"Estradiol (E2)": null,
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": null,
"Fasting Insulin (FINS)": null,
"Fasting Plasma Glucose (FPG)": null,
"Fiberoptic Colonoscopy": null,
"Fluid-like Density": null,
"Follicle-Stimulating Hormone (FSH)": null,
"Follicles": null,
"Full Abdominal CT": null,
"Fundus Examination": null,
"Fungal Pseudohyphae or Spores": null,
"GLO": null,
"General Examination Profile": null,
"GnRH FSH": null,
"GnRH LH": null,
"GnRH Stimulation Test": null,
"Gram Staining Method": null,
"Gram-negative Diplococci": null,
"Greater Omentum CT": null,
"HDL": null,
"HOMA-IR": null,
"HPV Test": null,
"HPV-DNA": null,
"Hb": null,
"Hemoglobin": null,
"Hemoglobin Level": null,
"Hemoglobin Test": null,
"Hepatic Function": null,
"Herpes Simplex Virus Test": null,
"High-Density Lipoprotein (HDL)": null,
"High-risk HPV Test": null,
"High-risk HPV-DNA Test": null,
"Hysterosalpingography": "Hysterosalpingography with iodized oil was performed. The endometrium appeared regular, but the morphology of both fallopian tubes was irregular. The left fallopian tube was thickened but its course was relatively normal. The right fallopian tube showed a beaded appearance, rigidity, and a few calcifications. The fimbrial end was closed, and contrast medium accumulated.",
"Hysterosalpingography (HSG)": null,
"Hysteroscopy": null,
"Hysteroscopy Cervical Canal": null,
"Hysteroscopy Distension Medium": null,
"Hysteroscopy Endometrium": null,
"Hysteroscopy Examination": null,
"Hysteroscopy Pressure": null,
"Hysteroscopy Right Uterine Horn": null,
"Hysteroscopy Uterine Cavity": null,
"IVP": null,
"Imaging Diagnostics": null,
"Infiltration in Anterior Wall of Rectum": null,
"Intestinal Spaces and Paracolic Gutters CT": null,
"Intracranial Lesions": null,
"Intravenous Pyelography": null,
"Intravenous Pyelography (IVP)": null,
"K": null,
"KUB X-ray": null,
"Karyotype": null,
"Kidney Function": null,
"Kidney Function Test": null,
"Kidney Function Tests": null,
"Kidney Ultrasound": null,
"Kidneys Ultrasound": null,
"LDL": null,
"LH": null,
"LH 120 minutes after injection": null,
"LH 15 minutes after injection": null,
"LH 30 minutes after injection": null,
"LH 60 minutes after injection": null,
"LH After Injection 120 Minutes": null,
"LH After Injection 15 Minutes": null,
"LH After Injection 30 Minutes": null,
"LH After Injection 60 Minutes": null,
"LH Before Injection": null,
"LH before injection": null,
"LH/FSH Ratio": null,
"Laboratory Results": null,
"Left Adnexa Ultrasound": null,
"Left Mid-Abdomen Ultrasound": null,
"Left Ovary": null,
"Left Ovary Size": null,
"Left Ovary Volume": null,
"Left Pelvic Wall CT": null,
"Lesion Acetic Acid White Test": null,
"Liquefaction Time": null,
"Liver Function": null,
"Liver Function Test": null,
"Liver Function Tests": null,
"Liver and Gallbladder Ultrasound": null,
"Liver and Kidney Function Test": null,
"Liver and Kidney Function Tests": null,
"Liver and Kidney Function Tests, Coagulation Function": null,
"Liver, Gallbladder, Pancreas, Spleen Ultrasound": null,
"Liver, Kidney Function, and Electrolytes": null,
"Low-Density Lipoprotein (LDL)": null,
"Lung CT": null,
"Lung Function Test": null,
"Lungs CT": null,
"Luteinizing Hormone (LH)": null,
"Lymph Nodes CT": null,
"MRI": null,
"MRI Contrast Imaging": null,
"Maximum Urethral Closure Pressure": null,
"Mixed-Density Shadow": null,
"Morphological Abnormality Rate": null,
"Motility Grade 0": null,
"Motility Grade I": null,
"Motility Grade II": null,
"Motility Grade III": null,
"Mucoblood Reaction": null,
"Mycoplasma Test": null,
"Myometrial Echo": null,
"N": null,
"Na": null,
"Neisseria Gonorrhoeae Culture": null,
"Neutrophil Percentage": null,
"Neutrophil Ratio (N)": null,
"Neutrophils": "56%",
"No Masses Observed": null,
"Nuclear Bone Scan": null,
"OGTT": null,
"Orthopedic X-ray": null,
"Ovarian Mass Shadows": null,
"Ovarian Tumor Size": null,
"Ovaries": null,
"Ovaries Ultrasound": null,
"P": null,
"PLT": null,
"PPD Test": "Positive",
"PRL": null,
"Pathogen Test for STDs": null,
"Pelvic CT": null,
"Pelvic CT Examination": null,
"Pelvic CT Scan": null,
"Pelvic CT/MRI": null,
"Pelvic Cavity CT": null,
"Pelvic Cavity Ultrasound": null,
"Pelvic Cystic-Solid Mass": null,
"Pelvic Lymph Nodes": null,
"Pelvic Ultrasound": "Ultrasound report indicates no abnormalities in the uterine cavity, bilateral fallopian tubes are thickened, and a cystic mass is detected in the right adnexal region. The central area shows abnormal echogenicity with unclear boundaries and indistinct demarcation from surrounding tissues. No significant fluid accumulation is observed in the posterior fornix. Based on the medical history, the preliminary diagnosis is tuberculous pelvic inflammatory disease.",
"Pelvic X-ray": "Pelvic X-ray reveals fine calcifications in the bilateral adnexal regions.",
"Pelvic X-ray Follow-up": "A pelvic X-ray taken 24 hours later showed no scattered contrast medium in the pelvic cavity.",
"Pelvic X-ray Plain Film": null,
"Pelvic and Abdominal CT/MRI": null,
"Pelvic and Upper Abdominal CT": null,
"Pituitary MRI": null,
"Pituitary Stimulation Procedure": null,
"Pituitary Stimulation Test": null,
"Pituitary Stimulation Test Procedure": null,
"Pituitary Stimulation Test Results": null,
"Platelet Count": null,
"Preoperative Peripheral Blood Tests": null,
"Progesterone": null,
"Progesterone (P)": null,
"Progesterone Level": null,
"Prolactin": null,
"Prolactin (PRL)": null,
"Pulmonary CT": null,
"Pulmonary Diffusion Function": null,
"Pulmonary Diffusion Function Test": null,
"Pulmonary Function": null,
"Pulmonary Function Test": null,
"Pulmonary Ventilation Function": null,
"Pulmonary Ventilation Function Test": null,
"Q-tip Test": null,
"RBC": null,
"Rectouterine Pouch CT": null,
"Red Blood Cell Count": null,
"Renal Function": null,
"Renal Function Test": null,
"Reproductive Endocrine Hormone Test": null,
"Reproductive Endocrine Test": null,
"Residual Urine Volume": null,
"Right Adnexa Ultrasound": null,
"Right Adnexal Region CT": null,
"Right Ovary": null,
"Right Ovary Size": null,
"Right Ovary Ultrasound": null,
"Right Ovary Volume": null,
"Routine Blood Biochemistry": null,
"Routine Blood Test": "WBC 8.0 × 10⁹/L, neutrophils 56%.",
"Routine Blood and Urine Tests": null,
"Routine Laboratory Tests, Chest X-ray, and Electrocardiogram": null,
"Routine Stool Test": null,
"Routine Urinalysis": null,
"Routine Urine Test": null,
"Routine Urine and Stool Test": null,
"Routine Vaginal Discharge Test": null,
"Rubella Virus Test": null,
"Semen Analysis": null,
"Semen Volume": null,
"Serum CA125": null,
"Serum Squamous Cell Carcinoma Antigen": null,
"Serum Tumor Markers": null,
"Serum Tumor Markers Profile": null,
"Serum hCG Level": null,
"Serum hCG Test": null,
"Serum β-hCG": null,
"Solid Mass in Left Adnexal Region": null,
"Sperm Density": null,
"Stool Routine Test": null,
"T": null,
"T Levels": null,
"TBL": null,
"TC": null,
"TG": null,
"TP": null,
"TPHA": null,
"TSH, T3, and T4": null,
"Testicular Biopsy Pathology": null,
"Testosterone": null,
"Testosterone (T)": null,
"Thyroid Function Test": null,
"Total Cholesterol (TC)": null,
"Toxoplasma Test": null,
"Transvaginal Color Doppler Ultrasound": null,
"Transvaginal Ultrasound": null,
"Trichomonads": null,
"Trichomonas": null,
"Triglycerides (TG)": null,
"Tumor Markers": null,
"Tumor Markers Panel": null,
"Tumor Shape": null,
"UA": null,
"UREA": null,
"Ultrasound": null,
"Ultrasound Examination": null,
"Ultrasound Findings": null,
"Ultrasound and Intravenous Pyelography": null,
"Ureters Ultrasound": null,
"Urinalysis": null,
"Urine Flow Rate": null,
"Urine Pregnancy Test": null,
"Urine Routine": null,
"Urine Routine Test": null,
"Urine Test": null,
"Urine hCG": null,
"Uterine B-ultrasound": null,
"Uterine Body Size": null,
"Uterine Cavity": null,
"Uterine Cavity B-ultrasound": null,
"Uterine Hysteroscopy": null,
"Uterine MRI": null,
"Uterine Ultrasound": null,
"Uterine Volume": null,
"Uterine and Fallopian Tube HSG": null,
"Uterus": null,
"Uterus Boundaries": null,
"Uterus CT": null,
"Uterus Dimensions": null,
"Uterus Size": null,
"Uterus Ultrasound": null,
"Uterus and Bilateral Adnexa Ultrasound": null,
"Vaginal Color Doppler Ultrasound": null,
"Vaginal Fluid AG": null,
"Vaginal Fluid Analysis": null,
"Vaginal Fluid CREA": null,
"Vaginal Fluid Ca2+": null,
"Vaginal Fluid Cl": null,
"Vaginal Fluid CysC": null,
"Vaginal Fluid GFR": null,
"Vaginal Fluid HCO3-": null,
"Vaginal Fluid K+": null,
"Vaginal Fluid Mg2+": null,
"Vaginal Fluid Na+": null,
"Vaginal Fluid PHO": null,
"Vaginal Fluid UA": null,
"Vaginal Fluid UREA": null,
"Vaginal Inflammation": null,
"Vaginal Microscopic Exam": "Microscopic examination of vaginal and cervical secretions shows no abnormalities.",
"Vaginal Physical/Chemical Profile": null,
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": null,
"Vaginal pH": null,
"WBC": "8.0 × 10⁹/L",
"White Blood Cell (WBC)": null,
"White Blood Cell Count": null,
"White Blood Cells": null,
"White Blood Cells (Microscopic)": null,
"White Blood Cells and Platelets": null,
"White Blood Cells in Cervical Secretions": null,
"Wrist X-ray": null,
"hCG": null
}
|
**Basic information**: Female, 25 years old,system ID is W-9
|
**Basic information**: Female, 25 years old,system ID is W-9.
**Chief complaint**: Lower abdominal dragging pain accompanied by low-grade fever during menstruation for half a month..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient has a generally poor constitution and frequently experiences "colds." About one year ago, the patient had intermittent coughing, low-grade fever in the afternoon, increased sweating, and slightly poor appetite, which lasted for approximately two months. These symptoms were not taken seriously, and no medical consultation or examination was sought. The symptoms resolved naturally afterward.
Currently, the patient reports an increase in menstrual flow compared to before. The last menstrual period began on November 3, 2007, with a cycle of 3/26 days. Over the past half month, the patient has experienced lower abdominal distension pain, primarily bilateral, accompanied by low-grade fever during menstruation. The self-measured body temperature is 37 ℃. The lower abdominal pain worsens during menstruation. There is a small amount of vaginal discharge without odor, along with lower back soreness, poor appetite, and no nausea or vomiting. Bowel and urinary functions are normal..
|
[
"Tuberculous pelvic inflammatory disease"
] |
**Physical examination**: General physical examination: T 36.2°C, P 89 beats/min, R 24 breaths/min, BP 130/80 mmHg. No enlargement of lymph nodes throughout the body. Lung auscultation and percussion showed no obvious abnormalities. The abdomen was soft, with no tenderness (-), no rebound tenderness (-), normal percussion, and normal bowel sounds.
Gynecological examination: A small amount of discharge was observed in the vulva and vagina, with no abnormal odor. The posterior fornix was slightly less full, with no palpable tender nodules. The cervix appeared normal, the cervical os was closed, and no secretions were observed. Cervical motion tenderness (-). The uterus was slightly small, with no tenderness (-), normal texture, and limited mobility. In the bilateral adnexal regions, cord-like thickened structures with a hard texture and tenderness (+) were palpable. A cystic mass was palpable on the right side, with an irregular surface, a hard nodular feel, and unclear dimensions, approximately 8 cm × 6 cm. The mass was adherent to surrounding tissues and had poor mobility..
|
W-10
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": null,
"Abdominal Cavity Ultrasound": null,
"Abdominal Paracentesis": null,
"Abdominal Ultrasound": null,
"Abdominal X-ray": null,
"Above Uterus CT": null,
"Additional Information": null,
"Additional Testing Recommendation": "All patients with gonorrhea should be tested for other sexually transmitted pathogens, including Chlamydia trachomatis, Treponema pallidum, and human immunodeficiency virus (HIV).",
"Adrenal Glands": null,
"Adrenal Glands Ultrasound": null,
"Alpha-Fetoprotein (AFP)": null,
"Amine Test": null,
"Anti-SM Antibody": null,
"Anti-double-stranded DNA Antibody": null,
"Ascites": null,
"Autoantibody Test": null,
"Bacterial Culture": null,
"Basal Body Temperature": null,
"Basal Cells": null,
"Baseline Endocrine Test": null,
"Baseline Endocrine Test Results": null,
"Bilateral Fallopian Tubes": null,
"Bladder Cavity Ultrasound": null,
"Bladder Condition": null,
"Bladder Cystoscopy": null,
"Bladder Drainage Urine Analysis": null,
"Bladder Neck Elevation Test": null,
"Bladder Ultrasound": null,
"Bladder Urine AG": null,
"Bladder Urine CREA": null,
"Bladder Urine Ca2+": null,
"Bladder Urine Cl": null,
"Bladder Urine CysC": null,
"Bladder Urine GFR": null,
"Bladder Urine HCO3-": null,
"Bladder Urine K+": null,
"Bladder Urine Mg2+": null,
"Bladder Urine Na+": null,
"Bladder Urine PHO": null,
"Bladder Urine UA": null,
"Bladder Urine UREA": null,
"Bladder Wall Ultrasound": null,
"Blood Antinuclear Antibody": null,
"Blood Biochemistry Test": null,
"Blood CA125": null,
"Blood CA125 Level": null,
"Blood CEA and AFP": null,
"Blood Endocrine Examination": null,
"Blood Endocrine Panel": null,
"Blood Estradiol": null,
"Blood Estradiol (E2)": null,
"Blood FSH": null,
"Blood Flow Signals": null,
"Blood Glucose Test": null,
"Blood Hormone Levels": null,
"Blood Hormone Panel": null,
"Blood Karyotype Analysis": null,
"Blood LH": null,
"Blood Lipid Test": null,
"Blood Liver and Kidney Function Test": null,
"Blood PRL": null,
"Blood Pressure": null,
"Blood Progesterone Level": null,
"Blood RPR": null,
"Blood Routine": null,
"Blood Routine Test": null,
"Blood Routine and Urine Routine": null,
"Blood Routine, CRP, ESR Profile": null,
"Blood Routine, Urine Routine, Electrocardiogram, Liver and Kidney Function Tests": null,
"Blood SCC": null,
"Blood Test": null,
"Blood Test Results": null,
"Blood Tumor Markers": null,
"Blood Tumor Markers Profile": null,
"Blood Type - Female": null,
"Blood Type - Male": null,
"Blood hCG": null,
"Blood hCG Level": null,
"Blood β-hCG": null,
"Blood β-hCG Level": null,
"Bone Age": null,
"Bone Density Test": null,
"Bone ECT": null,
"Brain MRI": null,
"C-Reactive Protein (CRP)": null,
"C-reactive Protein": null,
"CA125": null,
"CA125 Level": null,
"CA19-9": null,
"CEA": null,
"CP2": null,
"CREA": null,
"CRP": null,
"CT Imaging": null,
"Candida Albicans": null,
"Candida Hyphae": null,
"Candida Pseudohyphae": null,
"Candida Spores": null,
"Candida Spores/Hyphae": null,
"Carcinoembryonic Antigen (CEA)": null,
"Cardiac Function": null,
"Cardiac and Pulmonary Function Examination": null,
"Cardiac and Renal Ultrasound": null,
"Cervical CT and MRI": null,
"Cervical Canal Curettage": null,
"Cervical Cancer Screening Smear": null,
"Cervical Cytology Examination": null,
"Cervical Cytology Smear": null,
"Cervical Cytology Test": null,
"Cervical MRI": null,
"Cervical Secretion Culture": null,
"Cervical Secretion HPV-DNA Test": null,
"Cervical Secretion High-Risk HPV-DNA Test": null,
"Cervical Ultrasound": null,
"Cervix-to-Uterine Body Ratio": null,
"Chest CT": null,
"Chest CT Scan": null,
"Chest X-ray": null,
"Chest X-ray 1": null,
"Chest X-ray 2": null,
"Chest X-ray Imaging": null,
"Chest X-ray and Abdominal B-ultrasound": null,
"Chest X-ray and ECG": null,
"Chest X-ray and Lung CT": null,
"Chlamydia Culture": null,
"Chlamydia Test": null,
"Chromosome Analysis": null,
"Chromosome Analysis - Husband": null,
"Chromosome Analysis - Patient": null,
"Chromosome Result": null,
"Cl": null,
"Cleanliness Grade": null,
"Close Relationship with Bladder and Rectum": null,
"Clue Cells": null,
"Coagulation Function": null,
"Coagulation Function Test": null,
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": null,
"Complete Blood Count (CBC)": null,
"Complete Blood Count and Coagulation Function Test": null,
"Comprehensive Thyroid Function Test": null,
"Compression": null,
"Cranial CT": null,
"Culture Method": "This is the 'gold standard' for diagnosing Neisseria gonorrhoeae infection. When collecting samples from the cervical canal, the sampling should be done 1–2 cm deep into the canal, rotating gently. Neisseria gonorrhoeae is extremely sensitive to external environmental conditions, so samples should be inoculated immediately after collection. If the samples need to be sent to a distant laboratory, they should be inoculated into transport media. If the culture is positive, antimicrobial susceptibility testing should be performed to provide a basis for the rational selection of antibacterial drugs.",
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": null,
"Cytomegalovirus Test": null,
"Delayed Scanning": null,
"Discharge Observation": null,
"E": null,
"ESR": null,
"ESR and CRP": null,
"Echocardiography": null,
"Electrocardiogram": null,
"Electrocardiogram (ECG)": null,
"Electrolyte Test": null,
"Endocrine Profile": null,
"Endometrial Blood Flow PI": null,
"Endometrial Blood Flow RI": null,
"Endometrial Cavity": null,
"Endometrial Echogenicity": null,
"Endometrial MRI": null,
"Endometrial Thickness": null,
"Endometrium": null,
"Enhanced Scanning": null,
"Epithelial Neoplasia": null,
"Erythrocyte Sedimentation Rate": null,
"Erythrocyte Sedimentation Rate (ESR)": null,
"Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Blood Biochemistry, Chest X-ray, and Electrocardiogram (ECG)": null,
"Estradiol": null,
"Estradiol (E2)": null,
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": null,
"Fasting Insulin (FINS)": null,
"Fasting Plasma Glucose (FPG)": null,
"Fiberoptic Colonoscopy": null,
"Fluid-like Density": null,
"Follicle-Stimulating Hormone (FSH)": null,
"Follicles": null,
"Full Abdominal CT": null,
"Fundus Examination": null,
"Fungal Pseudohyphae or Spores": null,
"GLO": null,
"General Examination Profile": null,
"GnRH FSH": null,
"GnRH LH": null,
"GnRH Stimulation Test": null,
"Gram Staining Method": "Secretions are smeared, fixed, and stained using Gram staining. Under the microscope, a large number of polymorphonuclear leukocytes can be observed, with varying numbers of Gram-negative diplococci visible inside multiple polymorphonuclear leukocytes. However, due to the presence of numerous contaminating bacteria in cervical secretions, the positive rate is only approximately 50%, so culture testing is also required.",
"Gram-negative Diplococci": null,
"Greater Omentum CT": null,
"HDL": null,
"HOMA-IR": null,
"HPV Test": null,
"HPV-DNA": null,
"Hb": null,
"Hemoglobin": null,
"Hemoglobin Level": null,
"Hemoglobin Test": null,
"Hepatic Function": null,
"Herpes Simplex Virus Test": null,
"High-Density Lipoprotein (HDL)": null,
"High-risk HPV Test": null,
"High-risk HPV-DNA Test": null,
"Hysterosalpingography": null,
"Hysterosalpingography (HSG)": null,
"Hysteroscopy": null,
"Hysteroscopy Cervical Canal": null,
"Hysteroscopy Distension Medium": null,
"Hysteroscopy Endometrium": null,
"Hysteroscopy Examination": null,
"Hysteroscopy Pressure": null,
"Hysteroscopy Right Uterine Horn": null,
"Hysteroscopy Uterine Cavity": null,
"IVP": null,
"Imaging Diagnostics": null,
"Infiltration in Anterior Wall of Rectum": null,
"Intestinal Spaces and Paracolic Gutters CT": null,
"Intracranial Lesions": null,
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}
|
**Basic information**: Female, 26 years old,system ID is W-10
|
**Basic information**: Female, 26 years old,system ID is W-10.
**Chief complaint**: Vulvar pruritus accompanied by abundant mucopurulent discharge for 3 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient's sexual partner has a history of gonorrhea. The patient had unprotected sexual intercourse one week ago. In the past three days, the patient has experienced vulvar itching accompanied by a large amount of mucopurulent discharge. There is no fever or chills, no nausea or vomiting, no lower abdominal pain, no urinary frequency, urgency, or dysuria, no perianal itching, and no joint swelling or pain..
|
[
"Acute gonococcal cervicitis"
] |
**Physical examination**: Body temperature is normal. Gynecological examination findings: No purulent discharge observed at the urethral orifice, Bartholin's gland openings, or Skene's gland openings. Purulent discharge is observed in the vagina, with a large amount present. The cervix is red, swollen, and congested, with purulent discharge seen oozing from the cervical os. The cervix is not tender to palpation. The uterus is in an anteverted position. No palpable masses or tenderness are noted in the adnexal regions on either side..
|
W-11
|
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"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
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"Abdominal CT": null,
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"Above Uterus CT": null,
"Additional Information": null,
"Additional Testing Recommendation": null,
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"Blood CA125 Level": null,
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"CA125 Level": null,
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"CP2": null,
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"CT Imaging": null,
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"Cardiac Function": null,
"Cardiac and Pulmonary Function Examination": null,
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"Chest X-ray": "No abnormalities detected",
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"Chest X-ray 2": null,
"Chest X-ray Imaging": null,
"Chest X-ray and Abdominal B-ultrasound": null,
"Chest X-ray and ECG": null,
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"Chlamydia Culture": null,
"Chlamydia Test": null,
"Chromosome Analysis": null,
"Chromosome Analysis - Husband": null,
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"Chromosome Result": null,
"Cl": null,
"Cleanliness Grade": null,
"Close Relationship with Bladder and Rectum": null,
"Clue Cells": null,
"Coagulation Function": null,
"Coagulation Function Test": null,
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": null,
"Complete Blood Count (CBC)": null,
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"Culture Method": null,
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"E": null,
"ESR": null,
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"Electrocardiogram (ECG)": "No abnormalities detected",
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"Endometrial Blood Flow RI": null,
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"Endometrial Thickness": null,
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"GLO": null,
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"GnRH LH": null,
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"Gram Staining Method": null,
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"HDL": null,
"HOMA-IR": null,
"HPV Test": null,
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"Hb": null,
"Hemoglobin": null,
"Hemoglobin Level": null,
"Hemoglobin Test": null,
"Hepatic Function": null,
"Herpes Simplex Virus Test": null,
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"High-risk HPV-DNA Test": null,
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"KUB X-ray": null,
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"Kidney Function Test": null,
"Kidney Function Tests": null,
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"LDL": null,
"LH": null,
"LH 120 minutes after injection": null,
"LH 15 minutes after injection": null,
"LH 30 minutes after injection": null,
"LH 60 minutes after injection": null,
"LH After Injection 120 Minutes": null,
"LH After Injection 15 Minutes": null,
"LH After Injection 30 Minutes": null,
"LH After Injection 60 Minutes": null,
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"MRI": null,
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"N": null,
"Na": null,
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"Neutrophil Percentage": null,
"Neutrophil Ratio (N)": null,
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"Nuclear Bone Scan": null,
"OGTT": null,
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"Ovarian Tumor Size": null,
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"P": null,
"PLT": null,
"PPD Test": null,
"PRL": null,
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"Renal Function Test": null,
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"TG": null,
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"Vaginal Physical/Chemical Profile": null,
"Vaginal Secretion Test": null,
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"Vaginal Ultrasound": null,
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"WBC": null,
"White Blood Cell (WBC)": null,
"White Blood Cell Count": null,
"White Blood Cells": null,
"White Blood Cells (Microscopic)": null,
"White Blood Cells and Platelets": null,
"White Blood Cells in Cervical Secretions": null,
"Wrist X-ray": null,
"hCG": null
}
|
**Basic information**: Female, 33 years old,system ID is W-11
|
**Basic information**: Female, 33 years old,system ID is W-11.
**Chief complaint**: Repeated vulvar ulcers for more than 2 months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: More than 2 months ago, the patient developed a small patch of erosion on the left side of the vulva without any apparent cause. The lesion was approximately 2 cm in diameter, solitary, with a shallow ulceration and slight exudation, and no significant subjective symptoms. Initially, the condition was not taken seriously. After persisting for 2 weeks, multiple nodules the size of soybeans appeared in the left inguinal region, which were firm and painless. The patient sought medical attention at a local hospital, where "nonspecific vulvitis" was considered. Treatment with furacilin solution and ulcer powder was applied externally for several days, leading to a reduction in the size of the skin lesion.
Over the past month, vulvar ulcers have significantly increased in number, and multiple ulcers have also appeared on the buccal mucosa and gums in the oral cavity, occasionally accompanied by irritative pain. The patient visited the oral medicine department of a local hospital, where "Behçet's disease" was suspected. Symptomatic treatment with glucocorticoids and antibiotics was administered for 1 week, but no significant improvement was observed.
Since the onset of the condition, the patient has not experienced bone pain, headache, chest tightness, chest pain, or visual disturbances. The patient has a history of good health, denies any history of contact with tuberculosis or other infectious diseases, and denies a history of extramarital sexual contact. The patient's husband is a businessman (details of sexual contact history are unclear)..
|
[
"Secondary syphilis"
] |
**Physical examination**: Perineum and oral cavity: Scattered erosions and ulcers with diameters ranging from 0.5 to 2 cm, presenting as round, oval, and irregular shapes, distributed sporadically without a tendency to merge. No significant bleeding or exudation observed, and no obvious tenderness noted. No similar lesions found on other parts of the body.
Gynecological examination: No significant abnormalities detected during bimanual examination.
Bilateral inguinal region: Multiple enlarged lymph nodes palpable, approximately the size of soybeans, hard in texture, with clear boundaries, mobile, without tenderness or ulceration.
Other physical examinations: No abnormalities detected..
|
W-12
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": null,
"Abdominal Cavity Ultrasound": null,
"Abdominal Paracentesis": null,
"Abdominal Ultrasound": null,
"Abdominal X-ray": null,
"Above Uterus CT": null,
"Additional Information": null,
"Additional Testing Recommendation": null,
"Adrenal Glands": null,
"Adrenal Glands Ultrasound": null,
"Alpha-Fetoprotein (AFP)": null,
"Amine Test": null,
"Anti-SM Antibody": null,
"Anti-double-stranded DNA Antibody": null,
"Ascites": null,
"Autoantibody Test": null,
"Bacterial Culture": null,
"Basal Body Temperature": null,
"Basal Cells": null,
"Baseline Endocrine Test": null,
"Baseline Endocrine Test Results": null,
"Bilateral Fallopian Tubes": null,
"Bladder Cavity Ultrasound": null,
"Bladder Condition": null,
"Bladder Cystoscopy": null,
"Bladder Drainage Urine Analysis": null,
"Bladder Neck Elevation Test": null,
"Bladder Ultrasound": null,
"Bladder Urine AG": null,
"Bladder Urine CREA": null,
"Bladder Urine Ca2+": null,
"Bladder Urine Cl": null,
"Bladder Urine CysC": null,
"Bladder Urine GFR": null,
"Bladder Urine HCO3-": null,
"Bladder Urine K+": null,
"Bladder Urine Mg2+": null,
"Bladder Urine Na+": null,
"Bladder Urine PHO": null,
"Bladder Urine UA": null,
"Bladder Urine UREA": null,
"Bladder Wall Ultrasound": null,
"Blood Antinuclear Antibody": null,
"Blood Biochemistry Test": null,
"Blood CA125": null,
"Blood CA125 Level": null,
"Blood CEA and AFP": null,
"Blood Endocrine Examination": null,
"Blood Endocrine Panel": null,
"Blood Estradiol": null,
"Blood Estradiol (E2)": null,
"Blood FSH": null,
"Blood Flow Signals": null,
"Blood Glucose Test": null,
"Blood Hormone Levels": null,
"Blood Hormone Panel": null,
"Blood Karyotype Analysis": null,
"Blood LH": null,
"Blood Lipid Test": null,
"Blood Liver and Kidney Function Test": null,
"Blood PRL": null,
"Blood Pressure": null,
"Blood Progesterone Level": null,
"Blood RPR": null,
"Blood Routine": null,
"Blood Routine Test": null,
"Blood Routine and Urine Routine": null,
"Blood Routine, CRP, ESR Profile": null,
"Blood Routine, Urine Routine, Electrocardiogram, Liver and Kidney Function Tests": null,
"Blood SCC": null,
"Blood Test": null,
"Blood Test Results": null,
"Blood Tumor Markers": null,
"Blood Tumor Markers Profile": null,
"Blood Type - Female": null,
"Blood Type - Male": null,
"Blood hCG": null,
"Blood hCG Level": null,
"Blood β-hCG": null,
"Blood β-hCG Level": null,
"Bone Age": null,
"Bone Density Test": null,
"Bone ECT": null,
"Brain MRI": null,
"C-Reactive Protein (CRP)": null,
"C-reactive Protein": null,
"CA125": null,
"CA125 Level": null,
"CA19-9": null,
"CEA": null,
"CP2": null,
"CREA": null,
"CRP": null,
"CT Imaging": null,
"Candida Albicans": "No",
"Candida Hyphae": null,
"Candida Pseudohyphae": null,
"Candida Spores": null,
"Candida Spores/Hyphae": null,
"Carcinoembryonic Antigen (CEA)": null,
"Cardiac Function": null,
"Cardiac and Pulmonary Function Examination": null,
"Cardiac and Renal Ultrasound": null,
"Cervical CT and MRI": null,
"Cervical Canal Curettage": null,
"Cervical Cancer Screening Smear": null,
"Cervical Cytology Examination": null,
"Cervical Cytology Smear": null,
"Cervical Cytology Test": null,
"Cervical MRI": null,
"Cervical Secretion Culture": null,
"Cervical Secretion HPV-DNA Test": null,
"Cervical Secretion High-Risk HPV-DNA Test": null,
"Cervical Ultrasound": null,
"Cervix-to-Uterine Body Ratio": null,
"Chest CT": null,
"Chest CT Scan": null,
"Chest X-ray": null,
"Chest X-ray 1": null,
"Chest X-ray 2": null,
"Chest X-ray Imaging": null,
"Chest X-ray and Abdominal B-ultrasound": null,
"Chest X-ray and ECG": null,
"Chest X-ray and Lung CT": null,
"Chlamydia Culture": null,
"Chlamydia Test": null,
"Chromosome Analysis": null,
"Chromosome Analysis - Husband": null,
"Chromosome Analysis - Patient": null,
"Chromosome Result": null,
"Cl": null,
"Cleanliness Grade": "III",
"Close Relationship with Bladder and Rectum": null,
"Clue Cells": null,
"Coagulation Function": null,
"Coagulation Function Test": null,
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": null,
"Complete Blood Count (CBC)": null,
"Complete Blood Count and Coagulation Function Test": null,
"Comprehensive Thyroid Function Test": null,
"Compression": null,
"Cranial CT": null,
"Culture Method": null,
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": null,
"Cytomegalovirus Test": null,
"Delayed Scanning": null,
"Discharge Observation": null,
"E": null,
"ESR": null,
"ESR and CRP": null,
"Echocardiography": null,
"Electrocardiogram": null,
"Electrocardiogram (ECG)": null,
"Electrolyte Test": null,
"Endocrine Profile": null,
"Endometrial Blood Flow PI": null,
"Endometrial Blood Flow RI": null,
"Endometrial Cavity": null,
"Endometrial Echogenicity": null,
"Endometrial MRI": null,
"Endometrial Thickness": null,
"Endometrium": null,
"Enhanced Scanning": null,
"Epithelial Neoplasia": null,
"Erythrocyte Sedimentation Rate": null,
"Erythrocyte Sedimentation Rate (ESR)": null,
"Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Blood Biochemistry, Chest X-ray, and Electrocardiogram (ECG)": null,
"Estradiol": null,
"Estradiol (E2)": null,
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": null,
"Fasting Insulin (FINS)": null,
"Fasting Plasma Glucose (FPG)": null,
"Fiberoptic Colonoscopy": null,
"Fluid-like Density": null,
"Follicle-Stimulating Hormone (FSH)": null,
"Follicles": null,
"Full Abdominal CT": null,
"Fundus Examination": null,
"Fungal Pseudohyphae or Spores": null,
"GLO": null,
"General Examination Profile": null,
"GnRH FSH": null,
"GnRH LH": null,
"GnRH Stimulation Test": null,
"Gram Staining Method": null,
"Gram-negative Diplococci": null,
"Greater Omentum CT": null,
"HDL": null,
"HOMA-IR": null,
"HPV Test": null,
"HPV-DNA": null,
"Hb": null,
"Hemoglobin": null,
"Hemoglobin Level": null,
"Hemoglobin Test": null,
"Hepatic Function": null,
"Herpes Simplex Virus Test": null,
"High-Density Lipoprotein (HDL)": null,
"High-risk HPV Test": null,
"High-risk HPV-DNA Test": null,
"Hysterosalpingography": null,
"Hysterosalpingography (HSG)": null,
"Hysteroscopy": null,
"Hysteroscopy Cervical Canal": null,
"Hysteroscopy Distension Medium": null,
"Hysteroscopy Endometrium": null,
"Hysteroscopy Examination": null,
"Hysteroscopy Pressure": null,
"Hysteroscopy Right Uterine Horn": null,
"Hysteroscopy Uterine Cavity": null,
"IVP": null,
"Imaging Diagnostics": null,
"Infiltration in Anterior Wall of Rectum": null,
"Intestinal Spaces and Paracolic Gutters CT": null,
"Intracranial Lesions": null,
"Intravenous Pyelography": null,
"Intravenous Pyelography (IVP)": null,
"K": null,
"KUB X-ray": null,
"Karyotype": null,
"Kidney Function": null,
"Kidney Function Test": null,
"Kidney Function Tests": null,
"Kidney Ultrasound": null,
"Kidneys Ultrasound": null,
"LDL": null,
"LH": null,
"LH 120 minutes after injection": null,
"LH 15 minutes after injection": null,
"LH 30 minutes after injection": null,
"LH 60 minutes after injection": null,
"LH After Injection 120 Minutes": null,
"LH After Injection 15 Minutes": null,
"LH After Injection 30 Minutes": null,
"LH After Injection 60 Minutes": null,
"LH Before Injection": null,
"LH before injection": null,
"LH/FSH Ratio": null,
"Laboratory Results": null,
"Left Adnexa Ultrasound": null,
"Left Mid-Abdomen Ultrasound": null,
"Left Ovary": null,
"Left Ovary Size": null,
"Left Ovary Volume": null,
"Left Pelvic Wall CT": null,
"Lesion Acetic Acid White Test": null,
"Liquefaction Time": null,
"Liver Function": null,
"Liver Function Test": null,
"Liver Function Tests": null,
"Liver and Gallbladder Ultrasound": null,
"Liver and Kidney Function Test": null,
"Liver and Kidney Function Tests": null,
"Liver and Kidney Function Tests, Coagulation Function": null,
"Liver, Gallbladder, Pancreas, Spleen Ultrasound": null,
"Liver, Kidney Function, and Electrolytes": null,
"Low-Density Lipoprotein (LDL)": null,
"Lung CT": null,
"Lung Function Test": null,
"Lungs CT": null,
"Luteinizing Hormone (LH)": null,
"Lymph Nodes CT": null,
"MRI": null,
"MRI Contrast Imaging": null,
"Maximum Urethral Closure Pressure": null,
"Mixed-Density Shadow": null,
"Morphological Abnormality Rate": null,
"Motility Grade 0": null,
"Motility Grade I": null,
"Motility Grade II": null,
"Motility Grade III": null,
"Mucoblood Reaction": null,
"Mycoplasma Test": null,
"Myometrial Echo": null,
"N": null,
"Na": null,
"Neisseria Gonorrhoeae Culture": null,
"Neutrophil Percentage": null,
"Neutrophil Ratio (N)": null,
"Neutrophils": null,
"No Masses Observed": null,
"Nuclear Bone Scan": null,
"OGTT": null,
"Orthopedic X-ray": null,
"Ovarian Mass Shadows": null,
"Ovarian Tumor Size": null,
"Ovaries": null,
"Ovaries Ultrasound": null,
"P": null,
"PLT": null,
"PPD Test": null,
"PRL": null,
"Pathogen Test for STDs": null,
"Pelvic CT": null,
"Pelvic CT Examination": null,
"Pelvic CT Scan": null,
"Pelvic CT/MRI": null,
"Pelvic Cavity CT": null,
"Pelvic Cavity Ultrasound": null,
"Pelvic Cystic-Solid Mass": null,
"Pelvic Lymph Nodes": null,
"Pelvic Ultrasound": null,
"Pelvic X-ray": null,
"Pelvic X-ray Follow-up": null,
"Pelvic X-ray Plain Film": null,
"Pelvic and Abdominal CT/MRI": null,
"Pelvic and Upper Abdominal CT": null,
"Pituitary MRI": null,
"Pituitary Stimulation Procedure": null,
"Pituitary Stimulation Test": null,
"Pituitary Stimulation Test Procedure": null,
"Pituitary Stimulation Test Results": null,
"Platelet Count": null,
"Preoperative Peripheral Blood Tests": null,
"Progesterone": null,
"Progesterone (P)": null,
"Progesterone Level": null,
"Prolactin": null,
"Prolactin (PRL)": null,
"Pulmonary CT": null,
"Pulmonary Diffusion Function": null,
"Pulmonary Diffusion Function Test": null,
"Pulmonary Function": null,
"Pulmonary Function Test": null,
"Pulmonary Ventilation Function": null,
"Pulmonary Ventilation Function Test": null,
"Q-tip Test": null,
"RBC": null,
"Rectouterine Pouch CT": null,
"Red Blood Cell Count": null,
"Renal Function": null,
"Renal Function Test": null,
"Reproductive Endocrine Hormone Test": null,
"Reproductive Endocrine Test": null,
"Residual Urine Volume": null,
"Right Adnexa Ultrasound": null,
"Right Adnexal Region CT": null,
"Right Ovary": null,
"Right Ovary Size": null,
"Right Ovary Ultrasound": null,
"Right Ovary Volume": null,
"Routine Blood Biochemistry": null,
"Routine Blood Test": null,
"Routine Blood and Urine Tests": null,
"Routine Laboratory Tests, Chest X-ray, and Electrocardiogram": null,
"Routine Stool Test": null,
"Routine Urinalysis": null,
"Routine Urine Test": null,
"Routine Urine and Stool Test": null,
"Routine Vaginal Discharge Test": null,
"Rubella Virus Test": null,
"Semen Analysis": null,
"Semen Volume": null,
"Serum CA125": null,
"Serum Squamous Cell Carcinoma Antigen": null,
"Serum Tumor Markers": null,
"Serum Tumor Markers Profile": null,
"Serum hCG Level": null,
"Serum hCG Test": null,
"Serum β-hCG": null,
"Solid Mass in Left Adnexal Region": null,
"Sperm Density": null,
"Stool Routine Test": null,
"T": null,
"T Levels": null,
"TBL": null,
"TC": null,
"TG": null,
"TP": null,
"TPHA": null,
"TSH, T3, and T4": null,
"Testicular Biopsy Pathology": null,
"Testosterone": null,
"Testosterone (T)": null,
"Thyroid Function Test": null,
"Total Cholesterol (TC)": null,
"Toxoplasma Test": null,
"Transvaginal Color Doppler Ultrasound": null,
"Transvaginal Ultrasound": null,
"Trichomonads": null,
"Trichomonas": "No",
"Triglycerides (TG)": null,
"Tumor Markers": null,
"Tumor Markers Panel": null,
"Tumor Shape": null,
"UA": null,
"UREA": null,
"Ultrasound": null,
"Ultrasound Examination": null,
"Ultrasound Findings": null,
"Ultrasound and Intravenous Pyelography": null,
"Ureters Ultrasound": null,
"Urinalysis": null,
"Urine Flow Rate": null,
"Urine Pregnancy Test": null,
"Urine Routine": null,
"Urine Routine Test": null,
"Urine Test": null,
"Urine hCG": null,
"Uterine B-ultrasound": null,
"Uterine Body Size": null,
"Uterine Cavity": null,
"Uterine Cavity B-ultrasound": null,
"Uterine Hysteroscopy": null,
"Uterine MRI": null,
"Uterine Ultrasound": null,
"Uterine Volume": null,
"Uterine and Fallopian Tube HSG": null,
"Uterus": null,
"Uterus Boundaries": null,
"Uterus CT": null,
"Uterus Dimensions": null,
"Uterus Size": null,
"Uterus Ultrasound": null,
"Uterus and Bilateral Adnexa Ultrasound": null,
"Vaginal Color Doppler Ultrasound": null,
"Vaginal Fluid AG": null,
"Vaginal Fluid Analysis": null,
"Vaginal Fluid CREA": null,
"Vaginal Fluid Ca2+": null,
"Vaginal Fluid Cl": null,
"Vaginal Fluid CysC": null,
"Vaginal Fluid GFR": null,
"Vaginal Fluid HCO3-": null,
"Vaginal Fluid K+": null,
"Vaginal Fluid Mg2+": null,
"Vaginal Fluid Na+": null,
"Vaginal Fluid PHO": null,
"Vaginal Fluid UA": null,
"Vaginal Fluid UREA": null,
"Vaginal Inflammation": null,
"Vaginal Microscopic Exam": "Cleanliness grade III, no trichomonas or Candida albicans observed.",
"Vaginal Physical/Chemical Profile": null,
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": null,
"Vaginal pH": null,
"WBC": null,
"White Blood Cell (WBC)": null,
"White Blood Cell Count": null,
"White Blood Cells": null,
"White Blood Cells (Microscopic)": null,
"White Blood Cells and Platelets": null,
"White Blood Cells in Cervical Secretions": null,
"Wrist X-ray": null,
"hCG": null
}
|
**Basic information**: Female, 28 years old,system ID is W-12
|
**Basic information**: Female, 28 years old,system ID is W-12.
**Chief complaint**: Increased purulent vaginal discharge for 3 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: No history of gynecological diseases in the past. All results from a workplace physical examination conducted 2 months ago were normal, including cervical TCT and vaginal examination, which showed no abnormalities. There was a history of unprotected extramarital sexual intercourse 2 weeks ago, without the use of condoms. Starting 3 days ago, an increase in vaginal discharge was observed, which appeared purulent. No significant vulvar or vaginal itching, urinary frequency, urgency, or pain during urination. No lower abdominal pain or fever..
|
[
"Chlamydia trachomatis-induced cervical mucositis"
] |
**Physical examination**: Body temperature: Normal
No lower abdominal pain.
### Gynecological Examination:
1. **External Genitalia**: Normal
2. **Vaginal Examination**: Purulent discharge observed, large in quantity
3. **Cervix**: Congested and hypertrophic; mucopurulent discharge visible at the cervical os; no cervical motion tenderness
4. **Uterus**: Retroverted, normal size
5. **Adnexa (bilateral)**: No abnormalities detected.
|
End of preview. Expand
in Data Studio
GynClinic : Development and validation of a traceable reasoning multi-agent framework for simulating real-world gynecological clinical diagnosis
Project Site : https://github.com/ChenYu202109/GynClinic.git
To Use : This is the open-source textbook dataset of the GynClinic project. Please download and use it, and then place it in the Imaging directory.
Source : Xie, X. Clinical diagnosis and treatment thinking of gynecological diseases People's Medical Publishing House, Beijing(2009)
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