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,
"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": "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,
"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": "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,
"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": 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": null,
"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, 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
|
{
"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": "1:64",
"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": "No abnormalities detected",
"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)": "No abnormalities detected",
"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": "No abnormalities detected",
"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": "Positive",
"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": null,
"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, 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.
|
W-13
|
{
"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": 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": "Positive",
"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": 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": null,
"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, 26 years old,system ID is W-13
|
**Basic information**: Female, 26 years old,system ID is W-13.
**Chief complaint**: Found vulvar neoplasm for 7 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Discovered vulvar growths one week ago, accompanied by mild itching and increased vaginal discharge. Has two sexual partners, both are heterosexual Han ethnicity. Uses safe period contraception. No recent history of medication use..
|
[
"Condyloma Acuminatum of the Vulva"
] |
**Physical examination**: ### Gynecological Examination:
1. **Findings on External Genitalia**: Several growths of varying sizes were observed at the posterior commissure of the labia and around the anus. The surface of the growths appeared unclean and exhibited a comb-like (cockscomb) appearance.
2. **Vaginal Examination**: No lesions were observed within the vagina.
3. **Cervical Examination**: Ectropion of the columnar epithelium of the cervix was noted.
4. **Uterus**: The uterus was of normal size.
5. **Adnexal Regions**: No palpable masses were detected in the bilateral adnexal regions, and no tenderness was noted..
|
W-14
|
{
"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": "19,000 IU/mL",
"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": 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": "Ultrasound indicates intrauterine early pregnancy with a viable fetus.",
"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": "78 ng/mL",
"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": null,
"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-14
|
**Basic information**: Female, 28 years old,system ID is W-14.
**Chief complaint**: Amenorrhea for 65 days, noticed brownish bloodstains on underwear for 2 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstruation is usually regular, sexual activity is normal, and no contraception is used. The last menstrual period was consistent in volume and characteristics with usual menstruation, and the degree of dysmenorrhea also seemed similar to usual menstruation. At 40 days of amenorrhea, a self-administered urine pregnancy test was positive. At 45 days of amenorrhea, nausea began in the morning and has persisted until now. Three days ago, after sexual intercourse, coffee-colored blood stains were found on underwear the following day. There is a history of two unplanned early pregnancy terminations via artificial abortion..
|
[
"Threatened abortion"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination Content: No abnormal findings.
2. Examination Name: Gynecological Examination
Examination Content:
- Vulva and vagina: Slight bloodstains, but no congestion and no nodules.
- Cervix: Normal coloration, no tenderness, no polyps, no contact bleeding, cervical os closed, cervical canal secretions with blood streaks.
- Uterus: Size consistent with approximately 2 months of pregnancy, no tenderness, soft texture.
- Bilateral adnexal regions: Soft, no thickening, no tenderness..
|
W-15
|
{
"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": "12,000 IU/ml",
"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": 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": "The patient’s B-ultrasound indicates early intrauterine pregnancy, fetal heartbeat detected, cervical canal length 0.5 cm, internal os dilated to 1 cm, amniotic sac protruding toward the cervical os.",
"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": "40 nmol/L",
"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": null,
"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, 32 years old,system ID is W-15
|
**Basic information**: Female, 32 years old,system ID is W-15.
**Chief complaint**: Amenorrhea for over 80 days, slight vaginal bleeding for 2 days, increased bleeding accompanied by paroxysmal lower abdominal pain for 4 hours..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstrual cycles are usually irregular, with a cycle of 30–45 days. Normal sexual activity, no contraception. Amenorrhea for more than 40 days, accompanied by early pregnancy symptoms such as nausea, which have persisted until now. Two days ago, vaginal bleeding occurred without any apparent cause, with the amount significantly less than a normal menstrual period, no abdominal pain, and no medical consultation sought. Four hours ago, sudden vaginal bleeding increased, with the amount exceeding the heaviest menstrual flow, accompanied by paroxysmal lower abdominal pain. No vaginal discharge or passage of tissue..
|
[
"Inevitable abortion"
] |
**Physical examination**: 1. General Physical Examination: Mild anemic appearance.
2. Gynecological Examination: A large amount of blood clots was observed in the vagina, with no formed structures seen. The cervical os is open and can accommodate one finger, with no tissue or amniotic sac observed.
3. Uterus: The size is equivalent to approximately 80+ days of pregnancy, non-tender, and soft in texture.
4. Bilateral Adnexal Regions: No thickening or tenderness observed..
|
W-16
|
{
"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": "hCG level is 2900 IU/ml.",
"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": 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": "The uterus is approximately the size of a 2-month pregnancy. Intrauterine pregnancy is observed, the gestational sac is deformed, and no fetal heartbeat is detected.",
"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": "Progesterone level is 28 ng/ml.",
"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": null,
"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, 26 years old,system ID is W-16
|
**Basic information**: Female, 26 years old,system ID is W-16.
**Chief complaint**: Amenorrhea for more than 4 months, vaginal bleeding for 3 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstruation is regular. The last menstrual period was consistent with usual menstruation. Amenorrhea for 45 days accompanied by morning nausea, persisting until 2 months of amenorrhea. On the 50th day of amenorrhea, a urine pregnancy test was positive, and ultrasound examination confirmed an intrauterine early pregnancy with a viable fetus. Three days ago, vaginal bleeding occurred, with an amount less than menstrual flow and no abdominal pain..
|
[
"Missed abortion"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination Content: No abnormalities detected.
2. Examination Name: Gynecological Examination
Examination Content:
- Vulva and vagina: Small amount of bloodstains, but no congestion or bleeding.
- Cervix: Stained, no tenderness upon lifting, cervical os closed.
- Uterus: Size consistent with approximately 2 months of pregnancy, no tenderness, medium texture.
- Bilateral adnexal regions: Soft, no thickening, no tenderness..
|
W-17
|
{
"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": "45",
"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": 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": "55 mm/h",
"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": "89%",
"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": "Disorganized echoes within the uterine cavity and a small amount of pelvic effusion. No masses were observed in the bilateral adnexa.",
"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": null,
"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": "12.0 × 10^9 / L",
"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, 26 years old,system ID is W-17
|
**Basic information**: Female, 26 years old,system ID is W-17.
**Chief complaint**: Amenorrhea for 3 months, irregular vaginal bleeding for 4 weeks, lower abdominal pain accompanied by fever for 3 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The last menstrual period was consistent with the usual menstrual cycle. At 42 days of amenorrhea, a self-administered urine pregnancy test was positive. At 50 days of amenorrhea, a B-ultrasound examination indicated an intrauterine early pregnancy with a viable fetus. Vaginal bleeding began 2 weeks ago, initially resembling menstrual flow with small blood clots discharged. Over the past week, vaginal bleeding has decreased, presenting only as blood-streaked leukorrhea. Sexual intercourse occurred 5 days ago. Lower abdominal pain, lumbar soreness, and fever began 3 days ago. The abdominal pain is persistent, with the highest recorded body temperature being 38 ℃. Additionally, foul-smelling vaginal discharge was noted..
|
[
"Miscarriage infection"
] |
**Physical examination**: Body temperature: 38 ℃
Lower abdominal tenderness and rebound tenderness.
1. Gynecological examination:
- Purulent bloody discharge in the vagina with an odor.
- Cervical motion tenderness.
- Cervical os dilation with visible embryonic-like tissue embedded.
- Uterus enlarged to the size of approximately 3 months of pregnancy, with significant tenderness and pain upon palpation.
- Both adnexal regions are thickened and tender upon palpation..
|
W-18
|
{
"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": "Biphasic pattern, high-temperature phase lasted only 10–11 days",
"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": "2080 U/L",
"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": 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": "B-ultrasound indicated the presence of a gestational sac and yolk sac in the uterine cavity, but no embryonic bud was observed.",
"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": "42 ng/ml",
"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": null,
"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, 30 years old,system ID is W-18
|
**Basic information**: Female, 30 years old,system ID is W-18.
**Chief complaint**: Repeated spontaneous miscarriages 3 times in the past 2 years, amenorrhea for 40 days, and slight vaginal bleeding for 1 day..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstruation is usually irregular, with a cycle of approximately 23 days. The previous three spontaneous miscarriages all occurred around 50 days of amenorrhea. In two instances, no embryonic bud was observed, and in one instance, an embryonic bud was present but no fetal heartbeat was detected. The patient is generally in good health, with no known chronic diseases and no prior medical examinations.
For this pregnancy, at 40 days of amenorrhea, urine hCG was positive, and there was a small amount of vaginal bleeding for one day..
|
[
"Habitual abortion"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormalities detected.
2. Examination Name: Gynecological Examination
Examination content: Vulva and vagina are normal. No abnormalities were found in the cervix, uterus, or bilateral adnexa.
From the anatomical structure, no factors causing habitual miscarriage were identified..
|
W-19
|
{
"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": "1698 IU/L",
"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": 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": "The ultrasound indicates a right-sided parauterine mass.",
"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": null,
"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-19
|
**Basic information**: Female, 28 years old,system ID is W-19.
**Chief complaint**: Amenorrhea for 50 days, vaginal bleeding for 20 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstruation has been regular in the past. The last menstrual period was 50 days ago. Approximately 20 days ago, there was a small amount of dark red vaginal bleeding, which has persisted until now. Outpatient blood β-hCG level was 1698 U/L.
1. **Ultrasound Examination**:
- Uterus: Normal size.
- Right side of the uterus: A mixed mass with a diameter of approximately 2.5 cm, with blurred margins and heterogeneous echogenicity.
- Pelvic cavity: Fluid accumulation of 0.8 cm.
- Primary consideration: Right-sided ectopic pregnancy.
No abdominal pain, fever, cough, or hemoptysis. History of induced abortion 1 year ago..
|
[
"Right tubal pregnancy abortion"
] |
**Physical examination**: 1. General Examination: No abnormalities detected.
2. Gynecological Examination:
- Vulva and vagina: Small amount of bloodstain, no purplish-blue nodules.
- Cervix: Not stained, mild tenderness upon lifting.
- Uterus: Normal size, no tenderness, medium consistency.
- Right adnexal region: Palpable cystic mass approximately 3 cm × 3 cm × 2 cm, mild tenderness, movable, clear boundaries..
|
W-20
|
{
"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": "2735 IU/mL",
"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": 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": "Ultrasound indicates thickening of the right fallopian tube and pelvic effusion with a depth of 6.3 cm.",
"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": null,
"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, 30 years old,system ID is W-20
|
**Basic information**: Female, 30 years old,system ID is W-20.
**Chief complaint**: Vaginal bleeding for 8 days, severe pain in the right lower abdomen for 4 hours..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstruation is usually regular, lasting for 5 days until clean. Vaginal bleeding occurred 8 days ago, initially thought to be menstruation, but it has persisted until now without cessation. Four hours ago, the patient experienced sudden severe pain in the right lower abdomen without obvious triggers, described as tearing pain, accompanied by nausea and vomiting. The vomitus consisted of gastric contents, and there was a sensation of rectal fullness. The local health clinic considered "acute appendicitis" and recommended transfer to our hospital for surgical treatment. The patient has a history of good general health, no history of lower abdominal discomfort, no history of consuming contaminated food prior to the onset, and a history of induced abortion one year ago..
|
[
"Rupture of the right fallopian tube due to ectopic pregnancy"
] |
**Physical examination**: Acute illness appearance, pale complexion, profuse sweating, thready and rapid pulse, blood pressure 90/50 mmHg.
1. **Abdominal Examination**: Slight abdominal distension observed. Tenderness in the right lower abdomen $(+)$, accompanied by mild muscle guarding. Shifting dullness $(\pm)$.
2. **Gynecological Examination**: A small amount of blood observed in the vulva and vagina. Significant cervical motion tenderness. Unsatisfactory palpation of the uterus and bilateral adnexa..
|
W-21
| null |
**Basic information**: Female, 26 years old,system ID is W-21
|
**Basic information**: Female, 26 years old,system ID is W-21.
**Chief complaint**: 15 days after salpingotomy and embryo removal, blood β-hCG levels increased for 4 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Preoperative β-hCG value: 5756 IU/L
Mass diameter: approximately 3 cm
Uterus: normal size
Intraoperative findings: Incomplete villous-like tissue observed.
Postoperative condition: Persistent slight vaginal bleeding, no history of sexual activity, no abdominal pain or fever, no cough or hemoptysis.
Follow-up: Regular follow-ups conducted. Within one week post-surgery, blood β-hCG levels decreased rapidly. However, during the most recent two measurements (twice per week), the levels showed an increase compared to the previous measurement:
1. 147 IU/L
2. 178 IU/L.
|
[
"Persistent ectopic pregnancy"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormalities detected.
2. Examination Name: Gynecological Examination
Examination content:
- Vulva and vagina: Slight traces of blood, no purplish-blue nodules.
- Cervix: Mild erosion, no tenderness upon lifting.
- Uterus: Normal size, no tenderness, medium texture.
- Right adnexa: Slight thickening, mild tenderness upon palpation.
- Left adnexa: No palpable masses, no tenderness..
|
W-22
|
{
"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": 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": 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": "The uterus is of normal size, the endometrial thickness is 0.5 cm, a hypoechoic mass measuring 5 cm × 5 cm × 4 cm is observed adjacent to the right side of the uterus.",
"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": "(-)",
"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": null,
"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**: 32 years old, married,system ID is W-22
|
**Basic information**: 32 years old, married,system ID is W-22.
**Chief complaint**: Irregular vaginal bleeding for 48 days, lower abdominal pain and distension for 20 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstruation is regular, lasting for 5 days until clean. Intrauterine contraceptive device has been in place for 8 years. Generally healthy, with no history of lower abdominal discomfort. History of induced abortion 3 years ago..
|
[
"Old ectopic pregnancy"
] |
**Physical examination**: Vital signs are stable, anemic appearance, mild tenderness in the lower abdomen, shifting dullness (-).
1. Gynecological Examination:
- Vaginal patency, presence of dark red blood accumulation.
- Posterior fornix fullness.
- Cervical motion tenderness.
- Uterus is of normal size, mild tenderness.
- Right adnexa thickened with tenderness.
- Left adnexa (-)..
|
W-23
|
{
"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": "A large amount of anechoic area was observed in the abdominal cavity, with inhomogeneous internal echoes. A fetus was floating within, and no fetal heartbeat was detected. A hypoechoic mass measuring 5 cm × 4 cm × 4 cm was observed in the right uterine horn, with inhomogeneous internal echoes.",
"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": 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": 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": null,
"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, 38 years old,system ID is W-23
|
**Basic information**: Female, 38 years old,system ID is W-23.
**Chief complaint**: Amenorrhea for 15 weeks, severe abdominal pain accompanied by dizziness for 1 hour..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Sudden onset of severe lower abdominal pain 1 hour ago, accompanied by dizziness, no vaginal bleeding or discharge, early pregnancy symptoms not obvious, amenorrhea with blood $\beta - \mathrm{hCG}$ doubling within the normal range, generally healthy, no history of lower abdominal discomfort, no significant weight loss. Cesarean section delivery of a female infant 8 years ago, underwent induced abortion 1 year ago..
|
[
"Rupture of Cornual Pregnancy"
] |
**Physical examination**: Blood pressure: 40/0 mmHg
Pulse: 121 beats/min
Facial complexion: Pale
Expression: Indifferent
Mental state: Lethargic
Eyelids: Pale
Heart rate: Rapid
Heart sounds: Weak, no murmurs
Abdomen: Distended, board-like rigidity
Tenderness and rebound tenderness: Positive (+)
Shifting dullness: Positive (+)
1. Gynecological Examination:
- External genitalia: No abnormalities
- Vagina: Patent
- Cervix: Mild erosion
- Uterine body: Not clearly palpable
- Right uterine horn: Protruding outward, with significant tenderness and rebound tenderness at this site
- Bilateral adnexa: Tenderness and rebound tenderness positive (+), no palpable masses.
|
W-24
|
{
"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": "β-hCG level is 1275 IU/L.",
"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": 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": "The uterus is of normal size, with clear boundaries. A mixed echo mass measuring 9.8 cm × 7.6 cm × 6.3 cm is observed within the cervical canal. No abnormalities are detected in bilateral adnexa.",
"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": null,
"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, 35 years old,system ID is W-24
|
**Basic information**: Female, 35 years old,system ID is W-24.
**Chief complaint**: Amenorrhea for 49 days, painless vaginal heavy bleeding for 2 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstruation is usually regular. Last menstrual period was 49 days ago. At 40 days of amenorrhea, a self-administered urine pregnancy test was positive. Two days ago, painless vaginal bleeding occurred, with the amount of bleeding gradually increasing. No obvious tissue discharge was observed. No abdominal pain, fever, coughing, or hemoptysis. Six years ago, a cesarean section was performed to deliver a female infant, who is currently healthy. There is a history of induced abortion 3 years ago and 1 year ago..
|
[
"Cervical Pregnancy"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormal findings.
2. Examination Name: Gynecological Examination
Examination content:
- A large amount of blood is present in the vagina.
- Vaginal passage is unobstructed.
- Cervix is hypertrophic, smooth, and the cervical os is closed.
- Active bleeding is observed at the external os.
- No tenderness upon lifting.
- Cervical canal is significantly enlarged and barrel-shaped, measuring approximately 10 cm × 8 cm × 6 cm, with high tension.
- Uterus is anteverted, normal in size, soft in texture, and non-tender.
- No abnormalities detected in bilateral adnexa..
|
W-25
|
{
"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": 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": 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": "Early intrauterine pregnancy, live fetus; right interstitial pregnancy, live fetus.",
"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": null,
"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, 31 years old,system ID is W-25
|
**Basic information**: Female, 31 years old,system ID is W-25.
**Chief complaint**: Amenorrhea for 45 days, irregular scanty vaginal bleeding for 3 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstrual history: Regular menstrual cycles, 30 days per cycle, 5 days per period, moderate menstrual flow, no dysmenorrhea. Last menstrual period was on July 19, 2008, with the same amount and characteristics as before.
On August 24, 2008, at a local hospital:
1. **Examination Name**: Blood HCG
**Examination Content**: 10449 IU/L
2. **Examination Name**: Progesterone
**Examination Content**: 93.2 nmol/L
Recent symptoms: Over the past 3 days, there has been irregular, slight vaginal bleeding, without abdominal pain, abdominal distension, nausea, vomiting, headache, dizziness, passage of fleshy tissue, or a sensation of rectal pressure.
On August 26, 2008, at a local hospital:
1. **Examination Name**: Ultrasound
**Examination Content**: Indicated a blastocyst structure within the uterine cavity and the right uterine cornu. Follow-up was recommended..
|
[
"Right-sided interstitial pregnancy"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormalities detected.
2. Examination Name: Gynecological Examination
Examination content: No abnormalities in the vulva and vagina. The cervix shows mild erosion, the cervical os is closed, the uterus is in an anterior position, approximately the size of a 40-day pregnancy, soft in texture, good mobility, and no tenderness. No obvious masses or tenderness detected in the adnexa..
|
W-26
|
{
"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": "No abnormalities detected",
"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": 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": "No abnormalities detected",
"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": null,
"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, 40 years old,system ID is W-26
|
**Basic information**: Female, 40 years old,system ID is W-26.
**Chief complaint**: Vulvar pruritus for 9 years, vulvar ulceration discovered 1 month ago..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: No history of local irritation or systemic diseases, no history of parasitic infections, no mental or psychological abnormalities. The itching is primarily located on the labia majora, labia minora, and the posterior commissure of the perineum, and is persistent..
|
[
"Squamous epithelial hyperplasia of the vulva"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormalities detected.
2. Examination Name: Gynecological Examination
Examination content:
- Clitoral prepuce, inner sides of bilateral labia majora, inner and outer sides of labia minora, posterior commissure, and skin show widespread depigmentation, appearing white.
- Skin thickening observed, presenting as lichenification.
- No palpable enlargement of bilateral inguinal lymph nodes.
- A small amount of white discharge in the vagina.
- Cervix is smooth.
- Uterine body is in a normal position, of normal size, medium consistency, good mobility, and no tenderness.
- No palpable masses in the bilateral adnexal regions..
|
W-27
|
{
"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": 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": "Colposcopy satisfactory. A small patch of acetowhite epithelium observed at the 3 o'clock position of the cervix.",
"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": "High-risk HPV positive, RLU/CO = 108.",
"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": "No evidence of concurrent infections detected.",
"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": null,
"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, 23 years old,system ID is W-27
|
**Basic information**: Female, 23 years old,system ID is W-27.
**Chief complaint**: A yellow bean-sized excrescence was found on the vulva, gradually increasing in size and number for more than 5 months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient self-reported discovering a vulvar mass over 5 months ago, initially the size of a soybean, which has gradually increased in size and number recently. Occasionally accompanied by itching, but without burning or pain. No vulvar skin ulceration or discharge was noted. Vaginal discharge has increased compared to before, but there is no contact bleeding from the vagina. Menstrual cycles are regular, and there are no abnormalities in urination or defecation.
Past medical history: No significant findings.
Marital status: Unmarried.
Sexual history: Active sexual history for 5 years, with 3 previous sexual partners. Symptoms of external genitalia in sexual partners are unclear..
|
[
"Condyloma Acuminatum of the Vulva with CIN I (Cervical Intraepithelial Neoplasia Grade I)"
] |
**Physical examination**: Multiple excrescences with diameters ranging from 0.5 to 1.5 cm are observed on both the labia majora and labia minora. They are mucosal-colored, soft in texture, with finger-like protrusions on the surface, and have clear boundaries. The vaginal mucosa is smooth, with a small amount of secretion observed. The cervix shows mild erosion-like changes, with no obvious excrescences detected. No abnormalities are palpated in the uterine body or bilateral adnexal regions..
|
W-28
|
{
"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": 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": "Colposcopy satisfactory, no lesions observed in the cervix and vagina.",
"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": 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": null,
"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, 44 years old,system ID is W-28
|
**Basic information**: Female, 44 years old,system ID is W-28.
**Chief complaint**: Vulvar pruritus for 5 years.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Five years ago, the patient developed vulvar pruritus, with symptoms gradually worsening. Four years ago, the patient was diagnosed at an external hospital with "vulvar leukoplakia" without undergoing a pathological biopsy. The patient underwent two sessions of laser treatment and applied topical corticosteroid ointment for three months, which led to symptom improvement. However, symptoms recurred, and over the past six months, the pruritus has intensified. The vulvar skin has become firm and thickened, with no vulvar masses detected..
|
[
"Vulvar Intraepithelial Neoplasia Grade 3 (VIN 3)"
] |
**Physical examination**: Superficial lymph nodes throughout the body and bilateral inguinal lymph nodes were not palpably enlarged. On the anterior two-thirds of the right labia majora and the anterior half of the right labia minora, a grayish-white plaque approximately 4 cm × 3 cm in size was observed. The skin was thickened, the surface was rough, and keratinization was evident, without involvement of the clitoris. A small area of erosion was visible on the labia majora. The vagina was unobstructed, the cervix was smooth, and a bimanual examination of the uterus and bilateral adnexa revealed no obvious abnormalities..
|
W-29
|
{
"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": "SCC level is 7.8 ng/ml.",
"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": "No significant contraindications for surgery were indicated.",
"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": "No abnormalities or lesions were found in the vagina or cervix.",
"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": "No abnormal masses were observed in the pelvic and abdominal organs. No enlarged lymph nodes were found in the pelvic cavity or inguinal region.",
"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": null,
"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, 70 years old,system ID is W-29
|
**Basic information**: Female, 70 years old,system ID is W-29.
**Chief complaint**: Vulvar pruritus for more than 1 year..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient self-reported discovering a vulvar mass 9 months ago. Initially, it was the size of a mung bean, but it has gradually increased in size recently. There is no vulvar skin ulceration, discharge, or significant pain. No abnormalities in urination or defecation. No significant past medical history..
|
[
"Vulvar cancer"
] |
**Physical examination**: The inner sides of the bilateral labia majora and labia minora exhibit white patch-like changes. A mass measuring 2.2 cm × 2 cm × 0.4 cm is observed in the middle-upper portion of the left labia minora, with a reddened surface and localized shallow ulcer-like changes. The edge of the mass is located <1 cm from the clitoris and 1.5 cm from the urethral opening (Figure 29-1). The anterior half of the right labia minora shows reddened skin and granular hyperplasia. The vagina is unobstructed, and no abnormalities are observed in the cervix, uterine body, or bilateral adnexal regions..
|
W-30
|
{
"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": "SCC level is 14.3 ng/ml.",
"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": "No significant contraindications for surgery were indicated.",
"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": null,
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": "No tumors were observed in the bladder or intestinal tract.",
"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": "No abnormal masses were observed in the pelvic and abdominal organs. No enlarged lymph nodes were found in the pelvic cavity or inguinal region.",
"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": null,
"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, 54 years old,system ID is W-30
|
**Basic information**: Female, 54 years old,system ID is W-30.
**Chief complaint**: Vulvar pruritus for 18 years, vulvar mass detected for 9 months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: 18 years ago, due to "condyloma acuminatum," the patient underwent "superficial X-ray irradiation therapy" at a local hospital. After treatment, vulvar pruritus and vulvar leukoplakia appeared, and the patient has been using saline for washing without seeking further treatment. Over the past 9 months, a hardened mass developed in the vulvar area, which was left untreated. The patient reported that the mass gradually increased in size to approximately the size of a duck egg, with surface ulceration, exudation, and no bleeding..
|
[
"Vulvar cancer"
] |
**Physical examination**: 1. **Superficial Lymph Nodes Examination**: No obvious enlargement of superficial lymph nodes or bilateral inguinal lymph nodes was palpated.
2. **External Genitalia Examination**:
- A 5 cm × 4 cm ulcerative mass was observed on the right labium majus (Figure 30-1).
- The surface of the mass was irregular, with yellow purulent exudate visible inside.
- The mass was hard in texture and non-tender.
- It involved the vaginal introitus, the lower parts of the left and right labia minora, and the anus.
- Surrounding the mass and on the left labium majus, there was a large area of hypopigmentation measuring approximately 5 cm × 2 cm.
3. **Urethral Orifice Examination**: The urethral orifice was not involved.
4. **Vaginal Examination**:
- The vaginal walls were smooth, with no abnormal secretions observed.
5. **Cervical Examination**:
- The cervix was smooth.
- The uterus was of normal size and mobile.
6. **Parametrium Examination**: The parametrium was soft.
7. **Adnexal Examination**: No obvious masses were palpated in the bilateral adnexal regions.
8. **Rectal Examination**:
- The rectal mucosa was smooth.
- No blood was observed on the glove upon withdrawal..
|
W-31
|
{
"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": "No tissue obtained.",
"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": "The result was positive (RLU/CO = 97.6).",
"Cervical Secretion High-Risk HPV-DNA Test": "Positive (RLU/CO = 97.6)",
"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": "Satisfactory examination. Under the microscope, acetowhite epithelium appeared relatively late, with a pale and thin color, flat surface, and irregular 'feather-like' edges. Blood vessels were fine, with small or indistinct punctate areas and mosaic patterns observed. After applying compound iodine solution, the lesion area showed no staining.",
"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": "Colposcopy + Cervical canal curettage: Cervical canal curettage: No tissue obtained. Colposcopy: Satisfactory examination. Under the microscope, acetowhite epithelium appeared relatively late, with a pale and thin color, flat surface, and irregular 'feather-like' edges. Blood vessels were fine, with small or indistinct punctate areas and mosaic patterns observed. After applying compound iodine solution, the lesion area showed no staining.",
"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": 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": null,
"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, 36 years old,system ID is W-31
|
**Basic information**: Female, 36 years old,system ID is W-31.
**Chief complaint**: Abnormal Cervical Cytology for 7 Days.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient had her first sexual intercourse at the age of 18 and has had 3 sexual partners to date. Denies a history of autoimmune diseases, malignant tumors, and a family history of tumors. No contact vaginal bleeding..
|
[
"Cervical Intraepithelial Neoplasia (CIN I)"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination Content: No abnormalities detected.
2. Examination Name: Gynecological Examination
Examination Content:
- Vulva and vagina: No abnormalities detected.
- Cervix: Mild erosion, no obvious masses observed.
- Uterus: Anteverted, normal size, no tenderness, medium consistency, mobile.
- Bilateral adnexal regions: No palpable masses, no tenderness.
3. Examination Name: Bimanual Examination
Examination Content: No abnormalities detected..
|
W-32
|
{
"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": "Results within normal range.",
"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": "Result shows positive (RLU/CO = 697.6).",
"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": "No abnormalities detected.",
"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": "Results within normal range.",
"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": 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": null,
"Vaginal Physical/Chemical Profile": null,
"Vaginal Secretion Test": "Results within normal range.",
"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, 41 years old,system ID is W-32
|
**Basic information**: Female, 41 years old,system ID is W-32.
**Chief complaint**: Cervical intraepithelial neoplasia for 15 days.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient had her first sexual intercourse at the age of 17 and has had 3 current sexual partners. She denies any history of autoimmune diseases, malignant tumors, or a family history of tumors. No contact vaginal bleeding was reported. Due to cervical cytological abnormalities, she underwent colposcopy, with the following results:
1. **Colposcopy**:
- The transformation zone is entirely located at the external cervical os.
- Under the microscope, dense, turbid, white acetowhite epithelium is observed, with a raised surface and clear boundaries.
- Coarse punctate areas and irregularly sized mosaic patterns are visible.
- Occasional irregular atypical blood vessels are noted..
|
[
"Cervical Intraepithelial Neoplasia (CIN III)"
] |
**Physical examination**: 1. General Examination: No abnormal findings.
2. Gynecological Examination:
- Vulva and vagina: No abnormal findings.
- Cervix: Moderate erosion, no obvious masses observed.
- Uterus: Anteverted, normal size, no tenderness, medium texture, mobile.
- Bilateral adnexal regions: No masses palpated, no tenderness.
3. Bimanual Examination: No abnormal findings..
|
W-33
|
{
"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": "No abnormalities found.",
"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": "No abnormalities found.",
"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)": "No abnormalities found.",
"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": "Positive",
"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": "No abnormalities found.",
"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": 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": "No abnormalities found.",
"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": "No abnormalities found.",
"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": null,
"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, 29 years old, married.,system ID is W-33
|
**Basic information**: Female, 29 years old, married.,system ID is W-33.
**Chief complaint**: Physical examination revealed cervical cytological abnormalities for 1 week..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient previously had regular menstruation, with menarche at the age of 13, a cycle of 5/28–30 days. She has been married for 3 years. One year ago, she underwent dilation and curettage due to embryonic development cessation at 3 months of pregnancy. She has not undergone regular gynecological examinations. This time, she is preparing for pregnancy and underwent a preconception check-up. Her usual vaginal discharge is yellow and viscous without an abnormal odor. She occasionally experiences lower back soreness and denies postcoital bleeding or irregular bleeding between menstrual periods..
|
[
"Cervical Squamous Cell Carcinoma Stage Ia1"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormalities detected.
2. Examination Name: Gynecological Examination
Examination content:
- Vulva: Married type.
- Vagina: Mucosa smooth, no congestion or ulcers, leucorrhea slightly yellowish, no abnormal odor.
- Cervix: Moderate erosion, granular type, no obvious neoplasms observed, prone to bleeding upon contact.
- Uterine Body: Anteverted, normal size, mobile.
- Bilateral Adnexal Regions: No palpable masses, no tenderness..
|
W-34
|
{
"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": "Suggests a heterogeneous solid mass occupying the posterior lip of the cervix, measuring 40 mm × 35 mm × 33 mm, with the upper margin reaching the internal cervical os. PI: 1.16; RI: 0.62.",
"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": "No pulmonary metastases detected.",
"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)": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": null,
"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, 40 years old,system ID is W-34
|
**Basic information**: Female, 40 years old,system ID is W-34.
**Chief complaint**: Vaginal bleeding after sexual intercourse for six months, vaginal discharge with odor for three months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Previous menstrual cycles were regular. In the past six months, vaginal bleeding occurred immediately after sexual intercourse, with a small amount of bright red blood that lasted for a short duration and was not clearly related to the menstrual cycle. Vaginal discharge was white, relatively thin, sometimes mixed with blood streaks, and had a foul odor. There were no accompanying symptoms such as lower back pain, abdominal pain, frequent urination, constipation, low-grade fever, fatigue, or weight loss. Since the onset of symptoms, there has been no significant weight loss, and bowel movements, diet, and sleep have all been normal..
|
[
"Invasive squamous cell carcinoma of the cervix"
] |
**Physical examination**: 1. General Examination: No abnormalities detected.
2. Gynecological Examination:
- **Vulva**: Married and parous type; no enlargement of bilateral inguinal lymph nodes.
- **Vagina**: Mucosa smooth.
- **Cervix**: Severe erosion of the lower lip with cauliflower-like protruding growths, hard in texture, with a maximum diameter of approximately 4 cm, not reaching the vaginal fornix, and bleeding upon touch.
- **Uterine Body**: Mid-positioned, full.
- **Bilateral Parametrium**: Still soft; no thickening or abnormal nodules detected in the uterosacral ligaments.
- **Bilateral Adnexal Regions**: No palpable masses or tenderness..
|
W-35
|
{
"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": "MRI indicates abnormal signals in the cervix. A mass measuring 3.5 × 5.2 × 5.0 cm is observed on the posterior wall of the cervix. No invasion of the parametrium is noted, and no enlarged lymph nodes are observed (Figure 35-1).",
"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": 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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": null,
"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, 40 years old,system ID is W-35
|
**Basic information**: Female, 40 years old,system ID is W-35.
**Chief complaint**: Vaginal bleeding after intercourse for six months.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Vaginal bleeding after intercourse for six months, significantly increased in the past month, with a large amount of bloody vaginal discharge, accompanied by a foul odor. No pain in the lower back, sacral region, or lower limbs. No lower limb edema. No urinary frequency, urgency, tenesmus, or hematochezia..
|
[
"Cervical Adenocarcinoma (Stage IB2)"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormal findings.
2. Examination Name: Gynecological Examination
Examination content:
- A small amount of blood in the vagina.
- No invasion of the vaginal fornix or vagina.
- A cauliflower-shaped mass on the posterior wall of the cervix, approximately 6 cm in diameter, fragile and prone to bleeding upon touch.
- Parametrium is soft without thickening.
- Uterus is of normal size, non-tender, medium texture, and mobile.
- No masses or tenderness detected in the bilateral adnexal regions.
- Rectal anterior wall is smooth..
|
W-36
|
{
"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": 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": "High-risk type",
"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": 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": null,
"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-36
|
**Basic information**: Female, 28 years old,system ID is W-36.
**Chief complaint**: Contact vaginal bleeding for 3 months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Vaginal bleeding after sexual intercourse for 3 months, increased bloody vaginal discharge, no other related symptoms..
|
[
"Cervical squamous cell carcinoma"
] |
**Physical examination**: 1. General Examination: No abnormalities detected.
2. Gynecological Examination:
- Vaginal fornix: No invasion.
- Cervix: Cauliflower-like excrescence on the lower lip of the cervix, approximately 1.5 cm in diameter, fragile and prone to bleeding upon touch.
- Parametrium: Soft without thickening.
- Uterus: Normal size, no tenderness, medium consistency, and mobile.
- Bilateral adnexal regions: No palpable masses, no tenderness.
3. Rectal Examination: Smooth anterior rectal wall..
|
W-37
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": "45 g / L",
"ALT": "17 U/L",
"AST": "18 U/L",
"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": "UREA: 28.14 mmol/L, CREA: 1064 μmol / L, UA: 579 μmol / L, HCO3-: 10 mmol/L, K+: 6.02 mmol / L, Na+: 48 mmol / L, Cl: 22.8 mmol/L, Ca2+: 0.4 mmol / L, Mg2+: 0.32 mmol / L, PHO: 2.67 mmol/L, AG: 15.2 mmol / L, CysC: 0.26 mg / L, GFR: 304 ml / min / 1.7",
"Bladder Neck Elevation Test": null,
"Bladder Ultrasound": "Bladder filling is unsatisfactory. No free fluid detected in the pelvic or abdominal cavity.",
"Bladder Urine AG": "15.2 mmol / L",
"Bladder Urine CREA": "1064 μmol / L",
"Bladder Urine Ca2+": "0.4 mmol / L",
"Bladder Urine Cl": "22.8 mmol/L",
"Bladder Urine CysC": "0.26 mg / L",
"Bladder Urine GFR": "304 ml / min / 1.7",
"Bladder Urine HCO3-": "10 mmol/L",
"Bladder Urine K+": "6.02 mmol / L",
"Bladder Urine Mg2+": "0.32 mmol / L",
"Bladder Urine Na+": "48 mmol / L",
"Bladder Urine PHO": "2.67 mmol/L",
"Bladder Urine UA": "579 μmol / L",
"Bladder Urine UREA": "28.14 mmol/L",
"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": "WBC: 7.30 × 10^9 / L, N: 63.04%, RBC: 3.97 × 10^12 / L, Hb: 103.00 g / L, PLT: 521.0 × 10^9 / L",
"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": "78 μmol / L",
"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": "106 mmol/L",
"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": "33.5 g / L",
"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": "103.00 g / L",
"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": "After intravenous injection of 40 ml iodixanol, images were taken at 7 minutes, 15 minutes, and 30 minutes. Bilateral renal pelvis and calyces began to appear at 7 minutes, with normal shape, position, and good filling. Clear visualization of the calyceal cup openings, with no dilation or filling defects. Right ureter pelvic segment and posterior upper bladder showed contrast agent leakage and localized coating in the pelvic cavity, with unclear demarcation from the pelvic segment of the ureter. No abnormalities observed in the imaging of the remaining bilateral ureters. Bladder filling was good, with a filling balloon visible in the cavity. No filling defects or compression displacement observed. Diagnosis: Postoperative cervical cancer. Contrast agent leakage and localized coating in the pelvic cavity at the right ureter pelvic segment. No abnormalities observed in bilateral renal pelvis and calyces.",
"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": "4.11 mmol/L",
"KUB X-ray": "No positive stone shadows or calcification shadows observed in the kidney, ureter, or bladder regions.",
"Karyotype": null,
"Kidney Function": null,
"Kidney Function Test": null,
"Kidney Function Tests": null,
"Kidney Ultrasound": "Both kidneys are of normal shape and size. Renal parenchyma shows uniform echogenicity. No separation or occupying lesions observed in the collecting system.",
"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": "TBL: 7.4 μmol/L, TP: 78.6 g/L, ALB: 45 g / L, GLO: 33.5 g / L, ALT: 17 U/L, AST: 18 U/L",
"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": "63.04%",
"Na": "144 mmol/L",
"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": "521.0 × 10^9 / L",
"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": "3.97 × 10^12 / L",
"Rectouterine Pouch CT": null,
"Red Blood Cell Count": null,
"Renal Function": "UREA: 1.93 mmol/L, CREA: 78 μmol / L, UA: 158 μmol / L, K: 4.11 mmol/L, Na: 144 mmol/L, Cl: 106 mmol/L",
"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": "7.4 μmol/L",
"TC": null,
"TG": null,
"TP": "78.6 g/L",
"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": "158 μmol / L",
"UREA": "1.93 mmol/L",
"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": "14.9 mmol/L",
"Vaginal Fluid Analysis": "UREA: 30.99 mmol/L, CREA: 1284 μmol / L, UA: 633 μmol / L, HCO3-: 12 mmol/L, K+: 5.48 mmol / L, Na+: 53 mmol / L, Cl: 26.1 mmol/L, Ca2+: 1.56 mmol / L, Mg2+: 0.42 mmol / L, PHO: 3.06 mmol/L, AG: 14.9 mmol/L, CysC: 0.29 mg / L, GFR: 272.9 ml / min / 1.7",
"Vaginal Fluid CREA": "1284 μmol / L",
"Vaginal Fluid Ca2+": "1.56 mmol / L",
"Vaginal Fluid Cl": "26.1 mmol/L",
"Vaginal Fluid CysC": "0.29 mg / L",
"Vaginal Fluid GFR": "272.9 ml / min / 1.7",
"Vaginal Fluid HCO3-": "12 mmol/L",
"Vaginal Fluid K+": "5.48 mmol / L",
"Vaginal Fluid Mg2+": "0.42 mmol / L",
"Vaginal Fluid Na+": "53 mmol / L",
"Vaginal Fluid PHO": "3.06 mmol/L",
"Vaginal Fluid UA": "633 μmol / L",
"Vaginal Fluid UREA": "30.99 mmol/L",
"Vaginal Inflammation": null,
"Vaginal Microscopic Exam": null,
"Vaginal Physical/Chemical Profile": null,
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": null,
"Vaginal pH": null,
"WBC": "7.30 × 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": null,
"Wrist X-ray": null,
"hCG": null
}
|
**Basic information**: Female, 46 years old,system ID is W-37
|
**Basic information**: Female, 46 years old,system ID is W-37.
**Chief complaint**: 9 days post radical cervical cancer surgery, vaginal discharge resembling watery fluid for 1 day..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient was admitted to the local municipal people's hospital on November 11, 2007, due to "irregular vaginal bleeding for 1 year after intercourse." A cervical biopsy under colposcopy was performed at the hospital, and the pathology report indicated cervical squamous cell carcinoma. The preliminary diagnosis was "cervical squamous cell carcinoma stage Ib1." On November 16, 2007, the patient underwent a radical hysterectomy and pelvic lymph node dissection. The vaginal stump was continuously sutured with 2-0 Vicryl sutures. The surgery proceeded smoothly, with approximately 300 ml of blood loss. A drainage tube was placed at the lowest point of the pelvic cavity and exited through the left lower abdomen, connected to a sterile bag.
Postoperative observations:
1. On the first postoperative day, the abdominal drainage fluid was light red and blood-tinged, with a volume of approximately 110 ml. Subsequently, the volume gradually decreased and turned light yellow. On the fifth day, after loosening the drainage tube, the drainage fluid volume was less than 10 ml, and the tube was removed.
2. On the third postoperative day, after anal gas passage, gastrointestinal function gradually returned to normal. The patient experienced mild abdominal distension, which was relieved after defecation and gas passage.
3. A urinary catheter was continuously retained postoperatively. For the first three days, the urine output exceeded 3000 ml and was clear. On days 4–6, as food intake increased and intravenous fluids were reduced, the urine output ranged from 2500–2700 ml and was light yellow.
4. On the seventh postoperative day, without obvious cause, the patient experienced a small amount of yellow vaginal discharge with slight dark red streaks, approximately 5 ml in volume, accompanied by mild anal pressure sensation. On the eighth day, the vaginal discharge increased, becoming light yellow and approximately 20 ml in volume. The anal pressure sensation worsened, accompanied by lower abdominal distension and pain, which was not relieved after gas passage. Urine output on the seventh day ranged from 1500–1800 ml and was light yellow.
5. On the ninth postoperative day, without obvious cause, the patient experienced a large amount of light yellow watery vaginal discharge, soaking through inner and outer clothing, as well as a pad and bedsheet with a diameter of approximately 40 cm. Clear fluid continued to flow out, with no significant odor. Abdominal distension and anal pressure sensation were alleviated compared to before. Appetite was acceptable, with no nausea, vomiting, diarrhea, bloody stool, or abdominal distension. The surgical abdominal incision healed well without exudation.
Medical history:
- No history of liver disease or kidney disease.
- No history of long-term residence in areas endemic to infectious diseases.
- No special lifestyle or dietary habits.
- Denies consumption of raw fish, raw meat, or other unhealthy dietary practices.
Postoperative temperature:
- For the first three days post-surgery, body temperature did not exceed 38 ℃. Subsequently, the temperature normalized, with no chills or fever..
|
[
"Right distal ureterovaginal fistula"
] |
**Physical examination**: **Translation:**
- **Temperature:** 36.5 ℃
- **Pulse:** 80 beats/min
- **Respiration:** 20 breaths/min
- **Blood Pressure:** 125/75 mmHg
**General Condition:**
Normal development, obese body type, ruddy complexion, and assumes a voluntary position.
**Skin and Mucosa:**
No jaundice, no subcutaneous petechiae, no spider angiomas, and no palmar erythema.
**Abdomen:**
Slightly distended. A fresh surgical scar is present in the mid-lower abdomen, extending from one transverse finger above the pubic symphysis, looping around the umbilicus, and reaching 4 cm above the umbilicus. The scar is well-healed. Subcutaneous fat is relatively thick, and the tissue around the scar is slightly thickened. The abdominal muscles are soft. No tenderness in the upper abdomen. Deep palpation in the mid-lower abdomen reveals a pulling pain at the scar site, but no rebound tenderness. Shifting dullness is negative. Bowel sounds are normal.
**Gynecological Examination:**
- The external genital area is padded with a wet diaper, soaked with pale yellow fluid and a slight urine-like odor. The external genital area is moist.
- The vagina is approximately 5 cm in length, patent, with smooth mucosa, normal coloration, no ulceration, and no papillary projections.
- The vaginal stump shows sutured Vicryl threads, with a small central opening approximately 5 mm in diameter. Clear fluid intermittently flows from the small opening. No bimanual examination was performed.
- A clean gauze strip was placed in the vagina. After instilling 300 ml of methylene blue solution into the bladder for 30 minutes, no blue staining was observed on the gauze..
|
W-38
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": "Liver, gallbladder, kidneys, stomach, intestines, and other areas: No significant occupying lesions detected.",
"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": "No abnormal echoes detected.",
"Bladder Condition": null,
"Bladder Cystoscopy": null,
"Bladder Drainage Urine Analysis": null,
"Bladder Neck Elevation Test": null,
"Bladder Ultrasound": "Satisfactory filling, no abnormal uterine echo detected in the pelvic cavity.",
"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": "No significant thickening observed locally.",
"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": "20 μg/L",
"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": "No abnormalities detected",
"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": 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": "No hydronephrosis detected in both kidneys.",
"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": "No abnormalities detected in both lungs.",
"Luteinizing Hormone (LH)": null,
"Lymph Nodes CT": "No significant enlargement of lymph nodes detected near the abdominal aorta and in the pelvic cavity.",
"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": "Substantial occupying lesion with rich blood supply, unclear boundary with the bladder and rectum.",
"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": "Normal",
"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": "Normal",
"Routine Urinalysis": "Normal",
"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": "No significant dilation observed in the upper segments of the ureters.",
"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": null,
"Vaginal Physical/Chemical Profile": null,
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": "An irregular hypoechoic lesion measuring 4.2 cm × 3.5 cm was detected, extending to the right posterior wall of the bladder.",
"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, 38 years old,system ID is W-38
|
**Basic information**: Female, 38 years old,system ID is W-38.
**Chief complaint**: Postoperative concurrent chemoradiotherapy for cervical cancer for 2 years, pelvic mass detected for 7 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient was treated at an external hospital in January 2005 due to vaginal bleeding for six months. At that time, gynecological examination revealed a cauliflower-like lesion approximately 5 cm × 4 cm in size on the cervix, which was fragile, bled upon touch, and had necrotic material on the surface. The vaginal fornix was absent, the parametrium and uterosacral ligaments were slightly thickened but still elastic. Cervical biopsy pathology indicated: poorly differentiated squamous cell carcinoma of the cervix. Diagnosis: poorly differentiated squamous cell carcinoma of the cervix, stage IIa. The patient underwent radical hysterectomy, pelvic lymph node dissection, and bilateral ovarian transposition. Postoperative pathology indicated: poorly differentiated squamous cell carcinoma of the cervix, infiltrating the entire cervical layer. No cancer was found at the vaginal stump or surgical margins. Among 19 pelvic lymph nodes examined, all showed chronic inflammation without evidence of cancer. Postoperatively, the patient received external beam radiation therapy to the entire pelvis with anterior-posterior opposing fields at 25 Gy × 20 fractions, along with sensitizing chemotherapy (DOP 50 mg per session) for 5 sessions.
After discharge, follow-up was conducted every three months during the first year and every six months during the second year. The last follow-up was in August 2006, during which gynecological examination and ultrasound showed no abnormalities. On February 22, 2007, the patient underwent a follow-up at a local hospital, where ultrasound revealed a solid pelvic mass. For further treatment, the patient came to our hospital. Over the past two months, the patient occasionally experienced mild abdominal distension and discomfort, which resolved spontaneously. There was no significant sensation of rectal pressure, abnormal vaginal bleeding, discharge, or expulsion of material. The patient reported no difficulty in defecation, diarrhea, melena, or hematochezia. Additionally, there were no symptoms of urinary frequency, urgency, dysuria, hematuria, or lower back and leg pain. The patient did not experience chills, fever, cough, chest pain, headache, vomiting, or generalized pain. There was no significant weight loss..
|
[
"Postoperative recurrence at the cervical stump after cervical cancer surgery"
] |
**Physical examination**: **Physical Examination and Auxiliary Examination Information:**
1. **Vital Signs:**
- Temperature: 36.5 ℃
- Respiratory Rate: 19 breaths/min
- Pulse: 76 beats/min
- Blood Pressure: 110/65 mmHg
2. **General Appearance:**
- Facial complexion: Rosy
- Consciousness: Clear
- Mental state: Fair
- Superficial lymph nodes: No obvious enlargement detected
3. **Cardiopulmonary Examination:**
- No abnormalities observed
4. **Abdominal Examination:**
- A longitudinal old surgical scar is visible in the midline of the lower abdomen, extending from the upper edge of the pubic symphysis, around the umbilicus, to 4 cm above the umbilicus.
- Abdominal wall: Soft
- No obvious masses palpated
- No tenderness or rebound tenderness
- Bowel sounds: Normal
5. **Gynecological Examination:**
- External genitalia: Normal development
- Vagina: Approximately 5 cm in length, smooth walls, good elasticity, unobstructed, and well-healed stump without any abnormal growths
- Bimanual examination:
- Above the vaginal stump, a mass approximately 4.0 cm × 3.0 cm × 2.5 cm is palpable.
- Texture: Moderately firm
- Fusion: Integrated with the stump
- Margins: Relatively clear
- Tenderness: None
- Mobility: Slightly movable
- Extension: Extends bilaterally but does not reach the pelvic wall
- Bilateral adnexal regions: No obvious masses palpated, no tenderness or rebound tenderness
- Rectal wall: Smooth, no narrowing rings observed
- Fingerstall: No blood staining
**Preliminary Diagnosis:**
Postoperative recurrence of cervical cancer at the stump following radiotherapy and chemotherapy..
|
W-39
|
{
"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": "Cervical cancer invading the vagina, Involvement of the right ureter, Right renal hydronephrosis",
"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": "Cervical space-occupying lesion: 6.4 cm × 5.6 cm × 4.2 cm, Dilation of the upper segment of the right ureter, Right renal pelvis hydronephrosis",
"Cervix-to-Uterine Body Ratio": null,
"Chest CT": null,
"Chest CT Scan": null,
"Chest X-ray": "No abnormalities detected",
"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": "RBC: 2.1 × 10^12 / L, Hemoglobin (Hb): 75 g/L, White blood cells and platelets: Normal",
"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": "Positive for HPV type 16",
"HPV-DNA": null,
"Hb": null,
"Hemoglobin": "75 g/L",
"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": "Normal",
"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": "Suspicious metastatic lesion in the left pelvic bone",
"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": "2.1 × 10^12 / L",
"Rectouterine Pouch CT": null,
"Red Blood Cell Count": null,
"Renal Function": null,
"Renal Function Test": "Normal",
"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": "5.1 ng/L",
"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": null,
"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": "Normal",
"White Blood Cells in Cervical Secretions": null,
"Wrist X-ray": null,
"hCG": null
}
|
**Basic information**: Female, 50 years old, Han ethnicity,system ID is W-39
|
**Basic information**: Female, 50 years old, Han ethnicity,system ID is W-39.
**Chief complaint**: Irregular vaginal bleeding for 10 months accompanied by lumbosacral pain for 1 month..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient usually has regular menstruation with moderate menstrual flow. The last menstrual period was on August 14, 2006. Since August 2006, the patient has experienced irregular vaginal bleeding without obvious periodicity. The bleeding is scant, does not require sanitary pads, is bright red in color, and generally lasts for 2–3 days before stopping spontaneously without treatment. No tissue discharge was observed. During this period, occasional sexual intercourse occurred without abnormalities. The patient sought medical attention at a local health clinic and was provisionally diagnosed with "menopausal dysfunctional uterine bleeding." Treatment for menstrual regulation and hemostasis was provided but was ineffective.
In the past two months, the patient has experienced increased vaginal discharge, which is yellow, thin, and sometimes blood-streaked, with a fishy odor. However, there is no accompanying fever or abdominal pain. Mid-last month, after one instance of sexual intercourse, the patient experienced vaginal bleeding with a volume similar to menstrual flow, lasting for 2–3 days before decreasing. The patient sought medical attention at a local health clinic and received intramuscular injections of "hemostatic medication" (specific details unknown), which resulted in slight improvement, but bleeding persisted.
In the past month, the patient has experienced lumbar-sacral distension and pain, which has worsened in the past two weeks and radiates to the right thigh. The patient applied "Shangshi Pain Relief Plaster" locally but did not experience significant improvement. Over the past year, the patient has not experienced nosebleeds, gum bleeding, upper abdominal pain, or generalized skin and scleral jaundice. Bowel movements and appetite remain as usual, with no significant abnormalities.
Past medical history: The patient reports good health and denies any history of trauma, hereditary diseases, liver disease, hematological disorders, hypertension, or rheumatic diseases. There is no family history of tumors. Both parents are alive and healthy.
Menstrual history: Menarche at age 14, menstrual cycle of 28 days, duration of menstruation lasting 5 days, last menstrual period on August 14, 2006. The patient married at age 18, has been pregnant six times, and has delivered three children. The last childbirth was 15 years ago. The husband and children are alive and healthy. The patient has undergone tubal sterilization..
|
[
"Poorly differentiated (Grade III) squamous cell carcinoma of the cervix"
] |
**Physical examination**: **Vital Signs:**
- Temperature: 36.5 ℃
- Respiratory Rate: 20 breaths/min
- Pulse: 96 beats/min
- Blood Pressure: 90/60 mmHg
- Height: 1.60 m
- Weight: 50 kg
**General Condition:**
- Consciousness: Clear
- Skin and mucous membranes: Pale
- Skin and sclera: No jaundice
- Lower limbs: No edema
- Superficial lymph nodes: No enlargement
**Cardiopulmonary Examination:**
- No abnormalities detected
**Abdominal Examination:**
- Abdomen: Flat, soft, no tenderness or rebound tenderness, no palpable masses
**Spinal Examination:**
- Spine: No deformities
**Renal Examination:**
- Kidney region: No obvious percussion pain
**Gynecological Examination:**
1. **External Genitalia:** No abnormalities observed
2. **Vagina:** Presence of fresh red blood, small amount; vaginal mucosa shows no growths; upper one-third of vaginal mucosa is stiff; anterior and posterior fornices are shallow
3. **Cervix:** Cervical shape is absent; visible cauliflower-like growth measuring 6 cm × 5 cm × 4 cm; tissue is fragile and bleeds easily upon touch
4. **Uterus:** Anteverted, normal size, medium texture, no tenderness
5. **Bilateral Adnexal Regions:** No palpable masses
6. **Ligaments:**
- Right uterosacral and cardinal ligaments: Nodular thickening, shortened to the pelvic wall, hard texture
- Left uterosacral and cardinal ligaments: Thickened, hard texture, close to the pelvic wall
**Rectal Examination:**
- Rectal mucosa: Smooth
- Glove: No blood stains.
|
W-40
|
{
"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": "No abnormalities detected",
"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": "No abnormalities detected",
"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": "Normal",
"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)": "No abnormalities detected",
"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": "6.6 g/L",
"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": "Normal",
"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": "Uterus size equivalent to 3 months of pregnancy. Multiple uterine fibroids, with the largest located at the anterior wall of the uterine isthmus, measuring 10 cm × 8.04 cm × 8.2 cm",
"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": "2.3 × 10¹¹ / L",
"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": "No abnormalities in both kidneys and ureters",
"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": null,
"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, 46 years old,system ID is W-40
|
**Basic information**: Female, 46 years old,system ID is W-40.
**Chief complaint**: Menorrhagia for 2 years, frequent urination for 2 months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menarche at the age of 14, with regular menstrual cycles (32 days), menstrual duration of 3–4 days, moderate menstrual flow, and no history of dysmenorrhea. Two years ago, the patient began experiencing increased menstrual flow, with the duration extending from the original 3–4 days to 7–9 days, and the menstrual volume approximately doubled (based on the use of sanitary pads). Menstrual periods were accompanied by significant blood clots, dizziness, and fatigue, but no history of syncope. During menstruation, the patient experienced a sense of heaviness in the lower abdomen, but no dysmenorrhea or fever. The patient reported increased vaginal discharge, which was white in color, odorless, and without associated symptoms such as skin purpura or gum bleeding.
The patient was previously evaluated at a local hospital, where the uterus was found to be enlarged to the size of a 50-day pregnancy. Ultrasound examination indicated multiple uterine fibroids, with the largest fibroid measuring 4.5 cm in diameter. Multiple treatments, including anti-inflammatory, hemostatic, and uterine contraction therapies, were administered, resulting in slight symptom improvement. One year ago, due to heavy menstrual bleeding, routine hemostatic and uterine contraction treatments were ineffective, leading to the removal of an intrauterine device and a comprehensive uterine curettage. Postoperative pathology reported proliferative-phase endometrium. The patient subsequently underwent treatment with mifepristone and GnRHa for three months each, with symptom improvement.
In the past six months, the patient has experienced significant increases in menstrual flow and a pronounced sense of heaviness in the lower abdomen. She has also palpated a fist-sized mass in her lower abdomen. Over the past two months, the patient has developed urinary frequency without dysuria or lower back pain..
|
[
"Uterine Multiple Fibroids"
] |
**Physical examination**: No abnormalities were found throughout the body except for anemic appearance.
**Gynecological Examination:**
- **External Genitalia:** Married and parous type.
- **Vagina:** Patent.
- **Cervix:** Mild erosion, medium consistency, no tenderness upon lifting.
- **Uterus:** Enlarged to the size of approximately 3+ months of pregnancy, limited mobility, irregular surface, anterior wall significantly protruding, closely adjacent to the posterior aspect of the pubic bone, hard in consistency.
- **Bilateral Adnexa:** No palpable masses or tenderness detected..
|
W-41
|
{
"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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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)": "Hemoglobin level is 92 g/L, other indicators in the CBC are within the normal range.",
"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)": "No abnormalities detected.",
"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": "92 g/L",
"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": "The uterus is approximately the size of a 3-month pregnancy. Three hypoechoic areas are observed in the uterine region, the largest located at the left anterior wall near the uterine fundus, measuring approximately 6 cm × 6 cm × 5 cm. Both ovaries and fallopian tubes show no abnormalities.",
"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": "No abnormalities detected.",
"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": null,
"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, 38 years old,system ID is W-41
|
**Basic information**: Female, 38 years old,system ID is W-41.
**Chief complaint**: Menorrhagia for more than 1 year..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstruation is regular. Over the past year, the menstrual period has extended from the previous 5 days to 8 days, and the amount of bleeding in each cycle has increased by approximately threefold. The cycle has not undergone significant changes. Usually, there is no obvious lower abdominal pain, no fever, no dizziness or fatigue, and no changes in urination or defecation..
|
[
"Uterine multiple fibroids"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormalities detected. Abdomen is flat and soft, no palpable masses, no tenderness.
2. Examination Name: Gynecological Examination
Examination content: External genitalia and vagina show no abnormalities. Cervix exhibits mild erosion, no cervical motion tenderness. Uterus is approximately the size of a 3-month pregnancy, anteverted, no tenderness. The left anterior wall is prominently raised, with medium texture and good mobility. No palpable masses or tenderness in the bilateral adnexal regions..
|
W-42
|
{
"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": 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": "85 g/L",
"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": 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": "Under hysteroscopy, a 3 cm × 3 cm mass was observed in the uterine cavity. The surface of the mass appeared light pink, with visible dilated vascular networks. The pedicle of the mass was located on the posterior wall of the uterine body, with a thickness of approximately 1.5 cm × 1.5 cm.",
"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": null,
"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-42
|
**Basic information**: Female, 28 years old,system ID is W-42.
**Chief complaint**: Menstrual disorder for 6 months.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: For the past 6 months, the patient has experienced an increase in menstrual flow, approximately 2 to 3 times more than before the onset of symptoms, accompanied by small blood clots. The menstrual period has been prolonged to 12 days. The menstrual cycle remains regular. During menstruation, the patient experiences mild paroxysmal lower abdominal pain and slight dizziness. Contraception is achieved using male contraceptive methods..
|
[
"Submucosal uterine fibroid"
] |
**Physical examination**: 1. Physical Examination: Mild anemia appearance observed during the general physical examination.
2. Gynecological Examination:
- Cervical os closed.
- Uterus enlarged to the size of approximately 40 days of pregnancy, uniform in shape, smooth surface, medium texture, and no tenderness.
- No masses palpated in the bilateral adnexal regions, and no tenderness..
|
W-43
|
{
"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": "Mildly elevated",
"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": "Normal",
"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": "34 mm/h",
"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": "No abnormalities observed",
"Hysteroscopy Distension Medium": "5% mannitol",
"Hysteroscopy Endometrium": "Diffuse thickening, with some areas showing protrusions resembling bird meat.",
"Hysteroscopy Examination": "Distension medium: 5% mannitol, Pressure: 80 mmHg, Cervical canal: No abnormalities observed, Uterine cavity: 8.5 cm, Endometrium: Diffuse thickening, with some areas showing protrusions resembling bird meat. Right uterine horn: Prominent endometrial protrusion with visible abnormal blood vessels.",
"Hysteroscopy Pressure": "80 mmHg",
"Hysteroscopy Right Uterine Horn": "Prominent endometrial protrusion with visible abnormal blood vessels",
"Hysteroscopy Uterine Cavity": "8.5 cm",
"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": "3.1",
"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": "Abnormally elevated",
"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": null,
"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**: 34 years old,system ID is W-43
|
**Basic information**: 34 years old,system ID is W-43.
**Chief complaint**: Primary infertility for 4 years, irregular vaginal bleeding for 1.5 years, worsened over the past 10 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient initially presented at the age of 13 with irregular menstruation for over 6 years, with cycles ranging from 10–20 days to 60–90 days. Over the past year and a half, the patient has experienced prolonged menstrual bleeding, with variable flow. Oral antibiotics and hemostatic medications have been administered with poor efficacy. The patient has no history of fractional curettage. Ethinyl estradiol was previously administered for three days to stop bleeding, but bleeding resumed after discontinuation of the medication. Over the past 10 days, the bleeding has significantly increased, accompanied by dizziness and fatigue, leading to hospitalization.
Since the onset of symptoms, the patient has experienced intermittent lower abdominal pain without fever, self-reported fatigue, and dizziness. Bowel and bladder functions are normal. Over the past 6 years, the patient has experienced significant weight gain, with an increase of 20 kg. The patient also reports increased facial hair growth.
The patient was married at the age of 30, has had normal sexual activity, but has not conceived. Two years ago, the patient was diagnosed with primary infertility. The patient reports that her partner's semen analysis was normal, and hysterosalpingography revealed bilateral tubal patency. Basal body temperature monitoring showed a monophasic pattern.
The patient denies a history of hypertension or diabetes. The patient's mother passed away due to endometrial cancer..
|
[
"Endometrial hyperplasia"
] |
**Physical examination**: ### Physical Examination:
1. **Body Temperature (T):** 37.2 ℃
2. **Pulse (P):** 76 beats/min
3. **Blood Pressure (BP):** 120/75 mmHg
4. **Respiration Rate (R):** 20 breaths/min
5. **Height:** 165 cm
6. **Weight:** 75 kg
7. **General Condition:** Fair
8. **Appearance:** Anemic facial features
9. **Skin and Mucosa:** Pale
10. **Lips:** Hypertrichosis
11. **Lower Abdomen:** Mild rhomboid distribution of pubic hair
12. **Heart and Lungs:** Normal (-)
13. **Abdomen:** Soft; mild tenderness in the lower abdomen without obvious rebound tenderness or muscle rigidity; liver and spleen not palpable
### Gynecological Examination:
1. **External Genitalia:** Married, nulliparous type
2. **Vagina:** Patent; moderate dark red blood present
3. **Cervix:** Smooth; dark red blood flowing from the cervical os; no abnormal protrusions
4. **Uterus:** Anteverted; normal size; mobility fair; medium texture; mild tenderness
5. **Bilateral Adnexa:** No palpable masses; mild tenderness
### Laboratory Tests:
1. **Hemoglobin (HGB):** 67 g/L
2. **White Blood Cell Count (WBC):** 10.6 × 10⁹/L
3. **Neutrophil Percentage:** 76%
4. **Platelets:** Normal
### Pelvic Color Doppler Ultrasound Results:
1. **Uterus Dimensions:** 6.8 cm × 5.6 cm × 4.5 cm
2. **Endometrium:** Unevenly thickened echo of 1.5 cm; multiple medium heterogeneous echo clumps visible within, with the largest diameter measuring 1.0–0.8 cm
3. **Bilateral Adnexa:** Normal
4. **Endometrial Blood Flow Signal:** Abundant; Resistance Index (RI): 0.35.
|
W-44
|
{
"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": "Normal",
"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": "No abnormalities",
"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)": "No abnormalities",
"Electrolyte Test": null,
"Endocrine Profile": null,
"Endometrial Blood Flow PI": null,
"Endometrial Blood Flow RI": null,
"Endometrial Cavity": null,
"Endometrial Echogenicity": "Moderately uneven",
"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": "Normal",
"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": "Normal",
"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": "Unremarkable (-)",
"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": "Normal",
"Routine Blood and Urine Tests": null,
"Routine Laboratory Tests, Chest X-ray, and Electrocardiogram": null,
"Routine Stool Test": "Normal",
"Routine Urinalysis": null,
"Routine Urine Test": "Normal",
"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": "The uterus is of normal size, with moderately uneven endometrial echogenicity. The dimensions are 2.4 cm × 3.4 cm × 1.1 cm, with irregular boundaries. Both ovaries are unremarkable (-). Blood flow signals in the uterus and endometrium are normal.",
"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": "Irregular",
"Uterus CT": null,
"Uterus Dimensions": "2.4 cm × 3.4 cm × 1.1 cm",
"Uterus Size": "Normal size",
"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": null,
"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, 34 years old,system ID is W-44
|
**Basic information**: Female, 34 years old,system ID is W-44.
**Chief complaint**: Secondary infertility for 10 years, endometrial lesions for 3 years, intrauterine mass detected by color Doppler ultrasound for 2 months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient has a history of irregular menstruation, with cycles lasting 7–8 days every 3–6 months. She married at the age of 24 and experienced one natural pregnancy, which ended in spontaneous miscarriage at 3 months. Since then, she has not used contraception but has not conceived.
In December 2001, she presented with "secondary infertility." Due to infrequent menstruation, elevated testosterone levels (3.4 nmol/L, above normal), and ultrasound findings indicating bilateral polycystic ovaries, she was diagnosed with "polycystic ovary syndrome" and started oral Diane-35. Hysterosalpingography revealed no visualization of the right fallopian tube. Ovulation induction with Gonal-F (Gn) was attempted, and intrauterine insemination (IUI) was performed in January and March 2002, both of which failed. Subsequently, due to her husband's oligoasthenospermia, she underwent controlled ovarian hyperstimulation using Buserelin (GnRH agonist) + Gonal-F (Gn), along with oral Progynova (estradiol valerate) to promote endometrial growth. In August 2002, she underwent one cycle of intracytoplasmic sperm injection (ICSI), which was unsuccessful.
In April 2003, prior to a planned second ICSI cycle, hysteroscopy was performed, and pathology reported "complex hyperplasia with focal moderate atypical hyperplasia." Diane-35 was discontinued, and on the 5th day of menstruation, she was prescribed oral An Gong Huang Lian (progesterone) at 250 mg daily for 20 days per cycle, for a total of 3 cycles. In July 2003, repeat hysteroscopy revealed "complex hyperplasia with papillary hyperplasia and secretory changes." She continued An Gong Huang Lian for another 3 cycles at the same dosage. In late October 2003, hysteroscopy findings were consistent with those in July, and she underwent another 3 cycles of An Gong Huang Lian.
In March 2004, hysteroscopy revealed multiple small polypoid protrusions, and pathology reported "endometrial glands showing secretory phase changes." High-dose An Gong Huang Lian was discontinued, and she was prescribed Diane-35 and oral metformin. In July 2004, she underwent her second ICSI cycle using an ultra-long protocol with Diphereline (GnRH agonist) + Puregon (Gn) for controlled ovarian hyperstimulation, along with oral Progynova to promote endometrial growth. After oocyte retrieval, intracytoplasmic sperm injection was performed, and the embryos were of good quality. However, ultrasound showed an endometrial thickness of only 0.4 cm, so embryo transfer was abandoned for this cycle, and the embryos were cryopreserved.
In late October 2004, preparation for embryo transfer began. Hysteroscopy was performed at an external hospital, and pathology consultation at this hospital reported "complex hyperplasia." Starting on the 14th day of menstruation, she was prescribed oral An Gong Huang Lian at 20 mg daily for 14 days per cycle, for a total of 3 cycles. In January 2005, repeat hysteroscopy revealed "complex hyperplasia with atypical hyperplasia and focal carcinoma." She was prescribed An Gong Huang Lian at 500 mg daily. She experienced vaginal spotting for 2 months, and in late March 2005, ultrasound suggested "intrauterine mass." In early April 2005, hysteroscopy was performed, and pathology reported "stromal decidual-like changes, glands showing secretory changes, no atypical hyperplasia observed." She continued An Gong Huang Lian at 500 mg daily. One month later, repeat ultrasound showed no abnormalities, and the medication was discontinued. After discontinuation, follow-up ultrasounds every 3 months showed no abnormalities. Post-discontinuation, her menstrual flow was scant, lasting 2–3 days every 1–3 months, with no irregular vaginal bleeding.
In late February 2006, follow-up ultrasound suggested "intrauterine mass.".
|
[
"Endometrial carcinoma"
] |
**Physical examination**: Vital signs are stable, general condition is good, no enlargement of superficial lymph nodes throughout the body.
Heart, lung, and abdominal physical examinations show no abnormalities.
1. Gynecological Examination:
- External genitalia: Normal.
- Vagina: Patent.
- Cervix: Mild erosion, contact bleeding (+).
- Uterus: Anteverted, normal size, medium texture, good mobility, no tenderness.
- Bilateral adnexal regions: No abnormalities detected..
|
W-45
|
{
"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": "Normal",
"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": "Normal",
"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": "MRI suggests endometrial lesions with suspected shallow myometrial infiltration.",
"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": "Normal",
"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": "Normal",
"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": "Normal",
"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": null,
"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, 47 years old,system ID is W-45
|
**Basic information**: Female, 47 years old,system ID is W-45.
**Chief complaint**: Irregular vaginal bleeding for 30 days.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Persistent vaginal bleeding for 30 days, with variable blood volume, sometimes heavy and sometimes light. When heavy, the amount is similar to menstrual flow. No accompanying symptoms such as abdominal pain or fever. Past menstrual history is regular, with a cycle of 5–7 days/25–26 days. No dysmenorrhea. Last menstrual period (LMP) was on June 9, 2008, with a flow similar to previous cycles. Obstetric history: G2P1, spontaneous vaginal delivery 22 years ago, followed by an induced abortion 7 years later. Has been using an intrauterine device (IUD) for contraception since then. Did not seek medical attention at other hospitals after the onset of bleeding and self-administered Yunnan Baiyao for hemostasis, with no significant effect. Did not take hormonal medications.
The patient is obese and has a 10-year history of hypertension, with satisfactory blood pressure control through oral antihypertensive medications. Has not visited a gynecologist in the past 5–6 years. No history of uterine fibroids or other chronic diseases. Currently, there are no menopausal symptoms. Family history: no family history of tumors..
|
[
"Early endometrial cancer"
] |
**Physical examination**: 1. General Physical Examination: No abnormalities detected.
2. Gynecological Examination:
- External genitalia: No abnormalities.
- Vagina: Bloodstains present, amount less than menstrual flow.
- Cervix: Smooth.
- Uterus: Anteverted, slightly enlarged, mobile, soft in texture, no tenderness.
- Bilateral adnexal regions: No palpable masses, no tenderness..
|
W-46
|
{
"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": "The patient underwent fractional curettage. Only a small amount of mucus was obtained from the cervix, and fragile tissue was scraped from the uterine cavity.",
"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": "No abnormalities detected.",
"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": "121 U/L",
"CA125 Level": null,
"CA19-9": null,
"CEA": null,
"CP2": "73 U/L",
"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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": 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": "Multiple uterine fibroids, uneven endometrial thickness, a hypoechoic mass with a diameter of 2.1 cm observed in the uterine cavity, invading the myometrium, with the thinnest part being 0.3 cm from the serosa. The echogenic mass in the uterine cavity shows abundant blood flow signals, with RI = 0.32.",
"Uterine Body Size": null,
"Uterine Cavity": null,
"Uterine Cavity B-ultrasound": null,
"Uterine Hysteroscopy": null,
"Uterine MRI": "Suggestive of a space-occupying lesion in the uterine cavity, with enlarged lymph nodes in the pelvis and alongside the abdominal aorta.",
"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": null,
"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, 53 years old,system ID is W-46
|
**Basic information**: Female, 53 years old,system ID is W-46.
**Chief complaint**: Menopause for 3 years, irregular vaginal bleeding for over 1 year, worsening for 3 months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: More than 1 year ago, the patient began experiencing vaginal bleeding without obvious cause. The bleeding was scant, light red in color, and lasted for approximately 10 days before stopping spontaneously. Subsequently, irregular vaginal bleeding occurred every 20–30 days, with each episode being light red in color, lasting about 10 days, and stopping spontaneously.
Three months ago, the vaginal bleeding increased in volume, became bright red, and lasted for 20 days before stopping. The patient reported no fever, vaginal discharge, abdominal pain, or abdominal distension. Appetite and sleep were good, and bowel and urinary functions were normal. Three months ago, the patient's BMI was 32.4 kg/m², and over the past three months, the patient experienced a weight loss of 10 kg.
**Menstrual history:** The patient had regular menstrual cycles in the past, with menarche at age 14, lasting 5 days every 30 days, with moderate flow and no dysmenorrhea. Menopause occurred at age 50. The patient was married at age 24 and is G1P1.
**Past medical history:**
- Hypertension for 8 years, managed with oral medication, with good blood pressure control.
- Elevated fasting blood glucose 5 years ago, and OGTT indicated impaired glucose tolerance.
- No history of drug allergies.
**Personal history:** No significant findings.
**Family history:**
- Father had hypertension and died of cerebrovascular accident.
- Mother is healthy.
- Paternal aunt had ovarian cancer..
|
[
"Endometrioid Adenocarcinoma"
] |
**Physical examination**: ### Physical Examination:
1. **Body Temperature**: 36.6 ℃
2. **Pulse**: 80 beats/min
3. **Respiratory Rate**: 20 breaths/min
4. **Blood Pressure**: 150/85 mmHg
5. **Height**: 162 cm
6. **Weight**: 75 kg
7. **General Condition**: Good
8. **Superficial Lymph Nodes**: No enlargement detected
9. **Heart and Lungs**: No abnormalities detected
10. **Abdomen**: Flat and soft, no tenderness or rebound tenderness, no palpable masses under the liver or spleen margin, shifting dullness (-)
11. **Bowel Sounds**: 4 times/min
### Gynecological Examination:
1. **External Genitalia**: Consistent with a married, parous woman
2. **Vagina**: Patent, mild anterior wall prolapse, a small amount of bloodstains visible, no significant hyperemia of the vaginal mucosa
3. **Cervix**: Mild erosion, a small amount of fresh red bloodstains visible at the cervical os
4. **Uterus**: Mid-position, approximately 6 weeks gestational size, medium consistency, irregular surface, good mobility, no tenderness
5. **Bilateral Adnexa**: No abnormal thickening or tenderness detected.
|
W-47
|
{
"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": "No abnormalities detected in the liver, spleen, kidneys, ureters, and bladder.",
"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": "No abnormalities detected.",
"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": "1.4",
"Endometrial Blood Flow RI": "0.64",
"Endometrial Cavity": "Hypoechoic area measuring 3.4 cm × 2.6 cm × 1.6 cm, located 1.4 cm from the serosal layer",
"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": "3.0 cm × 3.0 cm × 1.6 cm, containing a cystic structure measuring 1 cm",
"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": "Uterus: 5.9 cm × 5.9 cm × 5.3 cm. Endometrial Cavity: Hypoechoic area measuring 3.4 cm × 2.6 cm × 1.6 cm, located 1.4 cm from the serosal layer. Left Ovary: 3.0 cm × 3.0 cm × 1.6 cm, containing a cystic structure measuring 1 cm. Right Ovary: 2.8 cm × 2.0 cm × 2.7 cm. Endometrial Blood Flow: Resistance Index (RI) = 0.64, Pulsatility Index (PI) = 1.4.",
"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": "All results are normal.",
"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": "2.8 cm × 2.0 cm × 2.7 cm",
"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": "5.9 cm × 5.9 cm × 5.3 cm",
"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": null,
"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, 60 years old,system ID is W-47
|
**Basic information**: Female, 60 years old,system ID is W-47.
**Chief complaint**: Menopause for 6 years, vaginal bleeding for 5 months, lower abdominal pain for 20 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: 54 years old, naturally menopausal, has not taken exogenous sex hormone medications. Hypertension for 7 years, with a maximum blood pressure of 160/90 mmHg. Currently taking antihypertensive medication regularly, controlling blood pressure at 120/80 mmHg. No fever or significant weight loss. Local treatment with estrogen ointment, anti-inflammatory, and hemostatic therapy was administered in the local area, but all were ineffective, and vaginal bleeding worsened instead..
|
[
"Papillary Serous Carcinoma of the Endometrium Stage I"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination Content: No abnormalities detected. No obvious enlargement of the subclavian and bilateral inguinal lymph nodes. Abdominal shifting dullness (-).
2. Examination Name: Gynecological Examination
Examination Content: A small amount of blood in the vagina; the cervix is not atrophied and appears smooth; the uterus is approximately the size of an 8-week pregnancy, with no tenderness and medium texture. No masses were palpated in the bilateral adnexal regions, and no tenderness was noted..
|
W-48
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": "Liver, gallbladder, pancreas, spleen, and both kidneys: No abnormalities detected.",
"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": "Result: Inflammation.",
"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": "Result: Cardiac and pulmonary imaging approximately normal.",
"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": "Result: Extrinsic compression changes in the bladder.",
"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": "Result: Chronic left-sided colitis.",
"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)": "Findings: Bilateral renal function is normal. Bilateral ureters: Tortuous. Bladder: Slightly compressed.",
"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": "Findings: Large cystic-solid mass in the lower abdomen and pelvis, high suspicion of malignancy. Lesion margins: Poorly defined with surrounding tissues. Compression and displacement: Right kidney ureter, intestinal cavity, and bladder are significantly compressed and displaced. Right renal pelvis: Mild hydronephrosis. Right side: Small amount of pleural effusion. Lumbar-sacral spine and pelvis: Developmental abnormalities.",
"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": "Uterus size: Normal. Right adnexal region: Predominantly solid cystic-solid mixed mass (14 cm × 15 cm × 12.3 cm). Blood flow signal: Abundant, RI 0.40. Intrauterine device: Present.",
"Pelvic X-ray": null,
"Pelvic X-ray Follow-up": null,
"Pelvic X-ray Plain Film": "Result: No evidence of pelvic tumor imaging.",
"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": "Level: 15 U/L.",
"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": null,
"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**: 44 years old, female,system ID is W-48
|
**Basic information**: 44 years old, female,system ID is W-48.
**Chief complaint**: Fever for 55 days, lower back pain for 52 days, self-palpated pelvic mass for 4 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: 55 days before admission, the patient developed a fever after an upper respiratory infection and did not improve after taking antibacterial medication. 52 days before admission, the patient experienced back pain, painful urination, and red urine with flocculent discharge. At an external hospital's nephrology department, urine protein was found to be positive. After anti-inflammatory treatment for urinary tract infection and traditional Chinese medicine treatment, the symptoms slightly improved, the urine color turned to tea-colored, but urine protein remained positive. 4 days before admission, a hard, non-tender abdominal mass was palpated. Since the onset of the illness, the patient has not experienced irregular vaginal bleeding, and the leucorrhea is normal. The patient has poor appetite, normal bowel movements, frequent nocturia, poor sleep, and a weight loss of 8 kg. The patient underwent appendectomy at age 13, menarche at age 22, with regular menstruation lasting 3-4 days every 33-37 days, moderate menstrual flow, no dysmenorrhea, last menstrual period on June 11, 2007, married at age 26, spouse is healthy, underwent one cesarean section at age 27, and has used an intrauterine device for contraception since then. The patient's mother has neurofibromatosis..
|
[
"Uterine Leiomyosarcoma (Stage III)"
] |
**Physical examination**: **Physical Examination:**
1. **Abdomen:**
- The abdomen appears scaphoid.
- Liver and spleen are not palpable.
- A hard, irregular mass is palpable in the right lower abdomen.
- The tumor is relatively regular, immobile, and non-tender.
- Shifting dullness is negative.
2. **Lymph Nodes:**
- Supraclavicular lymph nodes on both sides are negative.
- Enlarged lymph nodes are palpable in both inguinal regions, with the right side larger than the left.
- No adhesion is noted.
- Diameter of the lymph node is approximately 1 cm.
- Mobility is slightly reduced, and there is no tenderness.
- No other enlarged lymph nodes are palpable.
3. **Gynecological Examination:**
- **External Genitalia:** Slightly developed.
- **Vagina:** Patent, with a small amount of white discharge, no abnormal odor.
- **Cervix:** Smooth.
- **Uterus:**
- Positioned in the mid-posterior position.
- Normal size and medium consistency.
- Upper boundary is unclear.
- A solid tumor is palpable on the right side of the uterus, measuring approximately 18 cm × 15 cm × 12 cm.
- The tumor is lobulated, with relatively clear boundaries.
- No distinct demarcation between the tumor and the uterus.
- The tumor extends to the right pelvic wall, is fixed and immobile, and non-tender.
- The tumor's boundary with the bladder is unclear.
- No adhesion with the rectum is noted.
- **Bilateral Adnexa:** Palpation is unclear.
4. **Combined Examination (Rectovaginal Examination):**
- Rectal mucosa is smooth.
- No blood on the glove.
- No obvious lesions are palpable in the posterior fornix..
|
W-49
|
{
"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": "67.5 U/ml",
"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: Findings: Cardiac and pulmonary imaging appear generally normal.",
"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": "Electrocardiogram (ECG): Findings: Mild T-wave changes.",
"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": "Hysteroscopy: A tongue-shaped protrusion is observed near the uterine fundus within the uterine cavity. Surface: No bleeding or necrosis noted.",
"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": "Liver and Gallbladder Ultrasound (B-mode): Findings: No abnormalities detected in the liver, gallbladder, pancreas, spleen, or kidneys.",
"Liver and Kidney Function Test": null,
"Liver and Kidney Function Tests": "Liver and Kidney Function Tests, Blood Glucose, etc.: Findings: Normal.",
"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": "Pulmonary Function Test: Findings: Normal.",
"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": "Ultrasound (B-mode) of the Uterus: Uterus is anteverted. Dimensions: 6.8 cm × 7.2 cm × 5.2 cm. Texture: Heterogeneous. A hypoechoic lesion measuring 4.2 cm × 3.1 cm × 2.0 cm is observed within the uterine cavity. Endometrial thickness: 0.2 cm. Bilateral ovaries: Not visualized. Uterine blood supply: Rich. Blood supply to the intrauterine lesion: Rich. Resistance Index (RI): 0.37.",
"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": null,
"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**: 58 years old, female,system ID is W-49
|
**Basic information**: 58 years old, female,system ID is W-49.
**Chief complaint**: Menopause for 7 years, vaginal bleeding for 10 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient has experienced increased vaginal discharge resembling watery fluid over the past 4 months, without significant abdominal pain or other discomfort. Bowel movements and urination are normal. There is no noticeable loss of appetite or weight loss. The patient has not undergone a gynecological examination in the past 10 years, has no history of hormone replacement therapy after menopause, and has no history of taking health supplements. There is no family history of gynecological tumors. The patient has been generally healthy in the past, with no history of chronic internal medical conditions..
|
[
"Endometrial Stromal Sarcoma (Stage I)"
] |
**Physical examination**: The abdomen showed no palpable masses, shifting dullness was negative, and there was no enlargement of supraclavicular or inguinal lymph nodes.
**Gynecological Examination:**
- Vulva and vagina: Normal.
- Cervix: Smooth, atrophic.
- Uterus: Anteverted, size equivalent to 7 weeks of gestation, mobile, non-tender.
- Parametrium: No thickening.
- Ligaments: Soft, good elasticity.
- Bilateral adnexa: No abnormalities detected..
|
W-50
|
{
"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": "20 U/L",
"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": 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": "Shows a large mass in the pelvis, with a possibility of a mucinous cystadenoma of the right ovary.",
"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": "Combined with the medical history, the B-ultrasound examination shows a large cystic multilocular mass in the pelvis, possibly originating from the right ovary, with a consideration of mucinous cystadenoma. The uterus and left ovary show no abnormalities.",
"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": null,
"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, 41 years old,system ID is W-50
|
**Basic information**: Female, 41 years old,system ID is W-50.
**Chief complaint**: Feeling of gradual abdominal circumference enlargement for 1 year, sensation of lower abdominal heaviness and distension for 2 months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient gave birth one year after marriage. Her menstrual cycle and flow have been normal, with no intermenstrual spotting, dysmenorrhea, or dyspareunia. Over the past year, she has noticed a gradual increase in abdominal girth, and in the last two months, she has felt a sense of heaviness and distension in the lower abdomen. However, there have been no significant changes in appetite or weight. She has not experienced nausea or vomiting, and her bowel movements are regular, occurring once daily with soft, formed stools. In the past two months, her stools have become slightly thinner, but there is no blood in the stool. She has not experienced low-grade fever, night sweats, fatigue, abdominal pain, chest tightness, palpitations, or dyspnea. Despite her symptoms, her menstrual cycle has not changed significantly. The patient has not undergone routine gynecological examinations or gynecological ultrasound examinations and denies any history of hepatitis. Six years ago, she underwent surgery for acute suppurative appendicitis and recovered well postoperatively..
|
[
"Mucinous Papillary Cystadenoma of the Right Ovary"
] |
**Physical examination**: ### General Physical Examination:
1. **Abdominal Palpation**:
A cystic mass approximately 16 cm × 20 cm × 22 cm in size is palpable in the lower abdomen. The upper border of the mass is well-defined, while the lower border is located within the pelvic cavity. The mass is non-tender and has limited mobility. No shifting dullness is detected during abdominal examination.
### Gynecological Examination:
1. **External Genitalia and Vagina**:
No abnormalities observed in the vulva and vagina.
2. **Rectouterine Pouch**:
No palpable nodules or tenderness in the rectouterine pouch.
3. **Cervix**:
The cervix is smooth, without hypertrophy.
4. **Uterus**:
The uterus is of normal size, non-tender, with a medium consistency, and has limited mobility.
5. **Mass in the Right Posterior Uterine Region**:
A large cystic mass is palpable in the right posterior region of the uterus. The lower border of the mass is still well-defined. The mass is cystic in nature, non-tender, and appears to be unconnected to the uterus..
|
W-51
|
{
"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": 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": 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": "The right ovary is enlarged to approximately 5.6 cm × 5.0 cm × 5.5 cm, presenting as a cystic-solid mass, with short linear strong echoes observed inside (ovarian teratoma is primarily considered), and blood flow is seen at the pedicle.",
"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": null,
"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, 25 years old,system ID is W-51
|
**Basic information**: Female, 25 years old,system ID is W-51.
**Chief complaint**: Right lower abdominal pain for 2 days.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Two days ago, while bending over to answer the phone, the patient suddenly experienced severe pain in the right lower abdomen, accompanied by nausea but no vomiting. The pain was slightly alleviated in the right lateral position. Over the past two days, the lower abdominal pain has persisted, but the intensity has improved compared to the onset. The main symptom is a continuous dull pain in the right lower abdomen, without vaginal bleeding or discharge, and no increase in vaginal secretions. The patient has no history of chronic lower abdominal pain, lower back soreness, or other discomforts. Menstrual cycles are regular, with no history of missed periods. The last menstrual period was consistent with previous cycles. The patient has undergone irregular gynecological examinations in the past, so the history of gynecological diseases is unclear. No diagnosis or treatment has been sought since the onset of symptoms..
|
[
"Torsion of the pedicle of a mature teratoma of the right ovary"
] |
**Physical examination**: **Physical Examination:**
1. **Skin and Mucous Membranes:** No pallor observed.
2. **Abdominal Examination:** Negative for peritoneal irritation signs. No tenderness at McBurney's point or reverse McBurney's point. Psoas sign is negative.
**Gynecological Examination:**
1. **External Genitalia and Vagina:** No abnormalities observed.
2. **Cervix:** Smooth surface, no tenderness upon lifting.
3. **Uterus:** Anteverted, normal size, medium consistency, no tenderness, and mobile.
4. **Right Adnexal Region:** Palpable cystic-solid mass approximately 5 cm × 6 cm in size, with relatively clear boundaries. Tenderness is present, and significant tenderness is noted at the pedicle.
5. **Left Adnexal Region:** No abnormalities observed..
|
W-52
|
{
"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": "Ascites routine test indicates exudate, ascites cytology negative, ascites acid-fast bacilli negative.",
"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": "Negative.",
"Anti-double-stranded DNA Antibody": "Negative.",
"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": "Negative.",
"Blood Biochemistry Test": null,
"Blood CA125": "427 U/ml.",
"Blood CA125 Level": null,
"Blood CEA and AFP": "Within normal range.",
"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": "All indicators are within the normal range.",
"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": "Large amount of pleural effusion on both sides.",
"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)": "Normal.",
"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)": "35 mm/h.",
"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": "Basically normal.",
"Liver and Kidney Function Tests": null,
"Liver and Kidney Function Tests, Coagulation Function": null,
"Liver, Gallbladder, Pancreas, Spleen Ultrasound": "No obvious abnormalities.",
"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": "Negative.",
"PRL": null,
"Pathogen Test for STDs": null,
"Pelvic CT": null,
"Pelvic CT Examination": null,
"Pelvic CT Scan": "Solid mass with clear boundary in the right ovary.",
"Pelvic CT/MRI": null,
"Pelvic Cavity CT": null,
"Pelvic Cavity Ultrasound": null,
"Pelvic Cystic-Solid Mass": null,
"Pelvic Lymph Nodes": null,
"Pelvic Ultrasound": "Large amount of ascites, solid mass in the right ovary measuring 8 cm × 9 cm × 8 cm, clear boundary, visible capsule blood flow.",
"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": "Normal, OB test negative.",
"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": "No occult blood or proteinuria, no casts.",
"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": null,
"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, 42 years old,system ID is W-52
|
**Basic information**: Female, 42 years old,system ID is W-52.
**Chief complaint**: Abdominal distension for six months, shortness of breath for two months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: In addition to symptoms of abdominal distension for six months and shortness of breath for two months, the patient has occasionally experienced a slight cough in the past two months, without hemoptysis or sputum production, no low-grade fever, night sweats, fatigue, no chest tightness or chest pain, no palpitations or dyspnea. For the past two weeks, the patient has needed to sleep in a semi-recumbent position at night, with no urinary irritation symptoms, hematuria, or lower back pain, no bleeding tendency, no skin patches, joint pain, or vision changes. In the past six months, the patient's appetite has slightly decreased, but there has been no significant change in weight, and the general mental state has been good. The patient's menstrual cycle has remained regular over the past six months, with a cycle of 23 days, a duration of 7 days, moderate flow, no clots, and no spotting or vaginal discharge. In the past six months, the patient has only noticed a significant increase in abdominal circumference, without palpable hard masses..
|
[
"Right ovarian fibroma"
] |
**Physical examination**: ### General Physical Examination:
1. **Findings**:
- Decreased breath sounds in both lungs.
- Percussion dullness below the 7th rib on the right lung.
- Percussion dullness below the 8th rib on the left lung.
- Positive shifting dullness.
- No other significant abnormalities detected.
### Gynecological Examination:
1. **External Genitalia and Vagina**: No obvious abnormalities observed.
2. **Cervix**: Mild cervical erosion, no tenderness on manipulation.
3. **Uterus**: Normal size, no tenderness, medium consistency.
4. **Right Adnexal Region**: A palpable mass approximately 9 cm × 8 cm × 8 cm in size, relatively firm in texture, with moderate mobility and no tenderness.
5. **Rectouterine Pouch**: No palpable nodules detected..
|
W-53
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": "Normal",
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": null,
"Abdominal Cavity Ultrasound": "Moderate amount of ascites observed.",
"Abdominal Paracentesis": null,
"Abdominal Ultrasound": null,
"Abdominal X-ray": null,
"Above Uterus CT": "Irregular masses on both sides, approximately 4–5 cm in size, with blurred edges and spotted calcifications.",
"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": "All results are normal.",
"Blood Routine Test": null,
"Blood Routine and Urine Routine": null,
"Blood Routine, CRP, ESR Profile": "All results are normal.",
"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": "CEA: 84.0 ng/ml (significantly elevated), CA125: 87.4 U/ml, AFP: Normal.",
"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": "87.4 U/ml",
"CA125 Level": null,
"CA19-9": null,
"CEA": "84.0 ng/ml (significantly elevated)",
"CP2": null,
"CREA": null,
"CRP": "All results are normal.",
"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": null,
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": null,
"Cytomegalovirus Test": null,
"Delayed Scanning": null,
"Discharge Observation": null,
"E": null,
"ESR": "All results are normal.",
"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": "Uterus: Atrophic, unclear boundaries, uneven density. Above the uterus: Irregular masses on both sides, approximately 4–5 cm in size, with blurred edges and spotted calcifications. Rectouterine pouch: Multiple nodules and masses observed. Left pelvic wall: A cystic-solid mass with a diameter of 5 cm. Greater omentum: Pancake-like thickening. Intestinal spaces and paracolic gutters: Small amount of ascites. Suggestive findings: Pelvic and abdominal cavity masses.",
"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": "Pancake-like thickening.",
"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": "Small amount of ascites.",
"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": "A cystic mass measuring 5.7 cm × 10.4 cm × 5.4 cm, with unclear boundaries, multilocular structure, and poor blood flow in the cyst wall.",
"Left Mid-Abdomen Ultrasound": "A multilocular cystic mass measuring 9.9 cm × 4.0 cm × 8.8 cm.",
"Left Ovary": null,
"Left Ovary Size": null,
"Left Ovary Volume": null,
"Left Pelvic Wall CT": "A cystic-solid mass with a diameter of 5 cm.",
"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": "Uterus: Atrophic, endometrium extremely thin, homogeneous echo in uterine region. Left adnexa: A cystic mass measuring 5.7 cm × 10.4 cm × 5.4 cm, with unclear boundaries, multilocular structure, and poor blood flow in the cyst wall. Right adnexa: A cystic mass measuring 2.9 cm × 5.2 cm × 2.1 cm, with multilocular structure and poor blood flow in the cyst wall. Left mid-abdomen: A multilocular cystic mass measuring 9.9 cm × 4.0 cm × 8.8 cm. Abdominal cavity: Moderate amount of ascites observed.",
"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": "Multiple nodules and masses observed.",
"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": "A cystic mass measuring 2.9 cm × 5.2 cm × 2.1 cm, with multilocular structure and poor blood flow in the cyst wall.",
"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": "Atrophic, unclear boundaries, uneven density.",
"Uterus Dimensions": null,
"Uterus Size": null,
"Uterus Ultrasound": "Atrophic, endometrium extremely thin, homogeneous echo in uterine region.",
"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": null,
"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, 62 years old,system ID is W-53
|
**Basic information**: Female, 62 years old,system ID is W-53.
**Chief complaint**: Lower abdominal distension for half a year.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: 1. Chief Complaint: The patient reports lower abdominal distension without obvious abdominal bloating, abdominal pain, or other discomfort.
2. History of Present Illness:
- Half a month ago, the patient self-detected a mass approximately the size of a fist above the pubic symphysis in the lower abdomen. The mass is slightly firm, movable upon palpation, and non-tender or non-painful. It becomes more noticeable during morning urinary retention. Over the past half month, the mass has not progressively enlarged.
- Gynecological examination and pelvic ultrasound performed at a local hospital revealed a pelvic mass, with the possibility of the lesion originating from pelvic organs or the gastrointestinal tract.
3. Disease Course:
- No abdominal pain, fever, or history of tuberculosis during the course of the illness, which largely excludes the possibility of inflammatory diseases of the pelvis or abdomen.
4. Past Medical History:
- No history of abdominal or pelvic surgery. The likelihood of the mass being encapsulated fluid accumulation is very low.
5. Menstrual History:
- The patient has been postmenopausal for 10 years. In postmenopausal women presenting with a pelvic mass, after excluding inflammatory diseases, the primary consideration is the possibility of a tumor..
|
[
"Mucinous cystadenoma of the appendix"
] |
**Physical examination**: Abdominal distension, not resembling a frog belly. A cystic-solid mass can be palpated at the midpoint of the umbilicus-pubic symphysis line, approximately 18 cm × 9 cm × 8 cm in size, movable, non-tender, with unclear boundaries. Shifting dullness is negative, and bowel sounds are normal.
Gynecological examination:
- Marital and childbirth status: Married and parous.
- Vaginal condition: Vaginal canal is unobstructed, vaginal walls are smooth, no abnormal secretions observed.
- Cervix: Cervical atrophy, scattered punctate congestion visible on the surface, no tenderness.
- Uterus: Uterus is not clearly palpable.
- Pelvic-abdominal cavity: A cystic-solid mass can be palpated, approximately 18 cm × 9 cm × 8 cm in size, slightly movable in all directions, with unclear demarcation from the uterus and surrounding tissues, non-tender..
|
W-54
|
{
"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": 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": 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": "The uterus is of normal size. A solid mass measuring 6.6 cm × 5.4 cm × 5.1 cm is observed in the left adnexa. The boundaries are relatively clear, predominantly solid in nature, and the blood flow is relatively abundant. No obvious pelvic effusion is observed.",
"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": "The uterus is of normal size. A mixed cystic-solid mass approximately 6.2 cm × 5.5 cm × 5.5 cm in size is observed in the left adnexal region. The density is uneven, with a CT value of 18–35 HU. After contrast enhancement, the mass shows moderate enhancement, with patchy low-density areas visible inside. No enlarged lymph nodes are observed in the pelvis, and no significant abnormalities are detected in the upper abdomen. Blood CA125 level is 460.5 U/ml.",
"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": null,
"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, 25 years old,system ID is W-54
|
**Basic information**: Female, 25 years old,system ID is W-54.
**Chief complaint**: Pelvic mass detected for 10 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: A left adnexal mass was discovered during a routine gynecological examination at the local hospital. The patient has a history of regular menstrual cycles, with the last menstrual period occurring on September 20, 2008. The volume and characteristics of the menstrual flow were consistent with previous cycles. The patient reported no dysmenorrhea, abdominal pain, fever, vaginal bleeding, increased vaginal discharge, or gastrointestinal discomfort..
|
[
"Ovarian Cancer (Stage Ia)"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormal findings.
2. Examination Name: Gynecological Examination
Examination content:
- Vaginal patency observed, no abnormal secretions.
- Cervix is smooth, no tenderness upon manipulation.
- Uterus is of normal size, no tenderness.
- A palpable mass measuring 6 cm × 5 cm × 5 cm is detected in the left adnexal region. The mass is cystic-solid in nature, with a smooth surface, clear boundaries, mobility, and no tenderness.
- No obvious mass is palpated in the right adnexal region, and no tenderness is noted..
|
W-55
|
{
"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": "355.5 U/mL",
"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": 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": "Uterus: Normal size. Right Adnexal Region: A mixed cystic-solid mass approximately 6.2 cm × 5.5 cm × 5.5 cm in size was observed. The mass is roughly round, with uneven density and a CT value of 18–35 HU. After contrast enhancement, the mass showed mild to moderate enhancement, with small patchy low-density areas visible within. Pelvic Cavity: No enlarged lymph nodes were observed. A small amount of ascites was noted in the pelvic floor.",
"Pelvic CT Examination": null,
"Pelvic CT Scan": null,
"Pelvic CT/MRI": null,
"Pelvic Cavity CT": "No enlarged lymph nodes were observed. A small amount of ascites was noted in the pelvic floor.",
"Pelvic Cavity Ultrasound": "A small amount of pelvic effusion.",
"Pelvic Cystic-Solid Mass": null,
"Pelvic Lymph Nodes": null,
"Pelvic Ultrasound": "Uterus: Normal size. Right Adnexa: A mixed solid mass measuring 7.6 cm × 5.4 cm × 6.1 cm was observed. The boundaries are unclear, predominantly solid in nature, with abundant blood flow. Part of the normal ovarian tissue is visible within the mass. Pelvic Cavity: A small amount of pelvic effusion.",
"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": "A mixed solid mass measuring 7.6 cm × 5.4 cm × 6.1 cm was observed. The boundaries are unclear, predominantly solid in nature, with abundant blood flow. Part of the normal ovarian tissue is visible within the mass.",
"Right Adnexal Region CT": "A mixed cystic-solid mass approximately 6.2 cm × 5.5 cm × 5.5 cm in size was observed. The mass is roughly round, with uneven density and a CT value of 18–35 HU. After contrast enhancement, the mass showed mild to moderate enhancement, with small patchy low-density areas visible within.",
"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": "Normal size.",
"Uterus Dimensions": null,
"Uterus Size": null,
"Uterus Ultrasound": "Normal size.",
"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": null,
"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, 35 years old,system ID is W-55
|
**Basic information**: Female, 35 years old,system ID is W-55.
**Chief complaint**: Pelvic mass detected for 20 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Only during the ultrasound examination at the local hospital was a mass found in the right adnexa. Menstrual cycles are usually regular, without dysmenorrhea. Last menstrual period was on September 15, 2008. No significant history of amenorrhea, no abdominal pain, no fever, no vaginal bleeding, and no gastrointestinal discomfort symptoms..
|
[
"Borderline serous cystadenoma of the ovary (Stage Ic)"
] |
**Physical examination**: 1. General Physical Examination: No abnormalities detected.
2. Gynecological Examination:
- Vaginal patency: Normal.
- Abnormal secretions: None.
- Cervix: Smooth, no tenderness.
- Uterus: Normal size, no tenderness.
- Right adnexal region: A mass measuring 8 cm × 5 cm × 5 cm was palpable, cystic-solid in nature, with a smooth surface, clear boundaries, mobile, and non-tender.
- Left adnexal region: No obvious mass palpable, no tenderness..
|
W-56
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": "Suggests a mixed cystic-solid ovarian mass and a small amount of ascites.",
"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": 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": "Close relationship with the bladder and rectum, with unclear boundaries.",
"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": "Infiltration observed in the anterior wall of the rectum.",
"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": "12 cm",
"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": "Suggests a mixed cystic-solid ovarian mass and a small amount of ascites.",
"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": "678 U/mL",
"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": null,
"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**: 58 years old, female,system ID is W-56
|
**Basic information**: 58 years old, female,system ID is W-56.
**Chief complaint**: Menopause for 6 years, abdominal distension and abdominal pain for half a month, pelvic mass detected for 5 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Half a month ago, the patient experienced abdominal distension and noticed a gradual abdominal bulge, occasionally accompanied by dull pain, which could be alleviated. After the onset of symptoms, there was no nausea, vomiting, diarrhea, or tenesmus. The patient has been menopausal for 6 years, with no postmenopausal bleeding and normal vaginal discharge. Both her mother and maternal aunt were diagnosed with ovarian cancer..
|
[
"Advanced epithelial ovarian cancer"
] |
**Physical examination**: Superficial lymph nodes: No enlargement.
Abdomen: Slightly distended, no obvious tenderness, rebound tenderness, or muscle rigidity. Ascites sign: Suspicious.
Gynecological examination:
- Vulva and vagina: Negative (-).
- Uterus: Small.
- Pelvic examination: A cystic-solid mass approximately 10 cm in size appears to be palpable in the pelvic cavity, with a nodular surface, fixed posterior to the uterus.
- Bimanual rectovaginal examination: Nodules palpable in the rectouterine pouch, rectal mucosa remains smooth..
|
W-57
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": "Multiple lesions were detected in the pelvic and abdominal cavities, located at the vaginal stump, small intestinal mesentery, and para-aortic region. The largest lesion measures 3.5 cm.",
"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": "137 U/ml",
"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": 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": "A solid mass measuring 3 cm in size was observed at the vaginal stump, with abundant blood flow within the mass.",
"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": null,
"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**: 68 years old,system ID is W-57
|
**Basic information**: 68 years old,system ID is W-57.
**Chief complaint**: 16 months post ovarian cancer surgery, abdominal distension and abdominal pain for 1 week..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: 16 months ago, the patient underwent exploratory laparotomy at this hospital due to "ovarian cancer," ultimately undergoing "total hysterectomy + bilateral adnexectomy + partial omentectomy + retroperitoneal lymphadenectomy." The initial surgery achieved optimal debulking, with the largest residual tumor <1 cm located in the mesentery. The pathological diagnosis was serous ovarian carcinoma, with cell differentiation ranging from moderate to low. Postoperative surgical pathological staging (FIGO staging) was stage IIIc. On the 6th day post-surgery, the patient began first-line chemotherapy with paclitaxel combined with carboplatin, with treatment intervals of 3-4 weeks, completing a total of 8 cycles. The last chemotherapy session was over 9 months ago, with the efficacy evaluation reaching complete remission. Preoperative blood CA125 was 657 U/ml, which decreased to the normal range after 2 cycles of chemotherapy. The patient has been regularly followed up after chemotherapy, currently experiencing abdominal distension and abdominal pain, but no other discomfort..
|
[
"Postoperative recurrence of ovarian cancer"
] |
**Physical examination**: The anterior lymph nodes are not enlarged, the entire abdomen is slightly distended, with no obvious tenderness, rebound pain, or muscle rigidity. Ascites sign is negative.
Gynecological examination:
1. External genitalia and vagina: (-)
2. At the vaginal stump, a solid mass approximately 3 cm in size seems palpable, fixed, with poor mobility.
3. Bimanual examination: The rectal mucosa remains smooth..
|
W-58
|
{
"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": "A mass in the right ovary measuring 10.0 cm × 8.0 cm × 7.0 cm. The cyst wall is a calcified layer with increased density, and bony structures are visible within the cyst.",
"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": 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": 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": "A cystic mass in the right ovary measuring 10.0 cm × 8.5 cm × 8.0 cm. The cyst contains scattered hyperechoic masses, with a regular shape and clear boundaries. The base of the cyst, which is the pedicle, shows torsion. No significant blood flow signals are detected at the root.",
"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": "No significant elevation in tumor markers.",
"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": null,
"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, 26 years old,system ID is W-58
|
**Basic information**: Female, 26 years old,system ID is W-58.
**Chief complaint**: Sudden onset of right lower abdominal pain for 2 hours..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient experienced sudden right lower abdominal pain for 2 hours, without fever, no migration of the right lower abdominal pain, no nausea or vomiting. The menstrual cycle is normal, with no history of amenorrhea. There is no history of sexual activity prior to the pain, no history of intense physical activity, and the patient denies a past history of ovarian cysts or pelvic masses..
|
[
"Ovarian cyst pedicle torsion"
] |
**Physical examination**: ### Physical Examination
1. **General Physical Examination**:
- Significant tenderness and rebound tenderness in the right lower abdomen.
- No other abnormalities detected.
2. **Gynecological Examination**:
- External genitalia: Normal development.
- Vagina: Patent, no blood traces.
- Cervix: Normal size, smooth surface, no tenderness upon movement.
- Uterus: Normal size, no tenderness, soft texture, no palpable pulsation of the uterine vessels.
- Left adnexal region: No palpable masses, no tenderness.
- Right adnexal region: Palpable mass approximately the size of a fist, spherical in shape, medium texture, tender to palpation, seemingly connected to the uterus by a pedicle..
|
W-59
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": "235 ng/L",
"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": "140 U/mL",
"CA125 Level": null,
"CA19-9": "162 U/mL",
"CEA": "5 ng/mL",
"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": "No abnormalities detected.",
"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)": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": "A solid pelvic mass is observed, containing multiple scattered calcifications, fatty components, and slightly hypodense band-like structures.",
"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": "Uterus size is approximately 5 cm × 4 cm × 3 cm, resembling a pregnancy. A cystic-solid mass measuring 6 cm × 5 cm is observed in front of the uterus, with internal echogenic foci and strong echo clusters. No space-occupying lesions detected in the uterus. No enlarged lymph nodes detected in the pelvic cavity.",
"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": "No abnormalities detected.",
"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": "CA125: 140 U/mL, CEA: 5 ng/mL, CA19-9: 162 U/mL, AFP: 235 ng/L",
"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": null,
"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, 12 years old,system ID is W-59
|
**Basic information**: Female, 12 years old,system ID is W-59.
**Chief complaint**: Dull pain in the lower right abdomen for 1 month..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient visited a local hospital one month ago due to right lower abdominal pain and was diagnosed with acute appendicitis. After undergoing appendectomy, the abdominal pain did not resolve. The patient has a history of good health and denies any history of cardiac disease, tuberculosis, liver or kidney disorders. No significant changes in bowel or urinary habits were observed. Menstrual cycles are regular, but the patient has not yet experienced menstruation..
|
[
"Immature teratoma of the right ovary with pedicle torsion (Ia)"
] |
**Physical examination**: General physical examination revealed only mild tenderness in the abdomen upon light pressure, without rebound tenderness; no other positive signs.
Rectal examination:
1. Uterus: Approximately the size of a chicken egg, no tenderness, soft texture.
2. Right adnexal region: A palpable mass measuring 6 cm × 5 cm, with tenderness.
3. Left adnexal region: Soft texture..
|
W-60
|
{
"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": "Well distended",
"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": "1835 pmol/l",
"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": "8 U/ml",
"CA125 Level": null,
"CA19-9": "12 U/ml",
"CEA": "15 ng/ml",
"CP2": null,
"CREA": null,
"CRP": null,
"CT Imaging": "Bladder well distended. A mixed-density shadow measuring 62 mm × 53 mm is observed between the bladder and rectum. The upper part of the tumor shows cystic low-density areas with possible septations. The tumor is approximately round in shape, with relatively clear boundaries but indistinct demarcation from the uterus. The bladder and uterus are significantly compressed, and the uterus is displaced posteriorly.",
"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": "No space-occupying lesions observed.",
"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": "Bladder and uterus are significantly compressed, and the uterus is displaced posteriorly",
"Cranial CT": null,
"Culture Method": null,
"Cystic Low-Density Areas": "Upper part of the tumor shows cystic low-density areas with possible septations",
"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": "No abnormalities detected.",
"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": "1.5 cm",
"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": "No abnormalities detected.",
"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": "62 mm × 53 mm between the bladder and rectum",
"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": "No abnormalities detected.",
"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": "CA125: 8 U/ml, CEA: 15 ng/ml, CA19-9: 12 U/ml",
"Serum Tumor Markers Profile": null,
"Serum hCG Level": null,
"Serum hCG Test": null,
"Serum β-hCG": null,
"Solid Mass in Left Adnexal Region": "5 cm × 6 cm × 6 cm",
"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": "Approximately round, with relatively clear boundaries but indistinct demarcation from the uterus",
"UA": null,
"UREA": null,
"Ultrasound": null,
"Ultrasound Examination": "Uterus size: 7 cm × 6 cm × 4 cm, Endometrial thickness: 1.5 cm, Solid mass in the left adnexal region: 5 cm × 6 cm × 6 cm",
"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": "7 cm × 6 cm × 4 cm",
"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": null,
"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, 57 years old,system ID is W-60
|
**Basic information**: Female, 57 years old,system ID is W-60.
**Chief complaint**: Postmenopausal vaginal bleeding for 3 months.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstrual cycle: 4 days/25 days, regular menstruation.
LMP: 2005-03-21.
Postmenopausal status: No irregular vaginal bleeding after menopause, no postcoital bleeding.
Intrauterine device: Removed 2 years ago.
Past medical history: No history of hypertension or diabetes.
Appearance: Gives a relatively youthful impression.
Hormone therapy: No hormone supplementation upon inquiry..
|
[
"Granulosa cell tumor of the left ovary"
] |
**Physical examination**: 1. General Physical Examination: No other positive signs.
2. Gynecological Examination:
- Vulva and vagina are well-developed, no atrophy observed.
- Cervix is smooth and slightly enlarged.
- Uterus size: 7 cm × 5 cm × 3 cm, no tenderness, soft texture.
- A solid mass measuring 5 cm × 4 cm × 6 cm is palpable in the left adnexal region, mobile, and non-tender.
- Right adnexa is soft..
|
W-61
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": "Irregular mass shadows observed in both ovarian regions, appearing 'dumbbell-shaped,' with uneven density. Enhanced scanning shows uneven enhancement, irregular vascular shadows within, and clear boundaries with surrounding tissues. Delayed scanning shows uniform enhancement in some lesions, while non-enhanced low-density areas are more distinct. Fluid-like density observed in the rectouterine pouch. No abnormalities detected in the uterus. No enlarged lymph nodes observed in the pelvic region. CT Impression: Bilateral ovarian cancer with ascites.",
"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": "5.6 cm",
"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": "No abnormalities detected.",
"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": "50 U/ml",
"CEA": "117 ng/ml",
"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": "Only shows enhanced pulmonary markings.",
"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": "Delayed scanning shows uniform enhancement in some lesions, while non-enhanced low-density areas are more distinct.",
"Discharge Observation": null,
"E": null,
"ESR": null,
"ESR and CRP": null,
"Echocardiography": null,
"Electrocardiogram": "No abnormalities detected.",
"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": "Enhanced scanning shows uneven enhancement, irregular vascular shadows within, and clear boundaries with surrounding tissues.",
"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": "Fluid-like density observed in the rectouterine pouch.",
"Follicle-Stimulating Hormone (FSH)": null,
"Follicles": null,
"Full Abdominal CT": null,
"Fundus Examination": null,
"Fungal Pseudohyphae or Spores": null,
"GLO": null,
"General Examination Profile": "Blood routine, urine routine, electrocardiogram, liver and kidney function tests. No abnormalities detected.",
"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": "Chest X-ray and lung CT. Only shows enhanced pulmonary markings.",
"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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": "Only shows enhanced pulmonary markings.",
"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": "Irregular mass shadows observed in both ovarian regions, appearing 'dumbbell-shaped,' with uneven density.",
"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": "7 cm × 9 cm × 6 cm, with visible protrusions on the inner wall and blood flow observed.",
"Pelvic Lymph Nodes": "No enlarged lymph nodes observed in the pelvic region.",
"Pelvic Ultrasound": "Uterus size: 7 cm × 6 cm × 4 cm, Pelvic cystic-solid mass: 7 cm × 9 cm × 6 cm, with visible protrusions on the inner wall and blood flow observed, Ascites: 5.6 cm",
"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": "588 U/L",
"Serum Squamous Cell Carcinoma Antigen": null,
"Serum Tumor Markers": null,
"Serum Tumor Markers Profile": "Serum CA125: 588 U/L, CEA: 117 ng/ml, CA19-9: 50 U/ml",
"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": "No abnormalities detected.",
"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": "No abnormalities detected in the uterus.",
"Uterus Boundaries": null,
"Uterus CT": null,
"Uterus Dimensions": null,
"Uterus Size": "7 cm × 6 cm × 4 cm",
"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": null,
"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, 37 years old,system ID is W-61
|
**Basic information**: Female, 37 years old,system ID is W-61.
**Chief complaint**: Abdominal distension for 2 months.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Previously healthy, denies heart disease, tuberculosis, liver and kidney disorders; no significant abnormal changes in bowel movements; occasionally experiences acid reflux and belching, without hematemesis or exertional dyspnea, or post-activity lower limb edema; menstrual cycle 7 days/28 days, regular menstruation, LMP 2007-06-01..
|
[
"Pelvic mass (high possibility of ovarian malignant tumor)"
] |
**Physical examination**: 1. **General Physical Examination**:
- Findings: Only abdominal circumference enlargement was noted, with no other positive signs.
2. **Gynecological Examination**:
- Findings:
- External genitalia and vaginal development are normal.
- Cervix is smooth, with no tenderness upon manipulation.
- Uterus is the size of a duck egg, soft in texture, and non-tender.
- Nodules can be palpated in the posterior and lateral fornices.
- Bilateral adnexal regions:
- Left side: A mass measuring 7 cm × 7 cm × 6 cm was palpated, with poor mobility and no tenderness.
- Right side: A mass measuring 9 cm × 6 cm × 5 cm was palpated, with poor mobility and no tenderness..
|
W-62
|
{
"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)": "Within normal range",
"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": "Estradiol (E₂): 68.49 pmol/L, Luteinizing Hormone (LH): 11.97 U/L, Follicle-Stimulating Hormone (FSH): 40.48 U/L",
"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": "CA125: 38.8 U/mL, Carcinoembryonic Antigen (CEA): Within normal range, Alpha-Fetoprotein (AFP): Within normal range",
"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)": "All results are within normal ranges.",
"C-reactive Protein": null,
"CA125": "38.8 U/mL",
"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)": "Within normal range",
"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)": "All results are within normal ranges.",
"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)": "All results are within normal ranges.",
"Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Blood Biochemistry, Chest X-ray, and Electrocardiogram (ECG)": null,
"Estradiol": null,
"Estradiol (E2)": null,
"Estradiol (E₂)": "68.49 pmol/L",
"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)": "40.48 U/L",
"Follicles": null,
"Full Abdominal CT": "Uterus: Not atrophic, appears similar in size to that of reproductive age, uterine cavity is clear, Right adnexal region: Solid, round-like mass measuring 3.5 cm × 3.0 cm × 2.0 cm, with relatively clear boundaries; anterior margin overlaps with intestinal structures, with indistinct demarcation. Post-contrast enhancement shows the mass enhances synchronously with the uterine myometrium, Left adnexal region: No abnormalities detected, Impression: Solid mass in the right adnexal region, suspected broad ligament leiomyoma? Tubal tumor on the right side cannot be excluded.",
"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)": "11.97 U/L",
"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": "Uterus: Not atrophic, Endometrial thickness: 0.23 cm, Right adnexal region: Hypoechoic area measuring 4.0 cm × 2.3 cm × 1.8 cm, with detectable blood flow signals, predominantly peripheral, Resistance Index (RI): 0.54, Right ovary: Not clearly visualized, Left adnexal region: No abnormalities detected, Impression: Hypoechoic area in the right adnexal region (suspected tubal carcinoma to be ruled out)",
"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": null,
"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, 64 years old,system ID is W-62
|
**Basic information**: Female, 64 years old,system ID is W-62.
**Chief complaint**: Menopause for 17 years, irregular vaginal bleeding for 3 months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient experienced natural menopause 17 years ago, with no hot flashes, chest tightness, or other discomforts post-menopause, and did not take hormone replacement therapy. Three months prior to admission, the patient developed irregular vaginal bleeding without obvious cause. The bleeding was bright red in color and less than menstrual volume, occurring intermittently. There was no abdominal pain, bloating, lower back discomfort, vaginal discharge, chills, fever, urinary frequency, urgency, or difficulty urinating. There were no changes in bowel habits or stool characteristics. At the time, the patient did not pay attention to the symptoms and did not seek diagnosis or treatment.
Two months ago, the vaginal bleeding persisted, prompting the patient to visit a local hospital. Gynecological examination revealed no significant positive findings except for mild uterine atrophy. A subsequent ultrasound showed "endometrial polyp." The diagnosis was "endometrial polyp," and the patient underwent "hysteroscopic electrosurgical resection + diagnostic curettage." Surgical findings included: cervical canal endometrium appeared normal; a pink, smooth-surfaced lesion measuring 0.5 cm × 0.3 cm × 0.3 cm was observed on the left uterine wall; the remaining endometrium in the uterine cavity was atrophic; bilateral fallopian tube openings were visible. Postoperative pathology confirmed "endometrial polyp."
After surgery, the patient continued to experience persistent vaginal bleeding, which was scant and coffee-colored, without abdominal pain, bloating, changes in bowel habits, or vaginal discharge. The vaginal bleeding lasted for more than 10 days without resolution, prompting another visit to the local hospital. The patient was treated with oral cephalosporins and tranexamic acid for anti-inflammatory and hemostatic purposes. Subsequently, the vaginal bleeding became intermittent.
The patient has a 20-year history of hypertension, treated with oral nifedipine tablets; a 7-year history of diabetes, treated with oral hypoglycemic agents; and underwent cholecystectomy for gallstones one year ago. Family history includes the father who died of colorectal cancer at age 81 and the mother who died of heart disease at age 60..
|
[
"Right fallopian tube cancer"
] |
**Physical examination**: 1. General Examination: No abnormalities detected.
2. Gynecological Examination:
- External genitalia: Consistent with a married, parous woman.
- Vaginal wall: Smooth, no obvious congestion or masses observed.
- Cervix: Atrophic appearance, smooth.
- Uterus: Anteverted, no obvious atrophy, medium consistency, good mobility, no tenderness.
- Right adnexal region: A palpable mass measuring 4 cm × 2 cm × 2 cm, sausage-shaped, solid, medium consistency, well-defined borders, good mobility, and no obvious tenderness.
- Left adnexal region: No palpable mass, no tenderness..
|
W-63
|
{
"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": "No pulmonary metastasis detected.",
"Chest X-ray 2": "Pulmonary markings are clear in both lungs.",
"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": "No abnormalities detected.",
"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)": "No abnormalities detected.",
"Electrolyte Test": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": "The uterus appears as in a pregnancy of approximately 3+ months. Honeycomb-like echoes are observed in the uterine cavity, with unclear demarcation from the myometrium. The right ovary measures 4 cm × 3 cm × 2 cm, and the left ovary measures 6.3 cm × 3.1 cm × 7.1 cm.",
"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": "No abnormalities detected.",
"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": "413,445.0 mIU/ml",
"Serum hCG Test": "hCG level: 413,445.0 mIU/ml.",
"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": "No abnormalities detected.",
"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": null,
"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, 20 years old,system ID is W-63
|
**Basic information**: Female, 20 years old,system ID is W-63.
**Chief complaint**: Amenorrhea for more than 70 days, recurrent vaginal bleeding for over 1 month..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The last menstrual period was on June 25, 2008. At 45 days of amenorrhea, the patient experienced nausea and vomiting, with more than 10 episodes per day. The vomitus consisted of gastric contents. Thirty days prior to admission, the patient experienced a small amount of vaginal bleeding without any apparent cause, accompanied by small blood clots, and sought medical attention at our hospital..
|
[
"Hydatidiform mole"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination Content: No abnormalities detected.
2. Examination Name: Gynecological Examination
Examination Content:
- Vulva: Post-marital, post-partum type.
- Vagina: Small amount of blood, no purplish-blue nodules.
- Cervix: Soft, mild erosion.
- Uterus: Anteverted, size equivalent to 3 months of pregnancy, medium consistency, good mobility, no tenderness.
- Bilateral Adnexa: No palpable masses or tenderness..
|
W-64
|
{
"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": "No abnormalities detected.",
"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": "No pulmonary metastasis detected.",
"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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": "No pulmonary metastasis detected.",
"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": "The uterus is enlarged to the size of a 2-month pregnancy. A hyperechoic mass measuring 3 cm × 4 cm × 2.6 cm is observed within the anterior wall myometrium, with clear boundaries and no capsule.",
"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": "No abnormalities detected.",
"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": null,
"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, 26 years old,system ID is W-64
|
**Basic information**: Female, 26 years old,system ID is W-64.
**Chief complaint**: After evacuation of hydatidiform mole, 70+ days later, irregular vaginal bleeding for 20 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Complete hydatidiform mole, pre-evacuation hCG level: 356,478 U/L, uterine size significantly larger than the gestational age. Vaginal bleeding stopped 10 days after evacuation, no history of sexual activity. Vaginal bleeding resumed in small amounts 50 days post-evacuation, without abdominal pain, fever, coughing, or hemoptysis. Regular follow-up was conducted. Post-evacuation blood hCG levels decreased rapidly initially, but the decline became less significant in the last three measurements (1-week intervals), specifically: 976 U/L, 928 U/L, and 1011 U/L..
|
[
"Gestational Trophoblastic Tumor"
] |
**Physical examination**: 1. General Examination: No abnormalities detected.
2. Gynecological Examination:
- Vulva and vagina: A small amount of bloodstains, no purplish-blue nodules.
- Cervix: Stained, no tenderness upon lifting.
- Uterus: Size consistent with a 2-month pregnancy, no tenderness, soft texture, no palpable pulsation of the parametrium.
- Bilateral adnexal regions: No palpable masses, no tenderness..
|
W-65
|
{
"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": "103,859 mIU/ml",
"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": 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": "Shows metastatic tumor in the left lung.",
"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": "The uterus appears normal in shape and size, with a smooth surface. The echotexture of the uterine parenchyma is slightly heterogeneous, but no obvious abnormal echoes or abnormal blood flow are observed. No significant abnormalities are seen in the bilateral adnexa.",
"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": null,
"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, 33 years old,system ID is W-65
|
**Basic information**: Female, 33 years old,system ID is W-65.
**Chief complaint**: More than 1 year after evacuation of hydatidiform mole, irregular vaginal bleeding for 3 months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient usually has regular menstruation, lasting 3–4 days every 28–30 days, with moderate flow and no dysmenorrhea (-). Thirteen months ago, she sought medical attention at an external hospital due to heavy vaginal bleeding following amenorrhea. Ultrasound suggested hydatidiform mole, and she underwent uterine evacuation. During the procedure, vesicular molar tissue was observed. Postoperative pathology confirmed hydatidiform mole.
One week after the first uterine evacuation, a second evacuation was performed, removing a small amount of tissue, with pathology still confirming hydatidiform mole. Subsequently, weekly blood tests for $\beta$-hCG were conducted, showing a gradual decline. The $\beta$-hCG level decreased from 10,000 mIU/ml after the first evacuation to 469 mIU/ml four weeks post-evacuation. No further monitoring or chemotherapy was performed thereafter. Menstruation resumed eight months ago, and at that time, blood $\beta$-hCG was measured at 47 mIU/ml. She did not seek further treatment after that. Since menstruation resumed, she has been strictly using contraceptive methods.
Three months ago, she began experiencing irregular vaginal bleeding without a clear history of amenorrhea. The bleeding varied in amount, sometimes resembling menstrual flow and at other times presenting as spotting, and has persisted to date. No tissue has been expelled from the vagina, and there has been no abdominal pain. One month ago, her blood $\beta$-hCG level was measured at 10,000 mIU/ml. Twenty days ago, she developed coughing and hemoptysis, without fever or sputum production. She has no history of pulmonary disease, immune disorders, hematologic diseases, or reproductive tract diseases..
|
[
"Choriocarcinoma (Ⅲ:8)"
] |
**Physical examination**: **Translation:**
- **T37°C**, **P70 beats/min**, **R18 breaths/min**, blood pressure **98/68 mmHg**.
- Normal development, moderate nutrition, autonomous posture, clear consciousness, fluent speech.
- No jaundice, petechiae, or tenderness observed on the skin and mucous membranes throughout the body.
- No palpable enlargement of superficial lymph nodes.
- Pupils are bilaterally equal in size and round.
- Lips are red and moist, no cyanosis.
- Bilateral lung respiratory movements are symmetrical, tactile fremitus is equal on both sides, and percussion reveals clear sounds bilaterally.
- Breath sounds in both lungs are clear, no dry or wet rales heard.
- Heart sounds are strong, rhythm is regular, and no murmurs are heard in any valve areas.
- No abnormalities detected in the abdominal, limb, or nervous system examinations. No clubbing of fingers or toes.
**Gynecological Examination:**
1. External genitalia: No abnormalities observed.
2. Vagina: Patent, no space-occupying lesions, dark red blood stains visible.
3. Cervix: No abnormalities observed; bleeding seen flowing from the cervical canal.
4. Uterus: In the midline position, slightly larger than normal, soft texture.
5. Bilateral adnexa: No abnormal masses palpated.
**Based on the results, the possible diseases (ranked in order of likelihood):**
1. Gestational trophoblastic tumor with lung metastasis.
2. Recurrent pregnancy..
|
W-66
|
{
"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": 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": "A dense round-like shadow in the right cerebellar hemisphere, deformation of the quadrigeminal cistern due to compression, suggestive of metastatic tumor.",
"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": "Nodular shadows under the pleura in both lower lungs, suggestive of metastatic tumor.",
"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": "1,664,430 mIU/ml",
"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": null,
"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, 27 years old,system ID is W-66
|
**Basic information**: Female, 27 years old,system ID is W-66.
**Chief complaint**: Post-term vaginal irregular bleeding for 3 months, headache for 3 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient experienced a vaginal spontaneous delivery on May 1, 1996, at 39 weeks and 4 days of intrauterine pregnancy. The delivery process was smooth, with the fetus and placenta naturally delivered. Examination of the fetus revealed no abnormalities; the placenta was delivered intact, with no abnormalities observed, and it was not sent for pathological examination. There was minimal bleeding during delivery. Postpartum, the patient received antibiotic treatment for one week. The amount of lochia gradually decreased. One month postpartum, vaginal bleeding increased but was less than the usual menstrual flow, fluctuating in amount, with no tissue-like material expelled. Vaginal discharge was odorless, and there was no accompanying fever. The patient continued breastfeeding postpartum and did not engage in sexual activity.
A B-ultrasound examination was performed postpartum, revealing no abnormalities. On postpartum day 50, blood β-hCG levels were >2000 mIU/ml, and on postpartum day 55, blood β-hCG levels increased to 14000 mIU/ml. A diagnostic curettage was performed, but the pathology results were inconclusive. Three months postpartum (6 days before admission to our hospital), a chest X-ray indicated nodular and block-like shadows in both lungs. Thirty-three days before admission, the patient experienced headache and nausea, without vomiting or a history of syncope. One day prior to admission, the patient experienced unsteady walking. There was no prior history of headaches..
|
[
"Choriocarcinoma Stage IV"
] |
**Physical examination**: The patient is conscious and cooperative during the physical examination.
1. **Neurological Examination**: Except for slightly reduced muscle strength in the right lower limb, no other abnormalities were found.
2. **Gynecological Examination**:
- Vaginal wall: No purplish-blue nodules.
- Uterine body: Retroverted, full, slightly soft, good mobility, no tenderness.
- Bilateral adnexa: No abnormalities..
|
W-67
|
{
"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": "Comparison of the chest CT with the previous imaging during treatment shows a nodule shadow in the right lung, which is a newly developed lesion with a high likelihood of metastasis. No other significant changes observed.",
"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": 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": "No significant abnormalities detected in the uterus and bilateral adnexa.",
"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": null,
"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-67
|
**Basic information**: Female, 28 years old,system ID is W-67.
**Chief complaint**: Choriocarcinoma Stage III, 12 cycles of chemotherapy, discontinued treatment for 6 months, β-hCG increased for 20 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: On June 12, 2005, the patient presented with 40 days of amenorrhea and was found to have intra-abdominal bleeding. Urine hCG was positive $(+)$, and ectopic pregnancy was suspected. Exploratory laparotomy was performed, revealing uterine anterior wall perforation and 4000 ml of accumulated blood. Uterine repair and biopsy were conducted, and pathology confirmed "choriocarcinoma." Postoperative lung CT showed metastasis in the left lung (Figure 67-1). Ultrasound revealed a hypoechoic lesion in the left anterior uterine wall measuring 8.1 cm × 6.3 cm × 4.9 cm, with unclear boundaries, disorganized internal echoes, and abundant blood flow. Abdominal and cranial CT showed no abnormalities. Blood β-hCG was 831,434 mIU/ml. The diagnosis was choriocarcinoma stage III, FIGO score 11.
Chemotherapy (VCR + FUDR + KSM + VP-16) was initiated on July 20, 2005. After 4 cycles, ultrasound findings were negative, and blood β-hCG decreased to 0.6 mIU/ml (normal value ≤ 2 mIU/ml). After 6 cycles, lung CT findings were negative. Two additional cycles of chemotherapy were administered, with the final chemotherapy session on December 21, 2005.
In April 2004, the patient underwent one artificial abortion due to fetal demise, and menstruation returned to normal postoperatively. Since the end of the last chemotherapy, the patient has adhered to follow-up appointments, regularly monitoring blood β-hCG levels, and menstruation has remained normal. The last menstrual period was June 18, 2006, and strict contraception was practiced. Five months after discontinuing medication, blood β-hCG was 1.2 mIU/ml. Six months after discontinuation (June 30, 2006), blood β-hCG increased to 13.3 mIU/ml. One week later, blood β-hCG rose to 45 mIU/ml, and another week later, it increased to 117.7 mIU/ml.
Since the detection of elevated blood β-hCG levels, the patient has not experienced symptoms such as cough, hemoptysis, chest tightness, dizziness, headache, sudden syncope, slurred speech, or projectile vomiting..
|
[
"Choriocarcinoma recurrence"
] |
**Physical examination**: 1. Examination Name: Lung inspection, palpation, percussion, and auscultation
Examination content: No abnormalities detected.
2. Examination Name: Gynecological physical examination
Examination content: No abnormalities detected..
|
W-68
|
{
"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": 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": 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": "The right anterior wall of the uterine body shows a solid homogeneous echo measuring 4 cm × 4 cm × 3 cm.",
"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": null,
"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, 24 years old,system ID is W-68
|
**Basic information**: Female, 24 years old,system ID is W-68.
**Chief complaint**: Amenorrhea for 20 weeks, solid mass protruding from the right uterine wall for 2 weeks..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: History of uterine fibroids for 1 year before pregnancy. At that time, ultrasound showed a single fibroid on the right lateral wall of the uterine body, approximately 2 cm × 2 cm × 1 cm in size. Denies history of miscarriage and preterm birth. The mass increased in size with gestational weeks, without tenderness, good mobility, and denies transient nausea, vomiting, elevated body temperature, or severe pain on one side of the uterus..
|
[
"Pregnancy with Uterine Fibroids"
] |
**Physical examination**: ### Physical Examination and Auxiliary Examination Information:
1. **General Physical Examination**:
No abnormalities detected.
2. **Gynecological Examination**:
- Thickened skin of the vulva.
- Increased pigmentation of the labia majora and labia minora.
- Vaginal discharge is viscous and abundant.
- Congestion of the vaginal wall and cervix, presenting a purplish-blue color.
- Uterine fundus level with the umbilicus, no tenderness.
- Tumor nodule protrusion approximately 4 cm in diameter on the right anterior wall of the uterine body, medium texture, no tenderness.
3. **Obstetric Examination**:
- Uterine height: 21 cm.
- Abdominal circumference: 90 cm.
- Fetal heart rate: 150 beats per minute..
|
W-69
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": "10 ng/ml",
"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": "30 U/ml",
"CA125 Level": null,
"CA19-9": null,
"CEA": "5 ng/ml",
"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": 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": null,
"Triglycerides (TG)": null,
"Tumor Markers": null,
"Tumor Markers Panel": "CA125: 30 U/ml, AFP: 10 ng/ml, CEA: 5 ng/ml",
"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": null,
"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, 26 years old,system ID is W-69
|
**Basic information**: Female, 26 years old,system ID is W-69.
**Chief complaint**: Amenorrhea for 12 weeks, ultrasound examination showed a mass in the right adnexal region for 2 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient has no history of pelvic inflammatory disease, infertility, or uterine fibroids. The patient denies symptoms such as lower abdominal heaviness, back pain, vaginal bleeding, dull pain in the right lower abdomen, abdominal distension, or ascites.
This ultrasound examination result:
1. **Examination Name**: Ultrasound Examination
**Examination Content**: A gestational sac is observed in the uterine cavity, with visible fetal heart activity. In the right adnexal region, an oval-shaped cystic mass measuring approximately 6 cm × 4 cm × 3 cm is observed. The mass is unilocular, with a thin, intact cyst wall, a smooth inner wall, and clear boundaries with the surrounding tissues..
|
[
"Pregnancy with Benign Ovarian Tumor"
] |
**Physical examination**: 1. General Physical Examination: No abnormalities detected.
2. Gynecological Examination:
- Vulva, vagina, and cervix: Normal.
- Uterus: Approximately the size of a 3-month pregnancy, soft in texture, no tenderness.
- Left adnexal region: No palpable obvious mass.
- Right adnexal region: A palpable cystic mass approximately 6 cm in size, oval-shaped, and mobile.
3. Obstetric Examination:
- Fundal height: 2 transverse fingers above the pubic symphysis.
- Fetal heart rate: 150 beats per minute..
|
W-70
|
{
"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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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)": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": "No infiltration observed in the uterine body, parametrium, or pelvic organs. No lymph node metastasis detected. The lesion is confined to the cervix.",
"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": 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": null,
"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, 37 years old,system ID is W-70
|
**Basic information**: Female, 37 years old,system ID is W-70.
**Chief complaint**: Amenorrhea for 33+2 weeks, irregular vaginal bleeding for 6 months, and vaginal discharge for 2 weeks..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Denies having high-risk factors for cervical cancer. Starting from 8 weeks of pregnancy, intermittent vaginal spotting and contact bleeding occurred without obvious inducement. Vaginal discharge increased, had a foul odor, and was purulent. No lower back pain. Cervical cytology or colposcopy was not performed before or during pregnancy. Ultrasound examination indicated normal placental attachment position..
|
[
"Pregnancy combined with cervical cancer"
] |
**Physical examination**: 1. **General Physical Examination**: No abnormalities detected in the general physical examination. No obvious enlargement of superficial lymph nodes was palpated throughout the body.
2. **Gynecological Examination**:
- External genitalia: Normal development of the vulva.
- Vagina: Patent, with increased secretions that are purulent and malodorous.
- Cervix: Presence of cervical erosion and papillary growths, with a diameter of approximately 5–6 cm. The tissue is fragile and bleeds upon touch.
- Vaginal fornices: The left fornix is normal, while the right fornix is slightly shallower.
- Bimanual examination: Bilateral parametrium tissue shows good elasticity.
3. **Obstetric Examination**:
- Fundal height: 31 cm.
- Abdominal circumference: 100 cm.
- Fetal position: Left occiput anterior (LOA).
- Fetal heart rate: Normal..
|
W-71
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": "No abnormalities detected.",
"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": "No abnormalities detected.",
"Blood CA125": "> 600 U/ml",
"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": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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)": "No abnormalities detected.",
"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": "No abnormalities detected.",
"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": "Intrauterine live fetus. A heterogeneous echo mass measuring 11.7 cm × 10.0 cm × 9.2 cm was detected above the right iliac crest at the level of the umbilicus. The mass contains septations and papillary projections, has a capsule, clear boundaries, and is accompanied by a small amount of ascites.",
"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": "No abnormalities detected.",
"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": null,
"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, 25 years old,system ID is W-71
|
**Basic information**: Female, 25 years old,system ID is W-71.
**Chief complaint**: Amenorrhea for 34 weeks, pelvic mass detected by ultrasound for 2 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Pregnancy and menstrual history are both normal, with no prolonged low-grade fever, loss of appetite, signs of pelvic infection, history of appendicitis, gastrointestinal symptoms, or other discomfort. Early pregnancy ultrasound examination did not reveal any pelvic masses, and no systematic prenatal examinations were conducted thereafter..
|
[
"Pregnancy Complicated with Malignant Ovarian Tumor"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormalities detected.
2. Examination Name: Obstetric Examination
Examination content: Fundal height 24 cm, abdominal circumference 94 cm, LOA (Left Occiput Anterior), fetal heart rate 140 beats/min, small amount of ascites, no palpable hard nodules in the rectouterine pouch, no enlargement of lymph nodes in the inguinal, axillary, or supraclavicular regions..
|
W-72
|
{
"2-Hour Postprandial Glucose (2HPG)": null,
"AFP": null,
"ALB": null,
"ALT": null,
"AST": null,
"Abdominal B-ultrasound": null,
"Abdominal CT": "A predominantly cystic, round-shaped mass with relatively high density is observed posterior to the left side of the uterus, measuring approximately 5.0 cm × 5.5 cm × 6.1 cm. The mass is adherent to surrounding tissues, with a high CT value (33 HU). No significant lymph node enlargement is observed. No hydronephrosis is detected in both kidneys.",
"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": 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)": "White Blood Cell (WBC): 8.3 × 10⁹ / L, Neutrophil Ratio (N): 0.678, Red blood cells, hemoglobin, and platelets are within normal limits.",
"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)": "All results are normal.",
"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)": "0.678",
"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": "46.1 U/ml (reference value: 35 U/ml)",
"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": "A cystic mass approximately 5.1 cm × 5.3 cm × 6 cm is observed posterior to the uterus. The cyst is multilocular with septations, and the cyst wall is thick and rough. Dense, fine, strong echogenic points are reflected within the cyst.",
"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": null,
"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)": "8.3 × 10⁹ / L",
"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-72
|
**Basic information**: Female, 33 years old,system ID is W-72.
**Chief complaint**: Dysmenorrhea for 8 years, pelvic mass detected for 1 year..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient previously had regular menstruation, with moderate flow and a menstrual period lasting 5–6 days. In the past six months, there have been occasional extensions of the menstrual period to 7–8 days. Eight years ago, dysmenorrhea began on the first day of menstruation, which was not severe and tolerable, and could resolve spontaneously. The pain was located in the lumbar region and was sometimes accompanied by a sensation of anal heaviness. Occasional use of ibuprofen provided relief. Dyspareunia was not significant.
One year ago, an ultrasound examination at a local clinic revealed a cystic mass in the left ovary measuring approximately 3 cm × 3 cm × 4 cm, with thick internal fluid, suspected to be a left ovarian endometriotic cyst. Since then, follow-up ultrasounds have been conducted every three months. Three months ago, an ultrasound showed that the cyst had enlarged to 5 cm × 5.5 cm × 6 cm. The patient underwent two months of traditional Chinese medicine treatment and one week of oral antibiotics, but symptoms did not significantly improve. No anti-endometriosis medications have been used, and no recent abdominal CT scans have been performed.
Since the onset of the condition, the patient has not experienced chills, fever, constipation, diarrhea, hematochezia, edema, hematuria, or migratory abdominal pain. There is no history of abdominal surgery. The patient was married five years ago and has one child delivered via normal vaginal delivery..
|
[
"Left ovarian endometriotic cyst"
] |
**Physical examination**: Lower abdominal palpation revealed no obvious abnormalities. Gynecological bimanual and combined examination findings are as follows:
1. **External Genitalia**: Negative findings.
2. **Vagina**: No purplish-blue nodules observed.
3. **Cervix**: Smooth surface, no tenderness upon manipulation.
4. **Uterus**: Retroverted, normal size, medium consistency, mobile, no tenderness.
5. **Right Adnexa**: No palpable masses, no tenderness.
6. **Left Adnexa**: Approximately 5 cm cystic mass palpable, located posterior to the uterus, moderate mobility, questionable tenderness.
7. **Left Sacro-Uterine Ligament**: Slightly thickened sensation, with tenderness upon palpation..
|
W-73
|
{
"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": "Within normal ranges",
"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": "No abnormalities detected.",
"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": "No abnormalities detected",
"Coagulation Function Test": null,
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": "Red blood cells and platelets are within normal ranges. Hemoglobin level is 90 g/L.",
"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": "Within normal ranges",
"ESR and CRP": "Both erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are within normal ranges.",
"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": "90 g/L",
"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": "No evidence of ureteral lesion infiltration is observed. The ureteral course shows no signs of narrowing.",
"Intravenous Pyelography (IVP)": null,
"K": null,
"KUB X-ray": null,
"Karyotype": null,
"Kidney Function": "No abnormalities detected",
"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": "No abnormalities detected",
"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": "No abnormalities detected in liver function, kidney function, or coagulation function.",
"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": "The uterus appears to be the size of a 40-day pregnancy. A predominantly cystic, round-like mass with relatively high density is observed in the left posterior region of the uterus, measuring approximately 6.5 cm × 8.5 cm × 9.1 cm. The mass is closely related to the surrounding intestinal tract and the posterior uterine wall, suggesting adhesions. CT value is relatively high (35 HU). No significant lymph node enlargement is observed. No hydronephrosis is detected in both kidneys.",
"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": "The uterus appears to be the size of a 40-day pregnancy, with slight thickening of the posterior wall. A cystic mass is observed in the posterior region of the uterus, measuring approximately 6.9 cm × 7.3 cm × 9.5 cm. The cyst is partially septated, presenting a multilocular structure. The cyst wall is relatively thick and rough, with dense, fine, strong echo points reflected inside the cyst. Ultrasound findings suggest the possibility of a right ovarian endometriotic cyst and adenomyosis.",
"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": "86.3 U/ml (reference threshold: 35 U/ml)",
"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": null,
"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, 40 years old,system ID is W-73
|
**Basic information**: Female, 40 years old,system ID is W-73.
**Chief complaint**: Pelvic mass discovered 2 years after 4 years post-reoperation for ovarian cystectomy..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: 11 years ago, due to "right ovarian endometriotic cyst," the patient underwent an abdominal right ovarian endometriotic cystectomy at a local hospital. The details of the surgery are unknown (medical records have been lost), but postoperative recovery was good, and no anti-endometriosis medication was taken. One year after the surgery, the patient became pregnant and delivered a child naturally. 4 years ago, a B-ultrasound examination revealed bilateral ovarian endometriotic cysts again, accompanied by dysmenorrhea and a sensation of anal heaviness during menstruation. The patient underwent laparoscopic bilateral ovarian endometriotic cystectomy at a local hospital. During the surgery, the uterus was found to be full, and the bilateral ovarian endometriotic cysts measured 4 cm and 6 cm, respectively, adhering to the posterior leaf of the ipsilateral broad ligament and the posterior wall of the uterus, presenting a "kiss" sign. The uterorectal pouch was absent, and the postoperative diagnosis was stage IV pelvic endometriosis. The patient was prescribed oral Necon 2.5 mg, twice a week for 4 months, which alleviated dysmenorrhea, and regular follow-ups were conducted. 2 years ago, the patient experienced lower back pain before and after menstruation, most severe on the first day after menstruation, sometimes accompanied by a sensation of anal heaviness, but without abdominal pain or bloating. A B-ultrasound examination at a local hospital revealed a cystic mass in the right ovary measuring approximately 4 cm × 4 cm × 5 cm, with thick fluid inside, suspected to be a right ovarian endometriotic cyst. The patient was prescribed oral Sanjie Zhitong capsules for 3 months, but the cyst did not significantly reduce in size. 1 year ago, the patient visited this hospital, and a B-ultrasound examination revealed the right ovarian cystic mass had increased to approximately 5 cm × 6 cm × 7 cm, with aggravated dysmenorrhea, requiring ibuprofen for relief, and occasional dyspareunia, which was not severe. The patient was prescribed oral contraceptives for 2 months, which slightly alleviated dysmenorrhea symptoms.
However, the menstrual period extended from the original 5 to 6 days to 8 to 10 days. Since then, B-ultrasound follow-ups have been conducted every 3 months. 3 months ago, a B-ultrasound examination showed the cyst had increased to 7 cm × 8.5 cm × 9 cm. The patient also experienced menorrhagia, and a hemoglobin test showed 85 g/L. No anti-endometriosis medication was used. Recently, no abdominal CT examination has been performed. Since the onset of the condition, the patient has not experienced chills, fever, occasional constipation, but no diarrhea, bloody stools, edema, hematuria, or metastatic abdominal pain. The patient has a sister who also underwent hysterectomy due to adenomyosis..
|
[
"Pelvic endometriosis recurrence Stage IV (Ovarian Type IIc)."
] |
**Physical examination**: Palpation of the lower abdomen revealed no obvious positive signs. Gynecological bimanual and combined examination findings are as follows:
1. **External Genitalia**: No abnormalities detected.
2. **Vagina**: No purplish-blue nodules observed.
3. **Cervix**: Mild erosion, no cervical motion tenderness.
4. **Uterus**: Retroverted, slightly enlarged, medium consistency, poor mobility, no tenderness.
5. **Left Adnexa**: No palpable mass, no tenderness.
6. **Right Adnexa**: A cystic mass approximately 8 cm in diameter was palpable, located posterior to the uterus, immobile, with tenderness $(+)$.
7. **Posterior Fornix**: Fullness noted, no nodules palpable, but tenderness $(+)$.
8. **Rectal Mucosa**: Smooth..
|
W-74
|
{
"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": 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": "Both transvaginal ultrasound and MRI examinations indicate a mass approximately 2.9 cm × 3.0 cm × 3.0 cm located posterior to the cervix.",
"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": "87.8 IU/ml",
"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": "Both transvaginal ultrasound and MRI examinations indicate a mass approximately 2.9 cm × 3.0 cm × 3.0 cm located posterior to the cervix.",
"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": null,
"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, 39 years old,system ID is W-74
|
**Basic information**: Female, 39 years old,system ID is W-74.
**Chief complaint**: Dysmenorrhea for 10 years, aggravated with dyspareunia for 2 years..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: History of induced abortion before marriage, and after 2 years of unprotected intercourse post-marriage, there was no conception, leading to the use of assisted reproductive technology for pregnancy. Ten years ago, after a cesarean section, dysmenorrhea appeared and progressively worsened. In the past 2 years, the dysmenorrhea has become severe and unbearable, requiring bed rest. General painkillers are ineffective, necessitating strong analgesics such as pethidine. Additionally, there is significant dyspareunia, anal heaviness, pelvic pain, and painful defecation, but the patient is unwilling to undergo laparoscopic examination..
|
[
"Deep infiltrating endometriosis"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormalities detected.
2. Examination Name: Gynecological Bimanual Examination
Examination content:
- Vulva: Negative findings.
- Vagina: No purplish-blue nodules observed, but the posterior fornix is full.
- Cervix: Mild erosion without tenderness upon manipulation.
- Uterus: Normal size, no tenderness, medium consistency. Both uterosacral ligaments are thickened, and multiple tender nodules are palpable.
- Rectouterine pouch: A tender mass approximately 3.0 cm in diameter is palpable, with unclear boundaries, poor mobility, firm texture, and no involvement of the rectal mucosa.
- Bilateral adnexal regions: No masses palpable, no tenderness..
|
W-75
|
{
"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": "0",
"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": "Normal",
"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": "No abnormalities detected",
"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": "Normal",
"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": "No abnormalities detected",
"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": "102 U/L",
"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": null,
"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, 42 years old,system ID is W-75
|
**Basic information**: Female, 42 years old,system ID is W-75.
**Chief complaint**: Progressive dysmenorrhea for 2 years.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Two years ago, the patient began experiencing dysmenorrhea without any obvious cause, starting one day before menstruation and lasting until the third day of menstruation. The pain was tolerable, mainly in the lower abdomen, requiring a hot water bottle for relief. Gradually, the condition worsened, with the pain duration extending to the second day after menstruation ended, and the pain became more severe, accompanied by soreness and swelling in the lumbosacral region. The patient needed to take 1-2 tablets of "Sanlitong" orally, but the pain relief effect gradually diminished. In severe cases, there was cold sweat, but the sensation of anal heaviness was not obvious. The patient experienced pain during intercourse and occasionally had slight bleeding after intercourse. The menstrual flow slightly increased compared to before, requiring three packs of sanitary pads daily. The menstrual cycle and period duration remained unchanged. There was no abnormality in vaginal discharge. Bowel movements and urination were normal. One year ago, the patient visited a local hospital, and ultrasound indicated a uterus size equivalent to 40 days of pregnancy, with uniform enlargement and significant thickening of the posterior uterine wall. Three months of traditional Chinese medicine treatment showed no significant improvement. One month ago, the patient visited our outpatient clinic, and ultrasound indicated a retroverted uterus, size equivalent to over 2 months of pregnancy, with punctate strong echoes in the myometrium, normal position of the intrauterine device, and no abnormalities in bilateral adnexa (Figure 75-1). The patient requested surgical treatment and was admitted. The patient was previously healthy, denied a history of pelvic inflammatory disease, and had no history of drug or food allergies. There was no history of hypertension, heart disease, hepatitis, tuberculosis, or other diseases. There was no history of surgery or trauma. The patient had regular menstruation, with the last menstrual period on November 9, 2007, a cycle of 27 days, and a period duration of 4-5 days, with moderate menstrual flow. Menarche occurred at age 14, with a history of dysmenorrhea during the first 1-2 days of menstruation in the initial two years, which was not severe and tolerable without treatment, and later disappeared on its own. Reproductive history: 1-0-2-1, with a full-term delivery of one boy 10 years ago. The patient underwent artificial abortion once each 8 years and 5 years ago, and had an intrauterine device placed for 5 years without regular gynecological examinations. The husband is healthy. There is no family history of hereditary diseases or tumors..
|
[
"Adenomyosis of the uterus"
] |
**Physical examination**: 1. **Vital Signs**:
- Temperature: 36.8 ℃
- Respiratory Rate: 18 breaths/min
- Pulse: 89 beats/min
- Blood Pressure: 95/60 mmHg
- Weight: 56 kg
2. **General Condition**:
- Nutritional and developmental status: Normal
- Consciousness: Clear
- Cooperation: Able to cooperate during the physical examination
- No signs of anemia
3. **Cardiopulmonary Examination**:
- No abnormalities detected on auscultation
4. **Abdominal Examination**:
- No abnormalities observed
5. **Extremities and Nervous System Examination**:
- No abnormalities detected
6. **Gynecological Examination**:
- **External Genitalia and Vaginal Inspection**: No abnormalities observed
- **Cervix**: Moderate cervical erosion, intrauterine device tail thread not visible, prone to bleeding
- **Bimanual Examination**:
- Uterus: Retroverted, size consistent with 2 months of pregnancy, firm texture, normal mobility, no tenderness
- Bilateral Adnexal Regions: No abnormal masses detected
- **Rectovaginal Examination**:
- No palpable abnormal lesions
- Uterosacral Ligaments: Thickened sensation
- Rectal Mucosa: Smooth.
|
W-76
|
{
"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": "15.6 nmol/L",
"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)": "No abnormalities detected.",
"Complete Blood Count and Coagulation Function Test": null,
"Comprehensive Thyroid Function Test": "No abnormalities detected.",
"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)": "No abnormalities detected.",
"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": "No obvious polypoid or fibroid-like lesions observed.",
"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": "No abnormalities detected.",
"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": "Indicated that the patient has ovulation.",
"Reproductive Endocrine Test": "LH, FSH, and $E_2$ showed no significant abnormalities.",
"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": "No abnormalities detected.",
"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": null,
"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-76
|
**Basic information**: Female, 28 years old,system ID is W-76.
**Chief complaint**: Menstrual period prolonged with increased menstrual flow for 3+ years..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient previously had regular menstruation, with a cycle of 30 days, a menstrual period of 6 days, dark red color, moderate flow, no dysmenorrhea, and no abnormal vaginal discharge.
Approximately 3 years ago, without any obvious inducement, the patient experienced prolonged menstrual periods accompanied by increased menstrual flow, persistent spotting, and the menstrual period extended to 9–10 days. The menstrual flow increased to approximately 1.5 times the original amount, with no significant changes in the cycle, no dyspareunia, and no postcoital bleeding or other discomfort. Multiple examinations, including B-ultrasound, routine blood tests, and endocrine tests, showed no significant abnormalities. Half a month ago, a follow-up B-ultrasound examination at this hospital again showed no significant abnormalities.
One year ago, the patient underwent a cesarean section at a local hospital, which revealed no significant abnormalities, and no special medication was administered. Six months ago, the patient began self-monitoring basal body temperature (BBT), which consistently indicated a biphasic pattern. During the high-temperature phase, the basal body temperature showed a gradual decline starting from the 6th–7th day.
The patient married at the age of 22 and underwent two induced abortions, with the last induced abortion occurring 4 years ago. Postoperative recovery was satisfactory..
|
[
"Ovulatory Dysfunctional Uterine Bleeding"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormalities detected.
2. Examination Name: Gynecological Examination
Examination content:
- External genitalia: Married, nulliparous type.
- Vagina: Patent, with a small amount of dark red bloody discharge observed internally.
- Cervix: Smooth, no tenderness upon manipulation, no active bleeding observed.
- Uterus: Anteverted, slightly full, no tenderness, medium texture.
- Bilateral adnexal regions: No palpable masses, no tenderness..
|
W-77
|
{
"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": "Uterus: Anteverted, size 6.0 cm × 5.0 cm × 3.0 cm; Myometrium: Homogeneous echotexture; Endometrium: Thickness 0.4 cm, homogeneous echotexture; Bilateral ovaries: Normal size",
"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": 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": "No abnormalities detected",
"Coagulation Function Tests": null,
"Color Test": null,
"Colposcopy": null,
"Complete Blood Count": null,
"Complete Blood Count (CBC)": "Hb: 54 g/L",
"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": "54 g/L",
"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": 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": null,
"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, 16 years old,system ID is W-77
|
**Basic information**: Female, 16 years old,system ID is W-77.
**Chief complaint**: Irregular menstrual cycles for 2 years, irregular vaginal bleeding for 19 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menarche at age 14, usually irregular menstruation, menstrual cycle varies from 1 to 4 months, duration varies from 6 to 11 days, heavy menstrual flow, requiring approximately 25 to 30 sanitary pads each time, all soaked through, occasionally small blood clots, the size of soybeans, dark red, no lower abdominal pain during menstruation, no abnormal vaginal bleeding between menstrual periods, no abnormal vaginal discharge. Last menstrual period was on June 27, 2008, initial menstrual flow was similar to previous menstrual flow, requiring 4 to 6 sanitary pads per day, all soaked through, vaginal bleeding gradually decreased 6 days ago, 2 days ago, without obvious inducement, vaginal bleeding increased, accompanied by large blood clots, the size of eggs, bright red, requiring 8 to 10 sanitary pads per day, patient felt fatigue, dizziness, nausea, accompanied by dull lower abdominal pain, thus came to our hospital for consultation. Patient has been generally healthy in the past. Denies history of trauma or surgery, denies history of infectious diseases such as tuberculosis or hepatitis B, denies history of endocrine, urinary, hematological, circulatory system diseases, denies long-term medication history, denies history of drug or food allergies. Denies history of sexual activity. Parents are healthy, no siblings, denies family history of hereditary diseases..
|
[
"Anovulatory Functional Uterine Bleeding in Adolescence"
] |
**Physical examination**: ### Physical Examination
1. **General Physical Examination**:
- Mental state: Listless.
- Anemia: Present.
- Thyroid: No enlargement.
2. **Cardiopulmonary Examination**:
- No abnormalities detected.
3. **Abdominal Examination**:
- Abdomen: Soft, no tenderness or rebound tenderness.
- Liver and spleen: Not palpable.
4. **Skin Examination**:
- No abnormal bleeding points observed.
5. **Superficial Lymph Nodes**:
- No enlargement detected.
6. **Gynecological Examination (Rectal Examination)**:
- External genitalia: Normal development, presence of blood stains.
- Hymen: Intact.
- Uterus: Anteverted, normal size, medium texture, no tenderness, no obvious masses detected, mobility normal.
- Bilateral adnexal regions: No obvious masses detected, no tenderness..
|
W-78
|
{
"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": "Hb 76 g/L, FSH 16.9 U/L, LH 12.1 U/L, PRL 11.2 μg/L, P 1.8 nmol/L, E 298.6 nmol/L.",
"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": null,
"Cystic Low-Density Areas": null,
"Cystoscopy": null,
"Cystoscopy and Colonoscopy": null,
"Cytomegalovirus Test": null,
"Delayed Scanning": null,
"Discharge Observation": null,
"E": "298.6 nmol/L",
"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": "16.9 U/L",
"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": "76 g/L",
"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": "12.1 U/L",
"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": "1.8 nmol/L",
"PLT": null,
"PPD Test": null,
"PRL": "11.2 μg/L",
"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": "No abnormalities detected.",
"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": "The uterine body is of normal size, endometrial thickness is 8 mm, and echogenicity is increased.",
"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": null,
"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, 52 years old,system ID is W-78
|
**Basic information**: Female, 52 years old,system ID is W-78.
**Chief complaint**: Increased menstrual flow and irregular menstrual cycles for 1 year, vaginal bleeding for 12 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Over the past year, the patient has experienced a significant increase in menstrual flow, with the menstrual period extending to 2 weeks. The cycle remains regular. At the beginning of menstruation, the flow is heavy and accompanied by blood clots, followed by prolonged spotting. There is no lower abdominal pain during menstruation, no vaginal discharge, no changes in bowel or urinary habits, no fever, and no weight loss or other discomforts.
Six months ago, the patient sought medical attention at a local hospital, where diagnostic curettage was recommended, but the patient refused. During this period, the patient irregularly took traditional Chinese medicine, with poor results, and did not seek further medical consultation.
Over the past 3 months, the menstrual cycle has become irregular, fluctuating between 28–45 days, and is unpredictable. The menstrual flow remains heavy. The patient reports feeling fatigued and dizzy. The last menstrual period began on June 23, 2008, and has not yet ended. The patient's husband is deceased, and she denies any history of sexual activity in the past 5 years..
|
[
"Anovulatory Dysfunctional Uterine Bleeding in Perimenopausal Transition"
] |
**Physical examination**: ### Physical Examination
1. **General Examination**: The nail bed and conjunctiva appear slightly pale.
2. **Gynecological Examination**:
- Vulva and vagina: A small amount of bloodstains, no purplish-blue nodules.
- Cervix: No tenderness upon manipulation.
- Uterus: Normal size, no tenderness, medium texture.
- Bilateral adnexal regions: No palpable masses, no tenderness..
|
W-79
|
{
"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": "FSH: 4.2 U/L, LH: 4.8 U/L, Estradiol (E2): 116.8 pmol/L, Prolactin (PRL): 8.3 ng/L, Testosterone (T): 1.2 nmol/L, Progesterone (P): 1.3 nmol/L, TSH, T3, and T4: Within normal range",
"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": "8 years",
"Bone Density Test": null,
"Bone ECT": null,
"Brain MRI": "No intracranial space-occupying lesions detected",
"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": "Approximately 1:1.5",
"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": "116.8 pmol/L",
"Estradiol (E2)": null,
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": "4.2 U/L",
"Fasting Insulin (FINS)": null,
"Fasting Plasma Glucose (FPG)": null,
"Fiberoptic Colonoscopy": null,
"Fluid-like Density": null,
"Follicle-Stimulating Hormone (FSH)": null,
"Follicles": "2–3 follicles per side, each measuring 4–6 mm",
"Full Abdominal CT": null,
"Fundus Examination": null,
"Fungal Pseudohyphae or Spores": null,
"GLO": null,
"General Examination Profile": null,
"GnRH FSH": "13.6 U/L",
"GnRH LH": "19.5 U/L",
"GnRH Stimulation Test": "LH: 19.5 U/L, FSH: 13.6 U/L",
"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": "No intracranial space-occupying lesions detected",
"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": "4.8 U/L",
"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": "2.4 ml",
"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": "No masses observed",
"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": "Uterine volume: 2.2 ml, Cervix-to-uterine body ratio: Approximately 1:1.5, Left ovary volume: 2.4 ml, Right ovary volume: 2.3 ml, Follicles: 2–3 follicles per side, each measuring 4–6 mm, No masses observed",
"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": "1.3 nmol/L",
"Progesterone (P)": null,
"Progesterone Level": null,
"Prolactin": "8.3 ng/L",
"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": "2.3 ml",
"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": "Within normal range",
"Testicular Biopsy Pathology": null,
"Testosterone": "1.2 nmol/L",
"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": "2.2 ml",
"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": null,
"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": "Bone age is 8 years",
"hCG": null
}
|
**Basic information**: Female, 6 years and 2 months old,system ID is W-79
|
**Basic information**: Female, 6 years and 2 months old,system ID is W-79.
**Chief complaint**: Breast enlargement for 5 months accompanied by height growth..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: No vaginal bleeding, normal physical and intellectual development since childhood, rapid height growth in the past six months, with an increase of 5 cm. No exposure to contraceptives or cosmetics, consumed a small amount of off-season fruits. Intellectual development is normal, with no neurological, visual, or behavioral changes. No history of cranial trauma or infections. Based on the inquiry results, the preliminary consideration is precocious puberty, but further examinations are needed to determine whether it is GnRH-dependent precocious puberty or non-GnRH-dependent precocious puberty, and to identify the underlying cause..
|
[
"Idiopathic Precocious Puberty"
] |
**Physical examination**: Breast and pubic hair development corresponds to Tanner stage II, no skin pigmentation spots, height 119 cm, weight 24 kg, uterus approximately 2 cm × 3 cm × 2 cm, no masses observed in the pelvic or abdominal cavity, no signs of masculinization, and no abnormalities detected in the nervous system..
|
W-80
|
{
"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": "FSH: 113.6 U/L, LH: 55 U/L, PRL: 0.59 nmol/L, Estradiol (E2): 3.5 pg/ml",
"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": "Chromosome result: 45, XO [95]/46, XX [5]",
"Chromosome Analysis - Husband": null,
"Chromosome Analysis - Patient": null,
"Chromosome Result": "45, XO [95]/46, XX [5]",
"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)": "3.5 pg/ml",
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": "113.6 U/L",
"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": "55 U/L",
"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": "0.59 nmol/L",
"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": "No cardiac or renal abnormalities detected.",
"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": null,
"Vaginal Physical/Chemical Profile": null,
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": "Uterine body: Size 2.0 cm × 1.2 cm, myometrial echo is homogeneous. Endometrium: Thickness 0.3 cm. Right ovary: Size 1.0 cm × 0.9 cm, solid ovary, no antral follicles detected. Left ovary: Size 1.0 cm × 0.7 cm, solid ovary, no antral follicles detected.",
"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, 23 years old,system ID is W-80
|
**Basic information**: Female, 23 years old,system ID is W-80.
**Chief complaint**: Amenorrhea.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient has not experienced menarche. Menstruation does not occur with the use of progestin alone and requires combined estrogen-progestin therapy. There are no symptoms of anosmia or congenital deafness. The patient has below-average intelligence and engaged in farming at home after graduating from primary school. There is no galactorrhea. The patient denies any history of significant psychological stress, excessive exercise, or weight loss; no history of chlorpromazine use; no history of pelvic surgery; no history of autoimmune diseases or mumps. The parents are not consanguineously married. The mother experienced menopause at the age of 40 and had two daughters. The elder sister has regular menstruation and has given birth..
|
[
" Turner syndrome"
] |
**Physical examination**: The patient speaks indistinctly, height 145 cm, weight 46 kg, has webbed neck, slight cubitus valgus, low hairline, and shield chest. Breast development is at Tanner stage 2, with slight breast elevation, slightly enlarged areola, and palpable glandular nodules (glandular nodule diameter approximately ≤ 3 cm).
**Gynecological Examination:**
1. **External Genitalia:** Immature type, no pubic hair.
2. **Vagina:** Patent, reduced vaginal mucosal folds, minimal secretions.
3. **Cervix:** Small, smooth.
4. **Uterus:** Anteverted, normal size (approximately 1/3 of normal size), good mobility, no tenderness.
5. **Adnexa:** No abnormal masses, thickening, or tenderness detected bilaterally.
Based on the physical examination findings, the patient exhibits physical developmental abnormalities characteristic of Turner syndrome..
|
W-81
|
{
"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)": "4.8 pg/ml",
"Blood FSH": "1.52 U/L",
"Blood Flow Signals": null,
"Blood Glucose Test": null,
"Blood Hormone Levels": null,
"Blood Hormone Panel": "Blood FSH: 1.52 U/L, Blood LH: 1.2 U/L, Blood PRL: 0.77 nmol/L, Blood Estradiol (E2): 4.8 pg/ml",
"Blood Karyotype Analysis": null,
"Blood LH": "1.2 U/L",
"Blood Lipid Test": null,
"Blood Liver and Kidney Function Test": null,
"Blood PRL": "0.77 nmol/L",
"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": "No abnormalities detected in the heart or kidneys.",
"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": "Karyotype: 46, XX",
"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": "46, XX",
"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": "11.9 U/L",
"LH 15 minutes after injection": "3.5 U/L",
"LH 30 minutes after injection": "5.7 U/L",
"LH 60 minutes after injection": "8.7 U/L",
"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": "1.7 U/L",
"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": "Intravenous injection of 100 μg LHRH (completed within 30 seconds).",
"Pituitary Stimulation Test Results": "LH before injection: 1.7 U/L, LH levels after injection: 15 minutes: 3.5 U/L, 30 minutes: 5.7 U/L, 60 minutes: 8.7 U/L, 120 minutes: 11.9 U/L. Conclusion: The results of the pituitary stimulation test indicate normal pituitary function.",
"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": null,
"Vaginal Physical/Chemical Profile": null,
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": "Uterus: Size 4.8 cm × 3.3 cm, myometrium with homogeneous echogenicity. Endometrium: Thickness 0.4 cm. Right Ovary: Size 2.9 cm × 1.9 cm, with 3 follicles measuring 0.2–0.4 cm. Left Ovary: Size 3.0 cm × 1.7 cm, with 2 follicles measuring 0.2–0.4 cm.",
"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, 30 years old,system ID is W-81
|
**Basic information**: Female, 30 years old,system ID is W-81.
**Chief complaint**: Married for 2 years without contraception and no pregnancy, amenorrhea for 1 year..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient is 17 years old and has experienced menarche. She usually has a small menstrual flow, with cycles lasting 30–50 days. One year ago, she gradually developed prolonged menstrual periods with reduced flow, eventually leading to amenorrhea. Menstruation does not occur with the use of progestin alone, but menstruation resumes with combined estrogen-progestin therapy. The patient has good intellectual ability, is a graduate student, and is currently engaged in scientific research at a university. She does not exhibit galactorrhea. She denies experiencing adverse psychological stress, has minimal physical activity, and is underweight. The patient has been engaged in long-term scientific research at the university, with significant work-related stress. She has no history of chlorpromazine use, no history of pelvic surgery, no history of autoimmune diseases or mumps. Her parents are not consanguineous, her mother experienced menopause at the age of 44, and the family has one daughter..
|
[
"Hypothalamic Amenorrhea"
] |
**Physical examination**: The patient is clear-headed and articulate, with a height of 164 cm and a weight of 46 kg. There is no webbed neck, shield chest, or cubitus valgus: the patient does not exhibit abnormal features of Turner syndrome. Breast development is at Tanner stage 5, indicating adult-type breasts.
1. Gynecological Examination:
- Vulva: Pubic hair is evenly distributed in an inverted triangle pattern.
- Vagina: Patent, with reduced vaginal mucosal rugae and minimal secretions.
- Cervix: Normal size, smooth.
- Uterus: Anteverted, normal size, good mobility without tenderness.
- Adnexa: No abnormal masses detected bilaterally, no thickening or tenderness..
|
W-82
|
{
"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": "FSH: 3.15 U/L, LH: 2.55 U/L, PRL: 0.57 nmol/L, Estradiol ($\\mathrm{E}_{2}$): 8.2 pg/m²",
"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": "Chromosome result: 46,XX",
"Chromosome Analysis - Husband": null,
"Chromosome Analysis - Patient": null,
"Chromosome Result": "46,XX",
"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": "8.2 pg/m²",
"Estradiol (E2)": null,
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": "3.15 U/L",
"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": "2.55 U/L",
"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": "3.6 U/L",
"LH After Injection 15 Minutes": "3.1 U/L",
"LH After Injection 30 Minutes": "3.7 U/L",
"LH After Injection 60 Minutes": "3.4 U/L",
"LH Before Injection": "2.8 U/L",
"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": "0.57 nmol/L",
"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": "Intravenous injection of 100 μg LHRH (completed within 30 seconds)",
"Pituitary Stimulation Test": "Procedure: Intravenous injection of 100 μg LHRH (completed within 30 seconds). LH levels: Before injection: 2.8 U/L, After injection: 15 minutes: 3.1 U/L, 30 minutes: 3.7 U/L, 60 minutes: 3.4 U/L, 120 minutes: 3.6 U/L. Multiple tests showed no significant increase in LH levels.",
"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": null,
"Vaginal Physical/Chemical Profile": null,
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": "Uterine body: Size is 4.5 cm × 3.4 cm, myometrial echo is homogeneous, endometrial thickness is 0.6 cm. Right ovary: Size is 3.0 cm × 2.4 cm, contains 4 follicles measuring 0.2 cm to 0.4 cm. Left ovary: Size is 2.7 cm × 2.1 cm, contains 3 follicles measuring 0.2 cm to 0.4 cm.",
"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, 29 years old,system ID is W-82
|
**Basic information**: Female, 29 years old,system ID is W-82.
**Chief complaint**: Married for 3 years without contraception and no pregnancy, amenorrhea for 1 year..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient is 14 years old and has experienced menarche. At menarche, the menstrual flow was moderate, and her menstrual cycles were regular, with a cycle length of 28–30 days. One year ago, she gradually developed prolonged menstrual periods with reduced menstrual flow, eventually leading to amenorrhea. Menstruation did not occur with the use of progestin alone, but menstruation resumed with combined estrogen-progestin therapy. The patient has good intellectual ability, is a university graduate, and works as a government civil servant. She does not exhibit galactorrhea. In daily life, she does not experience irritability, anxiety, poor sleep, hot flashes, or vaginal dryness. She denies any adverse psychological stress, has no history of chlorpromazine use, no history of pelvic surgery, no history of autoimmune diseases, and no history of mumps. Her parents are not consanguineously married. Her mother experienced menopause at the age of 47 and has one daughter..
|
[
"Secondary amenorrhea"
] |
**Physical examination**: The patient is alert and articulate, with a height of 167 cm and a weight of 55 kg. No webbed neck, shield chest, or cubitus valgus is observed. The patient does not exhibit abnormal features associated with Turner syndrome. Breast development corresponds to Tanner stage 5, indicating adult-type breasts.
### Gynecological Examination:
1. **External Genitalia**: Pubic hair is evenly distributed in an inverted triangular pattern.
2. **Vagina**: Patent, vaginal mucosal folds are normal.
3. **Cervix**: Normal size, smooth surface.
4. **Uterus**: Retroverted, normal size, good mobility, no tenderness.
5. **Adnexa**: No abnormal masses detected bilaterally, no thickening or tenderness.
The etiology of secondary amenorrhea remains unclear at present..
|
W-83
|
{
"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": "Negative",
"Bacterial Culture": null,
"Basal Body Temperature": null,
"Basal Cells": null,
"Baseline Endocrine Test": "FSH: 85.3 U/L, LH: 42 U/L, PRL: 0.67 nmol/L, E₂: 5 pg/ml",
"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": "46,XX",
"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": "0.3 cm, classified as 'B'",
"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": "5 pg/ml",
"FINS": null,
"FPG": null,
"FSH": "85.3 U/L",
"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": "42 U/L",
"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": "Solid ovary, no antral follicles detected",
"Left Ovary Size": "0.8 cm × 1.2 cm",
"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": "Homogeneous",
"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": "0.67 nmol/L",
"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": "Solid ovary, no antral follicles detected",
"Right Ovary Size": "0.9 cm × 1.3 cm",
"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": "3.0 cm × 2.8 cm",
"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": null,
"Vaginal Physical/Chemical Profile": null,
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": "Uterine body: 3.0 cm × 2.8 cm in size, myometrial echo is homogeneous. Endometrium: 0.3 cm, classified as 'B'. Right ovary: 0.9 cm × 1.3 cm in size, solid ovary, no antral follicles detected. Left ovary: 0.8 cm × 1.2 cm in size, solid ovary, no antral follicles detected.",
"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-83
|
**Basic information**: Female, 28 years old,system ID is W-83.
**Chief complaint**: Amenorrhea for 5 years, infertility for 4 years after marriage without contraception..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient experienced menarche at the age of 16, with regular menstruation lasting until the age of 21, with a menstrual period of 4–5 days. Starting at the age of 22, without any obvious cause, the menstrual cycle gradually lengthened, and the menstrual flow significantly decreased. At the age of 23, the patient developed amenorrhea. Progesterone alone failed to induce menstruation, and combined estrogen-progestin therapy resulted in menstruation that did not occur. The patient also experienced symptoms such as irritability, anxiety, poor sleep, hot flashes, and vaginal dryness.
The patient underwent three cycles of ovulation induction treatment using clomiphene and urinary gonadotropins, but no dominant follicle development was observed. The patient has no history of pregnancy, tuberculosis, adverse psychological stress, excessive exercise, or weight changes. There is no history of long-term medication use, pelvic surgery, autoimmune diseases, or mumps. The patient denies any history of thyroid or adrenal diseases.
The patient's parents are not consanguineously married. The mother experienced menopause at the age of 49 and has three daughters. The patient's two older sisters have regular menstruation and have given birth..
|
[
"Premature ovarian failure"
] |
**Physical examination**: The patient is alert and articulate, with a height of 165 cm and a weight of 55 kg. Nutritional status is moderate, with no congenital defects or physical deformities. There are no signs of webbed neck, shield chest, cubitus valgus, or low posterior hairline. The patient does not exhibit abnormal features associated with Turner syndrome.
Breast development is at Tanner stage 5, indicating adult-type breasts, with slight atrophy and sagging, but no galactorrhea.
**Gynecological Examination:**
1. **External Genitalia:** Sparse pubic hair with female distribution; significant atrophy of the labia majora and labia minora.
2. **Vagina:** Patent; reduced vaginal mucosal rugae; minimal secretions.
3. **Cervix:** Slightly small and smooth.
4. **Uterus:** Anteverted; normal size (approximately two-thirds of standard adult size); good mobility; no tenderness.
5. **Adnexa (bilateral):** No palpable abnormal masses, thickening, or tenderness.
Findings suggest the possibility of premature ovarian failure..
|
W-84
|
{
"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": 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": "No abnormalities detected",
"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": "Suggests pituitary microadenoma (diameter 5 mm × 4 mm)",
"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": "7.9 nmol/L",
"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": "Normal",
"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": null,
"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-84
|
**Basic information**: Female, 28 years old,system ID is W-84.
**Chief complaint**: Married for 2 years without contraception and no pregnancy, amenorrhea for 1 year, galactorrhea for 6 months..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient began experiencing oligomenorrhea (infrequent menstruation) 2 years ago, with a significant reduction in menstrual flow. Amenorrhea (absence of menstruation) occurred 1 year ago, and a urine pregnancy test ruled out pregnancy. The patient has been married for 2 years, has not used contraception, and has not conceived during this time, excluding the lactation period. The patient denies any history of using antipsychotic drugs, antidepressants, sleeping pills, narcotics, H2 receptor antagonists, central antiemetic drugs, or traditional Chinese herbal medicine. There are no symptoms of headache, dizziness, vomiting, or visual field defects.
**Result Analysis:** The patient has been ruled out for physiological and drug-induced galactorrhea and amenorrhea. Currently, there are no symptoms of pituitary tumor compression..
|
[
"Hyperprolactinemia"
] |
**Physical examination**: The patient is alert and articulate, with a height of 165 cm and a weight of 60 kg. Nutritional status is moderate, with no congenital defects or physical deformities. Breast development is at Tanner stage 5, indicating adult-type breasts. Upon compression of both nipples, there is a discharge of non-bloody, milky fluid.
Gynecological Examination:
1. External Genitalia: Normal development, female pattern pubic hair distribution.
2. Vagina: Patent, vaginal mucosa has normal rugae and coloration.
3. Cervix: Normal size, smooth surface.
4. Uterus: Anteverted, slightly small, good mobility, no tenderness.
5. Adnexa: No abnormal masses, thickening, or tenderness detected on either side..
|
W-85
|
{
"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": "No enlargement or abnormal echoes were observed in either adrenal gland.",
"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": 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": "E₂: 64 pg/ml, LH: 13.5 U/L, FSH: 5.2 U/L, T: 1.0 nmol/L, PRL: 20.4 ng/ml",
"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": "64 pg/ml",
"FINS": "16.5 mU/L",
"FPG": "4.8 mmol/L",
"FSH": "5.2 U/L",
"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": "1.3 mmol/L",
"HOMA-IR": "3.52",
"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": "3.5 mmol/L",
"LH": "13.5 U/L",
"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": "FPG: 4.8 mmol/L, FINS: 16.5 mU/L, OGTT: Blood glucose levels at 60, 120, and 180 minutes were 10.6 mmol/L, 7.5 mmol/L, and 6.9 mmol/L, respectively., TC: 6.0 mmol/L, TG: 2.1 mmol/L, HDL: 1.3 mmol/L, LDL: 3.5 mmol/L, HOMA-IR: Calculated as 3.52",
"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": "Blood glucose levels at 60, 120, and 180 minutes were 10.6 mmol/L, 7.5 mmol/L, and 6.9 mmol/L, respectively.",
"Orthopedic X-ray": null,
"Ovarian Mass Shadows": null,
"Ovarian Tumor Size": null,
"Ovaries": null,
"Ovaries Ultrasound": "Both ovaries are enlarged, with enhanced echo from the ovarian capsule. More than ten small follicles are visible in each ovary, arranged in a 'spoke-wheel' pattern, indicating polycystic changes. No cysts were observed.",
"P": null,
"PLT": null,
"PPD Test": null,
"PRL": "20.4 ng/ml",
"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": "1.0 nmol/L",
"T Levels": null,
"TBL": null,
"TC": "6.0 mmol/L",
"TG": "2.1 mmol/L",
"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": "Uterus: The uterus is smaller than normal, with a total diameter sum of 10.5 cm. Ovaries: Both ovaries are enlarged, with enhanced echo from the ovarian capsule. More than ten small follicles are visible in each ovary, arranged in a 'spoke-wheel' pattern, indicating polycystic changes. No cysts were observed. Adrenal glands: No enlargement or abnormal echoes were observed in either adrenal gland.",
"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": "The uterus is smaller than normal, with a total diameter sum of 10.5 cm.",
"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": null,
"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, 23 years old,system ID is W-85
|
**Basic information**: Female, 23 years old,system ID is W-85.
**Chief complaint**: Oligomenorrhea for 7 years, weight gain for 2 years..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient experienced menarche at the age of 15. Since then, her menstrual cycle has been irregular, lasting 60 to 120 days. Menstruation can be induced with medroxyprogesterone, but the menstrual flow is often scanty, dark in color, and painless. Over the past two years, she has experienced significant weight gain, with an increase of 20 kg. She denies symptoms such as headache, dizziness, or visual disturbances. She also denies hyperphagia, excessive eating with weight loss, heat intolerance, excessive sweating, cold intolerance, fatigue, reduced activity, decreased appetite, or symptoms of polydipsia, polyphagia, or polyuria. She denies any history of psychiatric illness or long-term medication use. She has an older sister with similar symptoms who conceived after ovulation induction with clomiphene and has since delivered a healthy child..
|
[
"Polycystic Ovary Syndrome"
] |
**Physical examination**: Height: 157.0 cm
Weight: 72 kg
BMI: 29.2
Waist circumference: 89.5 cm
Hip circumference: 103.5 cm
WHR (Waist-to-Hip Ratio): 0.88
Acanthosis nigricans: $1^{+}$
Facial acne: Not obvious
No signs of hirsutism.
|
W-86
|
{
"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": "No enlargement or abnormal echoes detected in bilateral adrenal glands.",
"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": 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": "Estradiol (E₂): 54 pg/ml, Luteinizing Hormone (LH): 12.3 U/L, Follicle-Stimulating Hormone (FSH): 4.2 U/L, Testosterone (T): 3.70 nmol/L, Prolactin: 19.1 ng/ml.",
"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)": "54 pg/ml",
"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)": "4.2 U/L",
"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)": "12.3 U/L",
"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": "Bilateral ovaries enlarged, with enhanced echo of the ovarian capsule. More than ten small follicles are visible in each ovary, arranged in a \"spoke-like\" polycystic pattern. No obvious cysts observed within the ovaries.",
"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": "Uterus: Slightly smaller in size. Ovaries: Bilateral ovaries enlarged, with enhanced echo of the ovarian capsule. More than ten small follicles are visible in each ovary, arranged in a \"spoke-like\" polycystic pattern. No obvious cysts observed within the ovaries. Adrenal Glands: No enlargement or abnormal echoes detected in bilateral adrenal glands.",
"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": "19.1 ng/ml",
"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)": "3.70 nmol/L",
"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": "Slightly smaller in size.",
"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": null,
"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, 24 years old,system ID is W-86
|
**Basic information**: Female, 24 years old,system ID is W-86.
**Chief complaint**: Oligomenorrhea for 10 years.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient experienced menarche at the age of 14. Since then, her menstrual cycle has never been shorter than 40 days and often exceeds 3 months. Menstruation typically resumes only after using medroxyprogesterone. The menstrual flow is scant, dark in color, and lasts for 3–4 days before ending. On the heaviest day, she uses a maximum of 3 sanitary pads. She does not experience dysmenorrhea. Over the past 4 years, she has noticed significant weight gain, a 3-inch increase in waist circumference, increased and longer body hair growth, and a marked increase in facial acne. She does not report significant headaches, dizziness, or visual disturbances. She has no symptoms of increased appetite, excessive eating with weight loss, heat intolerance, or excessive sweating. Additionally, she does not exhibit symptoms of cold intolerance, fatigue, reduced speech, lethargy, or decreased appetite. Aside from medroxyprogesterone, she has no history of long-term medication use..
|
[
"Polycystic Ovary Syndrome (PCOS)"
] |
**Physical examination**: Height: 158 cm
Weight: 55 kg
Face: Multiple acne lesions distributed
Pubic hair distribution: Male pattern, extending to the midline of the abdomen
Perioral and mandibular area: Noticeable hirsutism
Score: 7 points
Thyroid: No obvious enlargement or nodules.
|
W-87
|
{
"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": "Within normal range.",
"Blood Liver and Kidney Function Test": null,
"Blood PRL": null,
"Blood Pressure": "125/84 mmHg",
"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": "No signs of osteoporosis.",
"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": 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)": "Normal.",
"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)": "124 pmol/L",
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": "35.4 U/L",
"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": "28.6 U/L",
"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)": "2.5 nmol/L",
"Progesterone Level": null,
"Prolactin": null,
"Prolactin (PRL)": "19.3 ng/L",
"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)": "1.2 nmol/L",
"Thyroid Function Test": "Normal.",
"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": "Uterus is of normal size, endometrial thickness is 0.4 cm, echo is uniform, and no abnormalities are observed in bilateral adnexa.",
"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": null,
"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": "Negative"
}
|
**Basic information**: 52 years old, female,system ID is W-87
|
**Basic information**: 52 years old, female,system ID is W-87.
**Chief complaint**: Menstrual irregularities for 8 months accompanied by hot flashes, palpitations, anxiety, and depression..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Menstrual cycle, duration, and flow are irregular, with heavy bleeding accompanied by blood clots. Currently, vaginal bleeding has occurred for 11 days following 43 days of amenorrhea, with the amount resembling the third or fourth day of a typical menstrual period. No dizziness reported. Contraception is achieved using condoms. Previous menstrual cycles were regular. Symptoms include hot flashes that worsen at night, palpitations, anxiety, irritability, low mood, and frequent episodes of crying alone. No history of cardiovascular, liver, or other systemic diseases, nor any history of psychiatric disorders. No prior treatment received..
|
[
"Perimenopausal Syndrome"
] |
**Physical examination**: No signs of anemia.
General physical examination: No abnormalities detected.
1. Gynecological Examination:
- External genitalia and vaginal appearance: Normal
- Cervix: Smooth
- Uterus: Anteverted, normal size, good mobility, no tenderness
- Bilateral adnexa: No palpable masses, no tenderness.
|
W-88
|
{
"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": "No epithelial neoplasia detected.",
"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": 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": "Degenerative changes in the aortic valve, reduced left ventricular diastolic function, patient is able to tolerate surgery.",
"Electrocardiogram": "Occasional atrial premature beats detected.",
"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": "No detected",
"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": "Uterine atrophy observed, endometrial thickness 0.1 cm, no abnormalities detected in bilateral adnexa.",
"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": "Mild reduction",
"Pulmonary Diffusion Function Test": "Mild reduction in diffusion function.",
"Pulmonary Function": null,
"Pulmonary Function Test": null,
"Pulmonary Ventilation Function": "Normal",
"Pulmonary Ventilation Function Test": "Normal pulmonary ventilation function.",
"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": "No indication",
"Vaginal Microscopic Exam": null,
"Vaginal Physical/Chemical Profile": "No indication of vaginal inflammation.",
"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, 60 years old,system ID is W-88
|
**Basic information**: Female, 60 years old,system ID is W-88.
**Chief complaint**: Protrusion of vulvar mass for 8 years, dysuria for 1 year, and vaginal bleeding for 1 week..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient has undergone vaginal delivery three times, one of which involved forceps-assisted delivery. She is 49 years old and has been menopausal. For the past 8 years, she has experienced vaginal prolapse when coughing, exerting force, or standing for prolonged periods, which is alleviated when lying down. These symptoms have worsened over the past year, often accompanied by a sensation of incomplete urination or difficulty urinating. She finds urination easier after manually repositioning the vaginal prolapse. Occasionally, she experiences urgency to urinate but does not have pain during urination or urinary leakage when coughing.
Over the past week, she has had a small amount of vaginal bleeding, bright red in color, mostly appearing when wiping with tissue paper. She has not experienced abdominal pain or vaginal discharge. Her menstrual history was previously regular.
She has a 10-year history of hypertension, which is managed with medication, and her blood pressure remains stable. She has not experienced dizziness, palpitations, shortness of breath, or other discomforts..
|
[
"Uterine prolapse"
] |
**Physical examination**: 1. **Cardiopulmonary Examination**: No abnormalities detected, cardiac function Grade I.
2. **Gynecological Examination**:
- Vaginal wall mucosa: Thin coating, no neoplasms observed.
- Cervix: Severe erosion, ulceration measuring 1 cm × 1 cm observed at the cervical os.
- Uterus: Atrophic, good mobility.
- Bilateral adnexa: No palpable masses detected.
- Pelvic Organ Prolapse Quantification (POP-Q):
- Aa: -1
- Ba: +2.5
- Ap: 0
- Bp: +2
- C: +2.5
- POP-Q stress test: Negative..
|
W-89
|
{
"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": "Positive (+)",
"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": 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": "3.92 kPa, no significant increase in urethral pressure under provocation test conditions",
"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": "Positive",
"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": "< 50 ml",
"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": "Bladder angle at rest ≥ 95°, bladder neck mobility ≥ 20°",
"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": "Normal",
"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": null,
"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, 56 years old,system ID is W-89
|
**Basic information**: Female, 56 years old,system ID is W-89.
**Chief complaint**: Involuntary urinary leakage during coughing for 20 years, worsened over the past 6 years..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Had two vaginal deliveries, both with smooth delivery processes and no history of dystocia. After the second delivery 20 years ago, involuntary urinary leakage occurred, occasionally during coughing, but generally did not occur in daily life, and there was no need to use urinary pads. After menopause 6 years ago, the condition worsened, with urinary leakage occurring during daily activities (such as brisk walking, lifting heavy objects, etc.), becoming frequent and requiring the use of urinary pads. Occasional urinary leakage was noted during position changes, such as sitting up or lying down, but there were no symptoms of urinary frequency or urgency, and the urine remained clear..
|
[
"Stress urinary incontinence"
] |
**Physical examination**: Clear consciousness, good mental state; third-degree old perineal laceration, second-degree anterior vaginal wall prolapse, C point at -2, cervix level with ischial spines; thin vaginal epithelium, disappearance of vaginal rugae; uterus in anteverted position, slightly small, no tenderness or masses in the adnexal region. Cough stress test $(+)$..
|
W-90
|
{
"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": "A small fistula was observed on the posterior wall of the bladder, with a diameter of approximately 0.8 cm. It is a single fistula. The bladder mucosa surrounding the fistula is congested and edematous. Both ureteral orifices are visible, with urine spraying out from the orifices. No stones were observed inside the bladder.",
"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": "Positive. Blue liquid observed flowing out from the suture site of the vaginal stump, indicating the presence of a fistula.",
"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": 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": null,
"Vaginal Physical/Chemical Profile": "Color Test: Positive. Blue liquid observed flowing out from the suture site of the vaginal stump, indicating the presence of a fistula.",
"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, 46 years old,system ID is W-90
|
**Basic information**: Female, 46 years old,system ID is W-90.
**Chief complaint**: 15 days after laparoscopic total hysterectomy, vaginal discharge in large amounts for 3 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient underwent a cesarean section 18 years ago due to abnormal fetal position. Five years ago, she experienced menorrhagia and was diagnosed with multiple uterine fibroids. Fifteen days ago, she underwent a total hysterectomy via laparoscopy.
During the surgery, the uterus was found to be enlarged to the size of approximately 2.5 months of pregnancy. Dense adhesions were observed between the bladder and the cervical region, and significant bleeding occurred during separation, which was controlled using electrocautery.
Postoperative course:
- On the third day after surgery, the patient developed a fever, with the highest recorded temperature being 38.3 ℃. Subsequently, her body temperature returned to normal, and she did not experience abdominal pain or distension.
- A urinary catheter was placed for 3 days postoperatively, and after its removal, the patient was able to urinate independently with normal urine color.
- Starting from the 15th day post-surgery, the patient experienced persistent vaginal fluid discharge, which was copious, clear in color, and had a urine-like odor. The discharge was more pronounced when lying flat or when the bladder was full. Despite this, the patient retained the ability to urinate independently, although the urine output was reduced..
|
[
"Vesicovaginal fistula"
] |
**Physical examination**: General physical examination revealed no abnormalities.
1. Examination Name: Gynecological examination
Examination content: Slight congestion of the vulva, a small amount of fluid in the vagina with a urine odor; during coughing, a small amount of exudate was observed at the suture site at the vaginal apex..
|
W-91
|
{
"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": "Patent",
"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": 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)": "Uterine cavity: No abnormalities, Bilateral fallopian tubes: Patent",
"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": "30 minutes",
"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": "55%",
"Motility Grade 0": "63%",
"Motility Grade I": "10%",
"Motility Grade II": "22%",
"Motility Grade III": "5%",
"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": "Volume: 2.0 ml, Liquefaction Time: 30 minutes, Density: 30 × 10^6 / ml, Motility: Grade III: 5%, Grade II: 22%, Grade I: 10%, Grade 0: 63%, Morphological Abnormality Rate: 55%",
"Semen Volume": "2.0 ml",
"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": "30 × 10^6 / ml",
"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": "No abnormalities",
"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": null,
"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, 30 years old,system ID is W-91
|
**Basic information**: Female, 30 years old,system ID is W-91.
**Chief complaint**: Married for 3 years, no contraception, no pregnancy..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Both parties have had normal sexual activity for 3 years since their first sexual experience, without contraception and without pregnancy. The female partner has regular menstruation, no history of dysmenorrhea, and has previously measured basal body temperature at a local hospital, showing a biphasic pattern. Neither party has tuberculosis or other infectious diseases, nor any harmful habits. There is no history of trauma or surgery, and no history of exposure to toxic substances..
|
[
"Infertility"
] |
**Physical examination**: Both parties underwent routine full-body examinations and reproductive system examinations, with no significant abnormalities observed..
|
W-92
|
{
"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": "FSH: 5.8 U/L, LH: 6.5 U/L, T: 9.05 nmol/L, E2: 209.3 pmol/L",
"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": "46, XY",
"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": 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)": "209.3 pmol/L",
"Estradiol (E₂)": null,
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": "5.8 U/L",
"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": "6.5 U/L",
"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": "Azoospermia",
"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": "Spermatogenesis observed in seminiferous tubules.",
"Testosterone": null,
"Testosterone (T)": "9.05 nmol/L",
"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": "Normal uterine cavity, bilateral fallopian tubes are patent.",
"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": null,
"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, 32 years old,system ID is W-92
|
**Basic information**: Female, 32 years old,system ID is W-92.
**Chief complaint**: Six years after miscarriage, four years after marriage without contraception and no pregnancy..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The woman cohabited with her ex-boyfriend 6 years ago and underwent an induced abortion due to early pregnancy. After the abortion, she used contraceptive tools. Four years ago, she broke up with her boyfriend and married her current husband (the husband has no history of sexual activity). After marriage, they did not use contraception but have not conceived.
The woman has regular menstruation and no history of dysmenorrhea. The man has no history of mumps or external genital trauma. Both parties have no history of tuberculosis or other infectious diseases, no harmful habits, no history of trauma or surgery, and no history of exposure to toxic substances..
|
[
"Infertility"
] |
**Physical examination**: Both parties underwent routine full-body examinations and reproductive system examinations, with no significant abnormalities detected..
|
W-93
|
{
"2-Hour Postprandial Glucose (2HPG)": "12.6 mmol/L",
"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": "No enlargement or abnormal echoes were detected bilaterally.",
"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": 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": "Luteinizing Hormone (LH): 9.3 U/L, Follicle-Stimulating Hormone (FSH): 4.2 U/L, Estradiol (E₂): 268.5 pmol/ml, Testosterone (T): 1.8 mmol/L, Prolactin: 19.1 ng/ml",
"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)": "268.5 pmol/ml",
"E₂": null,
"FINS": null,
"FPG": null,
"FSH": null,
"Fasting Insulin (FINS)": "9.2 mU/L",
"Fasting Plasma Glucose (FPG)": "5.2 mmol/L",
"Fiberoptic Colonoscopy": null,
"Fluid-like Density": null,
"Follicle-Stimulating Hormone (FSH)": "4.2 U/L",
"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": "Calculated value is 2.16",
"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)": "1.4 mmol/L",
"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": "Fasting Plasma Glucose (FPG): 5.2 mmol/L, Fasting Insulin (FINS): 9.2 mU/L, 2-Hour Postprandial Glucose (2HPG): 12.6 mmol/L, Total Cholesterol (TC): 6.1 mmol/L, Triglycerides (TG): 2.0 mmol/L, High-Density Lipoprotein (HDL): 1.4 mmol/L, Low-Density Lipoprotein (LDL): 3.5 mmol/L, HOMA-IR: Calculated value is 2.16",
"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)": "3.5 mmol/L",
"Lung CT": null,
"Lung Function Test": null,
"Lungs CT": null,
"Luteinizing Hormone (LH)": "9.3 U/L",
"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": "Bilateral ovaries are enlarged, with enhanced echo from the ovarian capsule. Each ovary contains more than ten small follicles with diameters ranging from 2–9 mm, arranged in a \"spoke-wheel\" pattern indicative of polycystic changes. No obvious cysts were observed within the ovaries.",
"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": "Uterus: Smaller in size. Ovaries: Bilateral ovaries are enlarged, with enhanced echo from the ovarian capsule. Each ovary contains more than ten small follicles with diameters ranging from 2–9 mm, arranged in a \"spoke-wheel\" pattern indicative of polycystic changes. No obvious cysts were observed within the ovaries. Adrenal Glands: No enlargement or abnormal echoes were detected bilaterally.",
"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": "19.1 ng/ml",
"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)": "1.8 mmol/L",
"Thyroid Function Test": null,
"Total Cholesterol (TC)": "6.1 mmol/L",
"Toxoplasma Test": null,
"Transvaginal Color Doppler Ultrasound": null,
"Transvaginal Ultrasound": null,
"Trichomonads": null,
"Trichomonas": null,
"Triglycerides (TG)": "2.0 mmol/L",
"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": "Smaller in size.",
"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": null,
"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, 37 years old,system ID is W-93
|
**Basic information**: Female, 37 years old,system ID is W-93.
**Chief complaint**: Menstrual disorder for 16 years, infertility for 5 years after marriage..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient experienced menarche at the age of 15. Since then, her menstrual cycle has varied between 15 days and 3 months, sometimes requiring medroxyprogesterone acetate to regulate her menstruation. The menstrual flow has been inconsistent, ranging from heavy to light. During heavy flow, she needs 8 sanitary pads per day, which are often soaked through, while during light flow, she uses only 3 pads per day. The duration of menstruation varies between 5 to 10 days, and she does not experience dysmenorrhea. Over the past 7 years, her weight has gradually increased from 52 kg to 62 kg. She has noticed increased body hair growth and a significant increase in facial acne. She does not report symptoms such as headache, dizziness, or visual disturbances, nor does she experience hyperphagia, weight loss, heat intolerance, or excessive sweating. Additionally, she does not exhibit symptoms such as cold intolerance, fatigue, reduced speech, decreased activity, or loss of appetite. Aside from medroxyprogesterone acetate, she has no history of long-term medication use.
She has been married for 10 years without using contraception, and neither she nor her husband has a history of pregnancy. Over the past 8 years, she has sought medical attention multiple times at external hospitals due to infertility. Ultrasound examinations have indicated polycystic changes in the ovaries, while hysterosalpingography with iodized oil revealed no abnormalities. Her husband's semen analysis results were normal. She has attempted weight loss unsuccessfully. She underwent traditional Chinese medicine treatment for 2 years and clomiphene ovulation induction for 4 cycles, with a maximum dosage of 150 mg/day, but ovulation did not occur..
|
[
"Refractory Polycystic Ovary Syndrome"
] |
**Physical examination**: Female body shape, secondary sexual characteristics developed normally, height 154 cm, weight 62 kg, facial acne not obvious, pubic hair dense with female-type distribution. Genital development normal, cervix smooth, no palpable masses or tenderness in the pelvic region. Thyroid gland shows no obvious enlargement or nodules..
|
W-94
|
{
"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": 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": 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": "Ultrasound still indicates: Early intrauterine pregnancy, three gestational sacs with four viable fetuses.",
"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": null,
"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, 34 years old,system ID is W-94
|
**Basic information**: Female, 34 years old,system ID is W-94.
**Chief complaint**: 35 days after frozen-thawed embryo transfer, ultrasound indicates three amniotic sacs with four viable fetuses..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: Tubal infertility, natural cycle preparation of the endometrium. Three days post-ovulation, the following embryos were transplanted at this hospital: one 8-cell Grade I embryo, one 8-cell Grade II embryo, and one 6-cell Grade I embryo. Fourteen days after transplantation, blood hCG level was 1057.8 IU/L. Around 20 days post-transplantation, the patient experienced nausea and vomiting, which were mild and did not affect food intake. No abdominal pain or vaginal bleeding was reported after transplantation.
**35 days post-transplantation, vaginal color Doppler ultrasound findings:**
1. **Examination Name:** Vaginal Color Doppler Ultrasound
**Examination Content:** Three gestational sacs were observed in the uterine cavity, measuring 2.7 cm, 3.1 cm, and 2.6 cm, respectively. Embryonic buds were visible within each sac. One gestational sac contained two embryonic buds, with bud lengths measuring 0.8 cm, 0.7 cm, 0.6 cm, and 0.8 cm, respectively. Primitive heartbeats were detected in all embryonic buds..
|
[
"Intrauterine Early Pregnancy"
] |
**Physical examination**: 1. Examination Name: General Physical Examination
Examination content: No abnormal findings.
2. Examination Name: Gynecological Examination
Examination content:
- Vulva and vagina: No blood traces.
- Vaginal secretions: Moderate amount, white in color, no abnormal odor.
- Cervix: Mild erosion, cervical os closed, no tenderness upon lifting.
- Uterus: Size equivalent to a 2-month pregnancy, no tenderness, soft texture, good mobility.
- Bilateral adnexal regions: No palpable masses, no tenderness..
|
W-95
|
{
"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": 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": 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": "Both ovaries show cystic enlargement (diameter approximately 8 cm each), with a large amount of fluid accumulation in the pelvic and abdominal cavities.",
"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": null,
"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, 27 years old,system ID is W-95
|
**Basic information**: Female, 27 years old,system ID is W-95.
**Chief complaint**: 12 days after embryo transfer, abdominal distension and oliguria for 10 days, worsening for 3 days..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: 27 years old, height 158 cm, weight 51 kg, with regular menstrual cycles, denies any tendency toward polycystic ovary syndrome (PCO). Underwent in vitro fertilization (IVF) assisted reproduction at this hospital, using the "Dabigestrone and Gonal-F" long protocol for ovarian hyperstimulation. Administered Gonal-F injections (75 IU per dose) once daily for a total of 9 days of ovarian hyperstimulation, followed by an Ovitrelle injection of 250 μg (hCG 6000 IU) for ovulation induction. Blood estradiol (E₂) peak value was 31165 pmol/L. On May 5, 2008, underwent transvaginal ultrasound-guided oocyte retrieval, obtaining 37 oocytes, with 27 fertilized via intracytoplasmic sperm injection (ICSI). On the third day post-procedure, 2 high-quality embryos were transferred, and 21 additional high-quality embryos were cryopreserved.
Two days after embryo transfer, the patient experienced abdominal bloating accompanied by nausea and vomiting (vomitus consisted of gastric contents, small in volume), along with reduced urine output, approximately half of the usual amount, with yellow coloration. Over the past three days, the abdominal bloating has progressively worsened, and urine output has significantly decreased to about one-third of the usual amount. The patient remains able to lie flat, with no abdominal pain, diarrhea, vaginal bleeding, chest tightness, shortness of breath, coughing, or sputum production.
Recent local laboratory and imaging findings:
1. **Blood Routine Examination**:
- WBC: 20.7 × 10⁹/L
- Neutrophil percentage (N%): 82.0%
- Hematocrit (HCT): 46%
- Blood hCG: 142 IU/L
2. **Ultrasound Examination**:
- Bilateral ovarian cystic enlargement
- Pelvic effusion.
|
[
"Ovarian Hyperstimulation Syndrome"
] |
**Physical examination**: T 36.7 ℃, P 120 beats/min, R 18 breaths/min, BP 106/66 mmHg.
1. **Cardiopulmonary Auscultation**: No abnormalities detected.
2. **Liver and Spleen Palpation**: Unsatisfactory due to examination limitations.
3. **Abdomen**: Abdominal distension, slight tension, mild tenderness, positive shifting dullness.
4. **Lower Limbs and Perineum**: No edema, normal skin color.
5. **Gynecological Examination**: Unsatisfactory palpation due to significant abdominal distension and tension..
|
W-97
|
{
"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": "O, Rh-positive",
"Blood Type - Male": "O, Rh-positive",
"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": "Normal",
"Chromosome Analysis": null,
"Chromosome Analysis - Husband": "46, XY",
"Chromosome Analysis - Patient": "46, XX, t(2p+; 4q-)",
"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": "Normal",
"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": "Normal",
"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": "Normal",
"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": "Normal",
"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": "Normal",
"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": null,
"Vaginal Physical/Chemical Profile": null,
"Vaginal Secretion Test": null,
"Vaginal Stump Ultrasound": null,
"Vaginal Ultrasound": "The uterus is of normal size, and both ovaries show no abnormalities.",
"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-97
|
**Basic information**: Female, 28 years old,system ID is W-97.
**Chief complaint**: Repeated spontaneous abortion 3 times.
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient usually has a menstrual cycle of 28 to 30 days, with a menstrual period of 5 days, moderate flow, and no dysmenorrhea. There have been 3 spontaneous miscarriages, each occurring around 50 to 60 days of amenorrhea, with ultrasound indicating "inevitable miscarriage," followed by dilation and curettage. During pregnancy, ultrasound initially showed fetal heart activity, but subsequent checks revealed the disappearance of the fetal heartbeat. The last 2 spontaneous miscarriages occurred at over 30 days of pregnancy, with positive hCG, and progesterone was administered for pregnancy maintenance. There is no family history of recurrent miscarriage, and the personal history is unremarkable..
|
[
"Recurrent miscarriage"
] |
**Physical examination**: 1. General Physical Examination: No abnormalities detected.
2. Gynecological Examination:
- External Genitalia: Married, nulliparous type.
- Vagina: Patent, no abnormalities in the quantity or characteristics of secretions.
- Cervix: No tenderness upon manipulation.
- Uterus: Anteverted, normal size, medium consistency, mobile, no tenderness.
- Bilateral Adnexa: No palpable masses or tenderness detected..
|
W-98
|
{
"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": "1500 mIU/ml",
"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)": "Hemoglobin: 115 g/L, White blood cell count: 4.5 × 10⁹/L, Neutrophil percentage: 50%, Platelet count: 264 × 10⁹/L",
"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": "115 g/L",
"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": "50%",
"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": "264 × 10⁹/L",
"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": "The uterus is anteverted and of normal size. A heterogeneous echo measuring 2.2 cm × 1.5 cm × 1 cm is observed within the uterine cavity. Both ovaries are of normal size.",
"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": null,
"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": "4.5 × 10⁹/L",
"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, 22 years old,system ID is W-98
|
**Basic information**: Female, 22 years old,system ID is W-98.
**Chief complaint**: 43 days after medical abortion, vaginal bleeding has not ceased..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: During medical abortion, the doctor confirmed that the gestational sac had been completely expelled. Two weeks after the abortion, the patient returned to the hospital for a follow-up examination as per medical advice. At that time, vaginal bleeding was minimal and intermittent, and a pelvic ultrasound examination was not performed. The patient was prescribed oral antibiotics and traditional Chinese medicine to promote uterine contraction for one week..
|
[
"Incomplete medical abortion"
] |
**Physical examination**: No obvious signs of anemia.
Vulva and vagina: slight bleeding.
Cervix: mild erosion, cervical os closed.
Uterus: anteverted, normal size, no tenderness, medium texture, mobile.
Bilateral adnexal regions: no palpable masses, no tenderness..
|
W-99
|
{
"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": 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)": "Hemoglobin 95 g/L.",
"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": "95 g/L",
"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": "The uterus is in an anteverted position, normal size, endometrial thickness 30 mm (single layer), intrauterine device (IUD) echo observed within the uterine cavity, position normal; both ovaries are of normal size. Consideration: The patient's menstrual abnormalities are considered to be adverse reactions to the intrauterine device (IUD).",
"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": "Negative",
"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": null,
"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, 37 years old,system ID is W-99
|
**Basic information**: Female, 37 years old,system ID is W-99.
**Chief complaint**: Intrauterine device (IUD) placement for 6 years, with menstrual periods prolonged to over 10 days in the past year..
**Medical history (Menstrual and marital history, Present medical history, past medical history, and Family history)**: The patient had a T-shaped intrauterine device (IUD) inserted during an induced abortion at the township family planning guidance station 6 years ago, and the procedure went smoothly. Postoperatively, the patient underwent annual follow-ups, but there have been no follow-ups in the past 2 years due to working away from home. After the IUD placement, menstrual flow slightly increased, but the cycles remained regular, and there was no dysmenorrhea. Over the past year, spotting vaginal bleeding has persisted for more than 10 days after the menstrual period, which lasts 6–7 days. The last menstrual period was 10 days ago, with the same amount of flow as usual, but spotting vaginal bleeding has occurred over the past 3 days..
|
[
"Adverse Reactions to Intrauterine Device (IUD)"
] |
**Physical examination**: Mild anemia appearance. No petechiae or ecchymosis observed on the skin and mucous membranes.
External genitalia: Parous appearance consistent with a married woman.
Vagina: Patent, no congestion of the vaginal walls.
Cervix: Moderate cervical erosion. Intrauterine device tail thread visible at the cervical os, approximately 1 cm in length.
Uterus: Anteverted, normal size. Mobile, no tenderness, medium consistency.
Adnexa (bilateral): No palpable masses or tenderness..
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.