id int64 11k 21k | consult_input stringlengths 330 6.65k | turing_output stringlengths 2 32.8k | patient_info stringlengths 147 341 | hospital_info stringlengths 75 176 | case_info stringlengths 1 6.05k ⌀ | text_question stringlengths 1 2.09k ⌀ | difficulty_tags stringclasses 4
values | question_tag stringclasses 810
values | signals_present stringlengths 2 382 | signals_not_present stringclasses 568
values | signals_present_id stringlengths 2 95 | signals_not_present_id stringclasses 573
values | diagnosis_present stringlengths 2 223 | diagnosis_not_present stringclasses 155
values | diagnosis_present_id stringlengths 2 47 | diagnosis_not_present_id stringclasses 156
values | recommendations_present stringclasses 454
values | recommendations_not_present stringclasses 355
values | recommendations_present_id stringclasses 456
values | recommendations_not_present_id stringclasses 356
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18,019 | {'patient': {'bday': '2016-05-12', 'name': 'Nino Nunes', 'breed': 'Domestic Shorthair', 'owner': 'Edgar', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Princess Animal Hospital ', 'email': 'monica@princessanimalhospital.com', 'clinician': 'Princess Animal Hospit... | {'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 's... | {'bday': '2016-05-12', 'name': 'Nino Nunes', 'breed': 'Domestic Shorthair', 'owner': 'Edgar', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''} | {'name': 'Princess Animal Hospital ', 'email': 'monica@princessanimalhospital.com', 'clinician': 'Princess Animal Hospital'} | Not himself for the past week. Lethargic, sluggish, lays down after taking a few steps. Yowls when picked up and abdomen seems bloated.
On POCUS, his liver appeared large with a possible mass, and the kidneys seemed displaced caudally. I am not seeing this on his x-rays. | Is there evidence of cardiac disease or an abdominal mass? | expert | ['Gastrointestinal-area', 'Neoplasia-area', 'Resp signs - general'] | ['Crying/yelping', 'Lethargic/tired', 'Mass/swelling - abdomen', 'Abdominal distension', 'Feline'] | [] | [71, 131, 141, 508, 2327] | [] | ['Hepatomegaly', 'Heart (cardiac) disease'] | [] | [20, 389] | [] | ['Abdominal ultrasound'] | [] | [1154] | [] |
11,847 | {'patient': {'bday': '2021-04-23', 'name': 'Fraser^Nala', 'breed': 'Domestic Short Hair', 'owner': 'Fraser^Renae', 'gender': 'F', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Animal Medical Group - Nassau', 'email': 'dr.butler@amgvetsnassau.com', 'clinician': 'Animal Med... | {'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 653, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'No cause for respiratory signs, feline', 'custom_fields': None... | {'bday': '2021-04-23', 'name': 'Fraser^Nala', 'breed': 'Domestic Short Hair', 'owner': 'Fraser^Renae', 'gender': 'F', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': 'null'} | {'name': 'Animal Medical Group - Nassau', 'email': 'dr.butler@amgvetsnassau.com', 'clinician': 'Animal Medical Group'} | Nala came in for irregular breathing, which has been going on for two weeks. The owner recalls that it coincided with some application of a carpet freshener. | On auscultation of the trachea, there are increased sounds. Almost raspy. | expert | ['Respiratory-area'] | ['Noisy/loud breathing', 'Dyspnea'] | [] | [148, 663] | [] | [] | [] | [] | [] | [] | [] | [] | [] |
13,516 | {'patient': {'bday': '2016-02-27', 'name': 'Lowe^Jackson', 'breed': 'Other Breed', 'owner': 'Lowe^Jason', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Durham Region', 'email': 'fax@animalemergencydurham.com', 'clinician': 'AEC'}, 'acce... | {'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 333, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 35.927, 'consult_name': 'Resp Pleural - pleural effu... | {'bday': '2016-02-27', 'name': 'Lowe^Jackson', 'breed': 'Other Breed', 'owner': 'Lowe^Jason', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''} | {'name': 'Animal Emergency Clinic of Durham Region', 'email': 'fax@animalemergencydurham.com', 'clinician': 'AEC'} | I just submitted this case
Two week history of vomiting presented to me in laboured breathing
This rad is post thoracocentesis of non clotting blood as the fluid obtained | I see a pulmonary nodule | expert | ['cardiovascular-area', 'Gastrointestinal-area'] | ['Dyspnoea', 'Vomiting', 'Respiratory distress'] | ['Heart murmur'] | [50, 256, 2179] | [2463] | ['Anemia - non-regenerative'] | [] | [662] | [] | ['Thoracocentesis'] | [] | [2050] | [] |
13,710 | {'patient': {'bday': '2016-02-11', 'name': 'Gonzalez^Kaiser', 'breed': 'German Shepherd.', 'owner': 'Mauricio Gonzalez', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': "Dolly's Animal Clinic ", 'email': 'dollysanimalclinic@gmail.com', 'clinician': "DOLLY'S ANIMAL C... | {'tags': {'userTags': ['expert'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['fragmented-medial-coronoid']}, 'consult': [{'id': 202, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 73.306000000000... | {'bday': '2016-02-11', 'name': 'Gonzalez^Kaiser', 'breed': 'German Shepherd.', 'owner': 'Mauricio Gonzalez', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''} | {'name': "Dolly's Animal Clinic ", 'email': 'dollysanimalclinic@gmail.com', 'clinician': "DOLLY'S ANIMAL CLINIC"} | Holding the left leg, a large mass in the region of the left shoulder, not painful, with increased left prescapular lymph nodes, weight loss of 4 lbs. in one month.
Glucose values 55 mg/dL --low.
Chlorine values 108 mmol/L --Low
Hemoglobin, Hematocrit, MCV, MCH--Low
WBC, Neutrophils, and monocytes High | null | expert | ['Musculoskeletal-area', 'Systemic-area'] | ['Losing weight', 'Mass/swelling - lymph node', 'Forelimb lameness'] | ['Pain'] | [140, 577, 2346] | [2186] | ['Hypochloraemia', 'Hypoglycaemia'] | [] | [534, 535] | [] | ['Blood test: Haematology - manual packed cell volume (PCV)', 'Blood test: Complete Blood Count (CBC)'] | [] | [89, 1068] | [] |
19,002 | {'patient': {'bday': '2024-03-25', 'name': 'CAVALIERI^CHEETO', 'breed': 'DSH', 'owner': 'CAVALIERI^MARY', 'gender': 'M', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Emergency Pet Hospital of Glendora', 'email': 'info@emergencypetglendora.com', 'clinician': 'EPHG'}, 'accept_... | {'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1020, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'partial', '... | {'bday': '2024-03-25', 'name': 'CAVALIERI^CHEETO', 'breed': 'DSH', 'owner': 'CAVALIERI^MARY', 'gender': 'M', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''} | {'name': 'Emergency Pet Hospital of Glendora', 'email': 'info@emergencypetglendora.com', 'clinician': 'EPHG'} | “Cheeto” presents for upper airway congestion, severe bilateral eye discharge, ulcers in and around mouth, not eating, and lethargy. “Cheeto” was rescued just this past Monday and was diagnosed with suspected upper respiratory infection and was put on Doxycycline. Owner reports that “Cheeto” appeared to be declining th... | Owner is concerned with possible pneumonia. | expert | ['Respiratory-area'] | ['Lethargic/tired', 'Oral (mouth) abnormality - ulceration', 'Discharge - ocular (eye)'] | [] | [131, 532, 638] | [] | [] | [] | [] | [] | ['Doxycycline'] | [] | [1110] | [] |
16,762 | {'patient': {'bday': '2017-04-06', 'name': 'Jenkins^SAMMY', 'breed': 'Pomeranian', 'owner': 'Jenkins^Janice', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': 'aehd@animalemergencydeland.com', 'clinician': 'AEH DeLand'}, ... | {'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnorm... | {'bday': '2017-04-06', 'name': 'Jenkins^SAMMY', 'breed': 'Pomeranian', 'owner': 'Jenkins^Janice', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''} | {'name': ' Animal Emergency Hospital Deland', 'email': 'aehd@animalemergencydeland.com', 'clinician': 'AEH DeLand'} | Three days ago, patient had no interest in food but has improved. Starting today, he began to have diarrhea that turned bloody as well as vomiting
Owner makes his own food | na | standard | ['Gastrointestinal-area'] | ['Diarrhea', 'Diarrhoea with blood', 'Vomiting', 'Hyporexia', 'canine', 'Canine Small Breed'] | [] | [76, 77, 256, 607, 2332, 2654] | [] | [] | [] | [] | [] | [] | [] | [] | [] |
11,049 | {'patient': {'bday': '2019-01-10', 'name': 'Hurst^TOOTIE', 'breed': 'Yorkshire Terrier', 'owner': 'Hurst^Theresa', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': 'csr@animalervolusia.com', 'clinician': 'AEHVolusia'}, 'a... | {'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 247, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* The study is most compatible with gastroenterocolitis. No obstructive pattern is... | {'bday': '2019-01-10', 'name': 'Hurst^TOOTIE', 'breed': 'Yorkshire Terrier', 'owner': 'Hurst^Theresa', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''} | {'name': 'Animal Emergency Hospital Volusia', 'email': 'csr@animalervolusia.com', 'clinician': 'AEHVolusia'} | Patient started to have watery diarrhea and vomiting - red tinged. Patient has history of pancreatitis. Upon physical exam tense and painful when palpating abdomen. Cpl abdormal - all other bloodwork within normal limits. | null | standard | ['Gastrointestinal-area', 'Endocrine-area'] | ['Diarrhea', 'Painful tummy', 'Hematemesis (vomiting blood)', 'hx of vomiting'] | [] | [76, 175, 282, 2338] | [] | ['Pancreatitis'] | [] | [149] | [] | [] | [] | [] | [] |
16,074 | {'patient': {'bday': '2015-03-22', 'name': 'Williams^Deuce', 'breed': 'Retriever, Labrador Mix', 'owner': 'Williams^Robert', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Carroll County Animal Hospital on Columbia Drive ', 'email': 'ANunn@carrollcountyah.com', 'c... | {'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1030, 'state': 'empty', 'source': 'labelling'}, {'id': 1032, 'state': 'abn... | {'bday': '2015-03-22', 'name': 'Williams^Deuce', 'breed': 'Retriever, Labrador Mix', 'owner': 'Williams^Robert', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''} | {'name': 'Carroll County Animal Hospital on Columbia Drive ', 'email': 'ANunn@carrollcountyah.com', 'clinician': 'Adrian Nunn'} | acutely limping on left. | expert | ['Musculoskeletal-area'] | ['Acute lameness', 'Canine Medium/Large Breed'] | [] | [2342, 2656] | [] | [] | [] | [] | [] | [] | [] | [] | [] | |
14,755 | {'patient': {'bday': '2016-07-01', 'name': 'beemer', 'breed': 'golden retriever', 'owner': 'Worsham', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Heart & Paw - East Market', 'email': 'eastmarket@heartandpaw.com', 'clinician': 'Bernadette Lynn'}, 'accept_tos': '... | {'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1030, 'state': 'normal', 'source': 'labelling'}, {'id': 1037, 'state': 'abnormal', 'source': 'rules'}, {'id': 1038, 'state': 'abnormal... | {'bday': '2016-07-01', 'name': 'beemer', 'breed': 'golden retriever', 'owner': 'Worsham', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''} | {'name': 'Heart & Paw - East Market', 'email': 'eastmarket@heartandpaw.com', 'clinician': 'Bernadette Lynn'} | There is a semifirm to hard oval shaped freely movable area on the lateral aspect of the LF arm, proximal to the wrist. Patient does not appear uncomfortable with this area with palpation or moving of the abnormal area. O noticed several months ago (not sure exact timeline). Patient is not lame on the left from arm,... | Abnormal area on radius and ulna - thoughts? | expert | ['Musculoskeletal-area'] | ['Mass/swelling - limb'] | ['Lameness', 'Pain'] | [575] | [2185, 2186] | [] | [] | [] | [] | [] | [] | [] | [] |
12,250 | {'patient': {'bday': '2015-07-03', 'name': 'Rosario^Gucci', 'breed': 'Other Breed', 'owner': 'Rosario^Lindsay', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Ehrlich Animal Hospital', 'email': 'ariel.heiman@nva.com', 'clinician': 'Ehrlich Animal Hospital'}, '... | {'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Hepatomegaly- benign', 'custom_fields': None}, {'id': 209, 'sta... | {'bday': '2015-07-03', 'name': 'Rosario^Gucci', 'breed': 'Other Breed', 'owner': 'Rosario^Lindsay', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'} | {'name': 'Ehrlich Animal Hospital', 'email': 'ariel.heiman@nva.com', 'clinician': 'Ehrlich Animal Hospital'} | Chronic history of kyphosis and bow-legged gait, patient presented after reports of a possible fall and vocalization last night. Patient is ambulatory with rear-leg paresis, CP deficits, especially along left rear leg, and muscle spasms along palpation of lower lumbar spinal column. Also resistant to range of motion ex... | It appears to be several possible areas of spondylosis and possible bony changes along the spine. Also abnormalities noted along rear legs. Want to confirm if there are any specific regions that look like a primary source of lesion, or if there are largely chronic changes shown on the rads.
Additional images were tak... | expert | ['Musculoskeletal-area', 'neuro-area', 'Gastrointestinal-area'] | ['Chronic vomiting', 'Decreased conscious proprioception', 'Paresis/paralysis both hindlimbs', 'Paresis/paralysis one hindlimb'] | [] | [2182, 2526, 2527, 2528] | [] | ['Limb deformity, developmental - pes varus'] | [] | [1431] | [] | [] | [] | [] | [] |
15,220 | {'patient': {'bday': '2020-05-31', 'name': 'Sanfilippo^Mia', 'breed': 'MALTESE', 'owner': 'Sanfilippo^Jaclyn', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'GoodVets - Streeterville', 'email': 'streeterville@good-vets.com', 'clinician': 'Lauren Redies'}, 'accep... | {'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'ready', 'source': 'labelling'}, {'id': 1025, 'state': 'abnorma... | {'bday': '2020-05-31', 'name': 'Sanfilippo^Mia', 'breed': 'MALTESE', 'owner': 'Sanfilippo^Jaclyn', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''} | {'name': 'GoodVets - Streeterville', 'email': 'streeterville@good-vets.com', 'clinician': 'Lauren Redies'} | Not eating since yesterday evening, vomiting bile this morning. Was coughing a bit after vomiting. | Foreign body | standard | ['Gastrointestinal-area'] | ['Coughing', 'Vomiting', 'Anorexia'] | [] | [69, 256, 606] | [] | [] | [] | [] | [] | [] | [] | [] | [] |
14,731 | {'patient': {'bday': '2024-12-18', 'name': '^Sadie^^^', 'breed': 'Labrador Retriever', 'owner': 'Callander^^^^', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Britannia Kingsland Veterinary Clinic', 'email': 'info@calgaryvet.com', 'clinician': 'BKVC'}, 'accept_to... | {'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'normal',... | {'bday': '2024-12-18', 'name': '^Sadie^^^', 'breed': 'Labrador Retriever', 'owner': 'Callander^^^^', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''} | {'name': 'Britannia Kingsland Veterinary Clinic', 'email': 'info@calgaryvet.com', 'clinician': 'BKVC'} | 2.5cm mast cell tumor removed 1 week ago. Came back as grade 2 MCT. Checking for metastasis, otherwise healthy. | 2.5cm mast cell tumor removed 1 week ago. Came back as grade 2 MCT. Checking for metastasis | expert | ['screening-area'] | ['Metastasis check'] | [] | [2386] | [] | ['Mast cell tumour - cutaneous/subcutaneous'] | [] | [794] | [] | [] | [] | [] | [] |
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