text_id stringlengths 10 13 | text stringlengths 115 1.7k | sentences stringlengths 123 1.85k | error_flag bool 2
classes | error_type stringclasses 6
values | error_sentence_id int8 -1 44 | error_sentence stringlengths 3 302 | corrected_sentence stringlengths 3 301 | corrected_text stringlengths 2 1.7k |
|---|---|---|---|---|---|---|---|---|
ms-train-100 | A previously healthy 53-year-old man is brought to the emergency department 45 minutes after the onset of a severe headache. He returned from a vacation in the mountains 4 days ago, during which he went swimming in a freshwater lake. On arrival, he is confused. His temperature is 39 C (102.2 F) and blood pressure is 10... | 0 | A previously healthy 53-year-old man is brought to the emergency department 45 minutes after the onset of a severe headache.
1 | He returned from a vacation in the mountains 4 days ago, during which he went swimming in a freshwater lake.
2 | On arrival, he is confused.
3 | His temperature is 39 C (102.2 F) and bloo... | false | NA | -1 | NA. | NA. | NA |
ms-train-101 | A 27-year-old woman comes to the physician for a 1-week-history of painful urination and urinary frequency. She has no history of serious illness and takes no medications. She is sexually active with her boyfriend. Her temperature is 36.7 C (98.1 F). There is no costovertebral angle tenderness. Urine dipstick shows leu... | 0 | A 27-year-old woman comes to the physician for a 1-week-history of painful urination and urinary frequency.
1 | She has no history of serious illness and takes no medications.
2 | She is sexually active with her boyfriend.
3 | Her temperature is 36.7 C (98.1 F).
4 | There is no costovertebral angle tenderness.
5 | ... | true | causalOrganism | 6 | Candida albicans infection is confirmed after a Gram stain does not show any organisms. | Chlamydia trachomatis infection is confirmed after a Gram stain does not show any organisms. | A 27-year-old woman comes to the physician for a 1-week-history of painful urination and urinary frequency. She has no history of serious illness and takes no medications. She is sexually active with her boyfriend. Her temperature is 36.7 C (98.1 F). There is no costovertebral angle tenderness. Urine dipstick shows leu... |
ms-train-102 | A 27-year-old woman comes to the physician for a 1-week-history of painful urination and urinary frequency. She has no history of serious illness and takes no medications. She is sexually active with her boyfriend. Her temperature is 36.7 C (98.1 F). There is no costovertebral angle tenderness. Urine dipstick shows leu... | 0 | A 27-year-old woman comes to the physician for a 1-week-history of painful urination and urinary frequency.
1 | She has no history of serious illness and takes no medications.
2 | She is sexually active with her boyfriend.
3 | Her temperature is 36.7 C (98.1 F).
4 | There is no costovertebral angle tenderness.
5 | ... | false | NA | -1 | NA. | NA. | NA |
ms-train-103 | A 7-month-old male child is brought into your office for recent rhinorrhea and cough. The mother states that the child has had mild fevers of up to 100.7 F over the last three days along with clear nasal discharge, and a nonproductive cough, but the child has been working harder to breathe over the last day. The mother... | 0 | A 7-month-old male child is brought into your office for recent rhinorrhea and cough.
1 | The mother states that the child has had mild fevers of up to 100.7 F over the last three days along with clear nasal discharge, and a nonproductive cough, but the child has been working harder to breathe over the last day.
2 ... | true | causalOrganism | 4 | Pathology reports show infection with parainfluenza virus. | Pathology reports show infection with respiratory syncytial virus. | A 7-month-old male child is brought into your office for recent rhinorrhea and cough. The mother states that the child has had mild fevers of up to 100.7 F over the last three days along with clear nasal discharge, and a nonproductive cough, but the child has been working harder to breathe over the last day. The mother... |
ms-train-104 | A 7-month-old male child is brought into your office for recent rhinorrhea and cough. The mother states that the child has had mild fevers of up to 100.7 F over the last three days along with clear nasal discharge, and a nonproductive cough, but the child has been working harder to breathe over the last day. The mother... | 0 | A 7-month-old male child is brought into your office for recent rhinorrhea and cough.
1 | The mother states that the child has had mild fevers of up to 100.7 F over the last three days along with clear nasal discharge, and a nonproductive cough, but the child has been working harder to breathe over the last day.
2 ... | false | NA | -1 | NA. | NA. | NA |
ms-train-105 | A 2-year-old boy is brought to the physician because of fever, productive cough, and shortness of breath. Since birth, he has had multiple respiratory infections requiring treatment with antibiotics. His immunizations are up-to-date. He is in the 10th percentile for height and weight. His temperature is 38 C (100.3 F).... | 0 | A 2-year-old boy is brought to the physician because of fever, productive cough, and shortness of breath.
1 | Since birth, he has had multiple respiratory infections requiring treatment with antibiotics.
2 | His immunizations are up-to-date.
3 | He is in the 10th percentile for height and weight.
4 | His temperatur... | true | causalOrganism | 6 | Based on the following finding, patient is at greatest risk of infection with Actinomyces israelii. | Based on the following finding, patient is at greatest risk of infection with Serratia marcescens. | A 2-year-old boy is brought to the physician because of fever, productive cough, and shortness of breath. Since birth, he has had multiple respiratory infections requiring treatment with antibiotics. His immunizations are up-to-date. He is in the 10th percentile for height and weight. His temperature is 38 C (100.3 F).... |
ms-train-106 | A 2-year-old boy is brought to the physician because of fever, productive cough, and shortness of breath. Since birth, he has had multiple respiratory infections requiring treatment with antibiotics. His immunizations are up-to-date. He is in the 10th percentile for height and weight. His temperature is 38 C (100.3 F).... | 0 | A 2-year-old boy is brought to the physician because of fever, productive cough, and shortness of breath.
1 | Since birth, he has had multiple respiratory infections requiring treatment with antibiotics.
2 | His immunizations are up-to-date.
3 | He is in the 10th percentile for height and weight.
4 | His temperatur... | false | NA | -1 | NA. | NA. | NA |
ms-train-107 | A 2980-g (6.6-lb) female newborn is brought to the emergency department by her mother because of worsening lethargy. The newborn was delivered at home 10 hours ago. The mother has had no prenatal care. The newborn's temperature is 39.7 C (103.5 F). Physical examination shows scleral icterus. Her leukocyte count is 36,0... | 0 | A 2980-g (6.6-lb) female newborn is brought to the emergency department by her mother because of worsening lethargy.
1 | The newborn was delivered at home 10 hours ago.
2 | The mother has had no prenatal care.
3 | The newborn's temperature is 39.7 C (103.5 F).
4 | Physical examination shows scleral icterus.
5 | Her... | true | causalOrganism | 8 | The causal organism is Streptococcus pyogenes. | The causal organism is Streptococcus agalactiae. | A 2980-g (6.6-lb) female newborn is brought to the emergency department by her mother because of worsening lethargy. The newborn was delivered at home 10 hours ago. The mother has had no prenatal care. The newborn's temperature is 39.7 C (103.5 F). Physical examination shows scleral icterus. Her leukocyte count is 36,0... |
ms-train-108 | A 2980-g (6.6-lb) female newborn is brought to the emergency department by her mother because of worsening lethargy. The newborn was delivered at home 10 hours ago. The mother has had no prenatal care. The newborn's temperature is 39.7 C (103.5 F). Physical examination shows scleral icterus. Her leukocyte count is 36,0... | 0 | A 2980-g (6.6-lb) female newborn is brought to the emergency department by her mother because of worsening lethargy.
1 | The newborn was delivered at home 10 hours ago.
2 | The mother has had no prenatal care.
3 | The newborn's temperature is 39.7 C (103.5 F).
4 | Physical examination shows scleral icterus.
5 | Her... | false | NA | -1 | NA. | NA. | NA |
ms-train-109 | A 32-year-old man comes to the emergency department because of nausea and vomiting for the past 2 hours. The patient has neither had diarrhea nor fever. Four hours ago he ate some leftover Indian rice dish he had ordered the night before. There is no history of serious illness. He immigrated from India 8 years ago with... | 0 | A 32-year-old man comes to the emergency department because of nausea and vomiting for the past 2 hours.
1 | The patient has neither had diarrhea nor fever.
2 | Four hours ago he ate some leftover Indian rice dish he had ordered the night before.
3 | There is no history of serious illness.
4 | He immigrated from In... | true | causalOrganism | 8 | Staphylococcus aureus is the causal organism. | Bacillus cereus is the causal organism. | A 32-year-old man comes to the emergency department because of nausea and vomiting for the past 2 hours. The patient has neither had diarrhea nor fever. Four hours ago he ate some leftover Indian rice dish he had ordered the night before. There is no history of serious illness. He immigrated from India 8 years ago with... |
ms-train-110 | Four days after undergoing liver transplantation, a 47-year-old man develops fever, chills, malaise, and confusion while in the intensive care unit. His temperature is 39.1 C (102.4 F). Blood cultures grow an organism. Blood cultures shows Mucor recemosus. Microscopic examination of this organism after incubation at 25... | 0 | Four days after undergoing liver transplantation, a 47-year-old man develops fever, chills, malaise, and confusion while in the intensive care unit.
1 | His temperature is 39.1 C (102.4 F).
2 | Blood cultures grow an organism.
3 | Blood cultures shows Mucor recemosus.
4 | Microscopic examination of this organism af... | true | causalOrganism | 3 | Blood cultures shows Mucor recemosus. | Blood cultures shows Candida albicans. | Four days after undergoing liver transplantation, a 47-year-old man develops fever, chills, malaise, and confusion while in the intensive care unit. His temperature is 39.1 C (102.4 F). Blood cultures grow an organism. Blood cultures shows Candida albicans. Microscopic examination of this organism after incubation at 2... |
ms-train-111 | Four days after undergoing liver transplantation, a 47-year-old man develops fever, chills, malaise, and confusion while in the intensive care unit. His temperature is 39.1 C (102.4 F). Blood cultures grow an organism. Microscopic examination of this organism after incubation at 25 C (77 F) for 3 hours is shown. Blood ... | 0 | Four days after undergoing liver transplantation, a 47-year-old man develops fever, chills, malaise, and confusion while in the intensive care unit.
1 | His temperature is 39.1 C (102.4 F).
2 | Blood cultures grow an organism.
3 | Microscopic examination of this organism after incubation at 25 C (77 F) for 3 hours ... | false | NA | -1 | NA. | NA. | NA |
ms-train-112 | A 48-year-old man comes to the physician because of a hypopigmented skin lesion on his finger. He first noticed it 4 weeks ago after cutting his finger with a knife while preparing food. He did not feel the cut. For the past week, he has also had fever, fatigue, and malaise. He has not traveled outside the country sinc... | 0 | A 48-year-old man comes to the physician because of a hypopigmented skin lesion on his finger.
1 | He first noticed it 4 weeks ago after cutting his finger with a knife while preparing food.
2 | He did not feel the cut.
3 | For the past week, he has also had fever, fatigue, and malaise.
4 | He has not traveled outs... | true | causalOrganism | 8 | Pathology report shows infection by leishmania donovani. | Pathology report shows infection by Mycobacterium leprae. | A 48-year-old man comes to the physician because of a hypopigmented skin lesion on his finger. He first noticed it 4 weeks ago after cutting his finger with a knife while preparing food. He did not feel the cut. For the past week, he has also had fever, fatigue, and malaise. He has not traveled outside the country sinc... |
ms-train-113 | A 48-year-old man comes to the physician because of a hypopigmented skin lesion on his finger. He first noticed it 4 weeks ago after cutting his finger with a knife while preparing food. He did not feel the cut. For the past week, he has also had fever, fatigue, and malaise. He has not traveled outside the country sinc... | 0 | A 48-year-old man comes to the physician because of a hypopigmented skin lesion on his finger.
1 | He first noticed it 4 weeks ago after cutting his finger with a knife while preparing food.
2 | He did not feel the cut.
3 | For the past week, he has also had fever, fatigue, and malaise.
4 | He has not traveled outs... | false | NA | -1 | NA. | NA. | NA |
ms-train-114 | A 3-month old male infant with HIV infection is brought to the physician for evaluation. The physician recommends monthly intramuscular injections of a monoclonal antibody to protect against a particular infection. The causal pathogen for this infection is transmitted by blood transfusion. | 0 | A 3-month old male infant with HIV infection is brought to the physician for evaluation.
1 | The physician recommends monthly intramuscular injections of a monoclonal antibody to protect against a particular infection.
2 | The causal pathogen for this infection is transmitted by blood transfusion. | true | causalOrganism | 2 | The causal pathogen for this infection is transmitted by blood transfusion. | The causal pathogen for this infection is transmitted by aerosol inhalation. | A 3-month old male infant with HIV infection is brought to the physician for evaluation. The physician recommends monthly intramuscular injections of a monoclonal antibody to protect against a particular infection. The causal pathogen for this infection is transmitted by aerosol inhalation. |
ms-train-115 | A 34-year-old man with AIDS comes to the physician because of a 2-day history of decreasing vision and seeing black spots in his right eye. He has no pain and the left eye is asymptomatic. HIV retinopathy suspected. He was treated for fungal esophagitis 6 months ago with fluconazole. He was diagnosed with Kaposi's sarc... | 0 | A 34-year-old man with AIDS comes to the physician because of a 2-day history of decreasing vision and seeing black spots in his right eye.
1 | He has no pain and the left eye is asymptomatic.
2 | HIV retinopathy suspected.
3 | He was treated for fungal esophagitis 6 months ago with fluconazole.
4 | He was diagnose... | true | diagnosis | 2 | HIV retinopathy suspected. | Cytomegalovirus retinitis suspected. | A 34-year-old man with AIDS comes to the physician because of a 2-day history of decreasing vision and seeing black spots in his right eye. He has no pain and the left eye is asymptomatic. He was treated for fungal esophagitis 6 months ago with fluconazole. He was diagnosed with Kaposi's sarcoma 2 years ago. Current me... |
ms-train-116 | A 34-year-old man with AIDS comes to the physician because of a 2-day history of decreasing vision and seeing black spots in his right eye. He has no pain and the left eye is asymptomatic. He was treated for fungal esophagitis 6 months ago with fluconazole. He was diagnosed with Kaposi's sarcoma 2 years ago. Current me... | 0 | A 34-year-old man with AIDS comes to the physician because of a 2-day history of decreasing vision and seeing black spots in his right eye.
1 | He has no pain and the left eye is asymptomatic.
2 | He was treated for fungal esophagitis 6 months ago with fluconazole.
3 | He was diagnosed with Kaposi's sarcoma 2 years... | false | NA | -1 | NA. | NA. | NA |
ms-train-117 | A 29-year-old woman comes to the physician for the evaluation of progressive loss of vision in her left eye and gradual blurring of vision in her right eye over the past 2 months. She also says that she has had occasional headaches and has noticed a decrease in her sense of smell lately. The patient's only medication i... | 0 | A 29-year-old woman comes to the physician for the evaluation of progressive loss of vision in her left eye and gradual blurring of vision in her right eye over the past 2 months.
1 | She also says that she has had occasional headaches and has noticed a decrease in her sense of smell lately.
2 | The patient's only ... | true | diagnosis | 9 | Patient was diagnosed with pseudotumor cerebri. | Patient was diagnosed with meningioma. | A 29-year-old woman comes to the physician for the evaluation of progressive loss of vision in her left eye and gradual blurring of vision in her right eye over the past 2 months. She also says that she has had occasional headaches and has noticed a decrease in her sense of smell lately. The patient's only medication i... |
ms-train-118 | A 29-year-old woman comes to the physician for the evaluation of progressive loss of vision in her left eye and gradual blurring of vision in her right eye over the past 2 months. She also says that she has had occasional headaches and has noticed a decrease in her sense of smell lately. The patient's only medication i... | 0 | A 29-year-old woman comes to the physician for the evaluation of progressive loss of vision in her left eye and gradual blurring of vision in her right eye over the past 2 months.
1 | She also says that she has had occasional headaches and has noticed a decrease in her sense of smell lately.
2 | The patient's only ... | false | NA | -1 | NA. | NA. | NA |
ms-train-119 | A 62-year-old man is brought to the physician by his wife for increased forgetfulness and unsteady gait over the past 3 months. He is a journalist and has had difficulty concentrating on his writing. He also complains of urinary urgency recently. His temperature is 36.8 C (98.2 F) and blood pressure is 139/83 mm Hg. Su... | 0 | A 62-year-old man is brought to the physician by his wife for increased forgetfulness and unsteady gait over the past 3 months.
1 | He is a journalist and has had difficulty concentrating on his writing.
2 | He also complains of urinary urgency recently.
3 | His temperature is 36.8 C (98.2 F) and blood pressure is ... | true | diagnosis | 4 | Suspected of Alzheimer's disease. | Suspected of normal pressure hydrocephalus. | A 62-year-old man is brought to the physician by his wife for increased forgetfulness and unsteady gait over the past 3 months. He is a journalist and has had difficulty concentrating on his writing. He also complains of urinary urgency recently. His temperature is 36.8 C (98.2 F) and blood pressure is 139/83 mm Hg. Su... |
ms-train-120 | A 62-year-old man is brought to the physician by his wife for increased forgetfulness and unsteady gait over the past 3 months. He is a journalist and has had difficulty concentrating on his writing. He also complains of urinary urgency recently. His temperature is 36.8 C (98.2 F) and blood pressure is 139/83 mm Hg. He... | 0 | A 62-year-old man is brought to the physician by his wife for increased forgetfulness and unsteady gait over the past 3 months.
1 | He is a journalist and has had difficulty concentrating on his writing.
2 | He also complains of urinary urgency recently.
3 | His temperature is 36.8 C (98.2 F) and blood pressure is ... | false | NA | -1 | NA. | NA. | NA |
ms-train-121 | A 53-year-old woman comes to the physician because of a 3-month history of intermittent severe left neck, shoulder, and arm pain and paresthesias of the left hand. The pain radiates to the radial aspect of her left forearm, thumb, and index finger. She first noticed her symptoms after helping a friend set up a canopy t... | 0 | A 53-year-old woman comes to the physician because of a 3-month history of intermittent severe left neck, shoulder, and arm pain and paresthesias of the left hand.
1 | The pain radiates to the radial aspect of her left forearm, thumb, and index finger.
2 | She first noticed her symptoms after helping a friend set u... | true | diagnosis | 11 | Diagnosis is thoracic outlet syndrome. | Diagnosis is C5-C6 disc herniation. | A 53-year-old woman comes to the physician because of a 3-month history of intermittent severe left neck, shoulder, and arm pain and paresthesias of the left hand. The pain radiates to the radial aspect of her left forearm, thumb, and index finger. She first noticed her symptoms after helping a friend set up a canopy t... |
ms-train-122 | A 53-year-old woman comes to the physician because of a 3-month history of intermittent severe left neck, shoulder, and arm pain and paresthesias of the left hand. The pain radiates to the radial aspect of her left forearm, thumb, and index finger. She first noticed her symptoms after helping a friend set up a canopy t... | 0 | A 53-year-old woman comes to the physician because of a 3-month history of intermittent severe left neck, shoulder, and arm pain and paresthesias of the left hand.
1 | The pain radiates to the radial aspect of her left forearm, thumb, and index finger.
2 | She first noticed her symptoms after helping a friend set u... | false | NA | -1 | NA. | NA. | NA |
ms-train-123 | A 69-year-old white man comes to the physician because of a 15-day history of fatigue and lower leg swelling. Over the past 8 months, he has had a 3.8-kg (8.3-lb) weight loss. He has smoked one pack of cigarettes daily for 48 years. Vital signs are within normal limits. He appears thin. Examination shows 2+ pretibial e... | 0 | A 69-year-old white man comes to the physician because of a 15-day history of fatigue and lower leg swelling.
1 | Over the past 8 months, he has had a 3.8-kg (8.3-lb) weight loss.
2 | He has smoked one pack of cigarettes daily for 48 years.
3 | Vital signs are within normal limits.
4 | He appears thin.
5 | Examinat... | true | diagnosis | 23 | Patient was diagnosed with membranoproliferative glomerulonephritis after light microscopic examination of a kidney biopsy revealed thickening of glomerular capillary loops and the basal membrane. | Patient was diagnosed with membranous nephropathy after light microscopic examination of a kidney biopsy revealed thickening of glomerular capillary loops and the basal membrane. | A 69-year-old white man comes to the physician because of a 15-day history of fatigue and lower leg swelling. Over the past 8 months, he has had a 3.8-kg (8.3-lb) weight loss. He has smoked one pack of cigarettes daily for 48 years. Vital signs are within normal limits. He appears thin. Examination shows 2+ pretibial e... |
ms-train-124 | A 69-year-old white man comes to the physician because of a 15-day history of fatigue and lower leg swelling. Over the past 8 months, he has had a 3.8-kg (8.3-lb) weight loss. He has smoked one pack of cigarettes daily for 48 years. Vital signs are within normal limits. He appears thin. Examination shows 2+ pretibial e... | 0 | A 69-year-old white man comes to the physician because of a 15-day history of fatigue and lower leg swelling.
1 | Over the past 8 months, he has had a 3.8-kg (8.3-lb) weight loss.
2 | He has smoked one pack of cigarettes daily for 48 years.
3 | Vital signs are within normal limits.
4 | He appears thin.
5 | Examinat... | false | NA | -1 | NA. | NA. | NA |
ms-train-125 | A 56-year-old man comes to the physician because of a 2-month history of worsening pain in his left buttock. The pain is described as a deep, dull ache that is worse at night. He does not report any recent trauma. He has hyperlipidemia. He has smoked one pack of cigarettes daily for the past 30 years and drinks one bee... | 0 | A 56-year-old man comes to the physician because of a 2-month history of worsening pain in his left buttock.
1 | The pain is described as a deep, dull ache that is worse at night.
2 | He does not report any recent trauma.
3 | He has hyperlipidemia.
4 | He has smoked one pack of cigarettes daily for the past 30 year... | true | diagnosis | 12 | Diagnosis is plasmacytoma. | Diagnosis is chondrosarcoma. | A 56-year-old man comes to the physician because of a 2-month history of worsening pain in his left buttock. The pain is described as a deep, dull ache that is worse at night. He does not report any recent trauma. He has hyperlipidemia. He has smoked one pack of cigarettes daily for the past 30 years and drinks one bee... |
ms-train-126 | A 56-year-old man comes to the physician because of a 2-month history of worsening pain in his left buttock. The pain is described as a deep, dull ache that is worse at night. He does not report any recent trauma. He has hyperlipidemia. He has smoked one pack of cigarettes daily for the past 30 years and drinks one bee... | 0 | A 56-year-old man comes to the physician because of a 2-month history of worsening pain in his left buttock.
1 | The pain is described as a deep, dull ache that is worse at night.
2 | He does not report any recent trauma.
3 | He has hyperlipidemia.
4 | He has smoked one pack of cigarettes daily for the past 30 year... | false | NA | -1 | NA. | NA. | NA |
ms-train-127 | A 50-year-old man comes to the emergency department because of severe lower chest pain for the past hour. The pain radiates to the back and is associated with nausea. He has had two episodes of non-bloody vomiting since the pain started. He has a history of hypertension and type 2 diabetes mellitus. He has smoked one p... | 0 | A 50-year-old man comes to the emergency department because of severe lower chest pain for the past hour.
1 | The pain radiates to the back and is associated with nausea.
2 | He has had two episodes of non-bloody vomiting since the pain started.
3 | He has a history of hypertension and type 2 diabetes mellitus.
4 |... | true | diagnosis | 10 | Patient is suspected to have acute mesenteric ischemia. | Patient is suspected to have acute acute pancreatitis. | A 50-year-old man comes to the emergency department because of severe lower chest pain for the past hour. The pain radiates to the back and is associated with nausea. He has had two episodes of non-bloody vomiting since the pain started. He has a history of hypertension and type 2 diabetes mellitus. He has smoked one p... |
ms-train-128 | A 50-year-old man comes to the emergency department because of severe lower chest pain for the past hour. The pain radiates to the back and is associated with nausea. He has had two episodes of non-bloody vomiting since the pain started. He has a history of hypertension and type 2 diabetes mellitus. He has smoked one p... | 0 | A 50-year-old man comes to the emergency department because of severe lower chest pain for the past hour.
1 | The pain radiates to the back and is associated with nausea.
2 | He has had two episodes of non-bloody vomiting since the pain started.
3 | He has a history of hypertension and type 2 diabetes mellitus.
4 |... | false | NA | -1 | NA. | NA. | NA |
ms-train-129 | A 4-week-old female newborn is brought to the physician because of increasing yellowing of her eyes and skin for 2 weeks. The mother has noticed that the girl's stools have become pale over the past week. She was breastfed since birth but her parents switched her to formula feeds recently after reading on the internet ... | 0 | A 4-week-old female newborn is brought to the physician because of increasing yellowing of her eyes and skin for 2 weeks.
1 | The mother has noticed that the girl's stools have become pale over the past week.
2 | She was breastfed since birth but her parents switched her to formula feeds recently after reading on t... | true | diagnosis | 21 | Diagnosis is ABO incompatible. | Diagnosis is biliary atresia. | A 4-week-old female newborn is brought to the physician because of increasing yellowing of her eyes and skin for 2 weeks. The mother has noticed that the girl's stools have become pale over the past week. She was breastfed since birth but her parents switched her to formula feeds recently after reading on the internet ... |
ms-train-130 | A 4-week-old female newborn is brought to the physician because of increasing yellowing of her eyes and skin for 2 weeks. The mother has noticed that the girl's stools have become pale over the past week. She was breastfed since birth but her parents switched her to formula feeds recently after reading on the internet ... | 0 | A 4-week-old female newborn is brought to the physician because of increasing yellowing of her eyes and skin for 2 weeks.
1 | The mother has noticed that the girl's stools have become pale over the past week.
2 | She was breastfed since birth but her parents switched her to formula feeds recently after reading on t... | false | NA | -1 | NA. | NA. | NA |
ms-train-131 | A 55-year-old postmenopausal woman comes to the physician for a screening Pap smear. She has no history of serious illness. Her last Pap smear was 10 years ago and showed no abnormalities. She has smoked one-half pack of cigarettes daily for 20 years and drinks 3 bottles of wine per week. She is sexually active with mu... | 0 | A 55-year-old postmenopausal woman comes to the physician for a screening Pap smear.
1 | She has no history of serious illness.
2 | Her last Pap smear was 10 years ago and showed no abnormalities.
3 | She has smoked one-half pack of cigarettes daily for 20 years and drinks 3 bottles of wine per week.
4 | She is sex... | true | diagnosis | 8 | Patient's labs are positive for human papillomavirus. | Diethylstilbestrol exposure in utero is a risk factor for these findings. | A 55-year-old postmenopausal woman comes to the physician for a screening Pap smear. She has no history of serious illness. Her last Pap smear was 10 years ago and showed no abnormalities. She has smoked one-half pack of cigarettes daily for 20 years and drinks 3 bottles of wine per week. She is sexually active with mu... |
ms-train-132 | A 17-year-old boy is brought to the physician by his mother because of increasingly withdrawn behavior for the last two years. His mother reports that in the last 2-3 years of high school, her son has spent most of his time in his room playing video games. He does not have any friends and has never had a girlfriend. He... | 0 | A 17-year-old boy is brought to the physician by his mother because of increasingly withdrawn behavior for the last two years.
1 | His mother reports that in the last 2-3 years of high school, her son has spent most of his time in his room playing video games.
2 | He does not have any friends and has never had a gi... | true | diagnosis | 8 | Suspected of autism spectrum disorder. | Suspected of schizoid personality disorder. | A 17-year-old boy is brought to the physician by his mother because of increasingly withdrawn behavior for the last two years. His mother reports that in the last 2-3 years of high school, her son has spent most of his time in his room playing video games. He does not have any friends and has never had a girlfriend. He... |
ms-train-133 | A 17-year-old boy is brought to the physician by his mother because of increasingly withdrawn behavior for the last two years. His mother reports that in the last 2-3 years of high school, her son has spent most of his time in his room playing video games. He does not have any friends and has never had a girlfriend. He... | 0 | A 17-year-old boy is brought to the physician by his mother because of increasingly withdrawn behavior for the last two years.
1 | His mother reports that in the last 2-3 years of high school, her son has spent most of his time in his room playing video games.
2 | He does not have any friends and has never had a gi... | false | NA | -1 | NA. | NA. | NA |
ms-train-134 | A 15-year-old girl comes to the physician for the evaluation of a painless swelling under the left lower jaw for 5 months. Her 18-year-old sister has a history of acute lymphoblastic leukemia that has been in remission for 11 years. The patient's temperature is 37 C (98.6 F) Physical examination shows a 3 x 2 cm swelli... | 0 | A 15-year-old girl comes to the physician for the evaluation of a painless swelling under the left lower jaw for 5 months.
1 | Her 18-year-old sister has a history of acute lymphoblastic leukemia that has been in remission for 11 years.
2 | The patient's temperature is 37 C (98.6 F) Physical examination shows a 3 x... | true | diagnosis | 6 | Patient was diagnosed with lymphadenopathy. | Patient was diagnosed with a branchial cleft cyst. | A 15-year-old girl comes to the physician for the evaluation of a painless swelling under the left lower jaw for 5 months. Her 18-year-old sister has a history of acute lymphoblastic leukemia that has been in remission for 11 years. The patient's temperature is 37 C (98.6 F) Physical examination shows a 3 x 2 cm swelli... |
ms-train-135 | A 15-year-old girl comes to the physician for the evaluation of a painless swelling under the left lower jaw for 5 months. Her 18-year-old sister has a history of acute lymphoblastic leukemia that has been in remission for 11 years. The patient's temperature is 37 C (98.6 F) Physical examination shows a 3 x 2 cm swelli... | 0 | A 15-year-old girl comes to the physician for the evaluation of a painless swelling under the left lower jaw for 5 months.
1 | Her 18-year-old sister has a history of acute lymphoblastic leukemia that has been in remission for 11 years.
2 | The patient's temperature is 37 C (98.6 F) Physical examination shows a 3 x... | false | NA | -1 | NA. | NA. | NA |
ms-train-136 | A 56-year-old man comes to the physician for a routine health maintenance examination. He has had mild pain in his left groin for 2 weeks. He was admitted to the hospital 1 month ago for myocardial infarction. Cardiac catheterization and angiography showed occlusion of the left anterior descending artery and he underwe... | 0 | A 56-year-old man comes to the physician for a routine health maintenance examination.
1 | He has had mild pain in his left groin for 2 weeks.
2 | He was admitted to the hospital 1 month ago for myocardial infarction.
3 | Cardiac catheterization and angiography showed occlusion of the left anterior descending arter... | true | diagnosis | 12 | Diagnosis is femoral artery hematoma. | Diagnosis is femoral artery pseudoaneurysm. | A 56-year-old man comes to the physician for a routine health maintenance examination. He has had mild pain in his left groin for 2 weeks. He was admitted to the hospital 1 month ago for myocardial infarction. Cardiac catheterization and angiography showed occlusion of the left anterior descending artery and he underwe... |
ms-train-137 | A 56-year-old man comes to the physician for a routine health maintenance examination. He has had mild pain in his left groin for 2 weeks. He was admitted to the hospital 1 month ago for myocardial infarction. Cardiac catheterization and angiography showed occlusion of the left anterior descending artery and he underwe... | 0 | A 56-year-old man comes to the physician for a routine health maintenance examination.
1 | He has had mild pain in his left groin for 2 weeks.
2 | He was admitted to the hospital 1 month ago for myocardial infarction.
3 | Cardiac catheterization and angiography showed occlusion of the left anterior descending arter... | false | NA | -1 | NA. | NA. | NA |
ms-train-138 | A 57-year-old woman comes to the physician because of a 6-month history of tinnitus and progressive hearing loss in the left ear. She has type 2 diabetes mellitus and Raynaud syndrome. Her current medications include metformin, nifedipine, and a multivitamin. She appears well. Vital signs are within normal limits. Phys... | 0 | A 57-year-old woman comes to the physician because of a 6-month history of tinnitus and progressive hearing loss in the left ear.
1 | She has type 2 diabetes mellitus and Raynaud syndrome.
2 | Her current medications include metformin, nifedipine, and a multivitamin.
3 | She appears well.
4 | Vital signs are within... | true | diagnosis | 10 | Diagnosis is Meniere disease. | Diagnosis is acoustic neuroma. | A 57-year-old woman comes to the physician because of a 6-month history of tinnitus and progressive hearing loss in the left ear. She has type 2 diabetes mellitus and Raynaud syndrome. Her current medications include metformin, nifedipine, and a multivitamin. She appears well. Vital signs are within normal limits. Phys... |
ms-train-139 | A 5-year-old boy is brought to the physician by his parents because of 2 episodes of screaming in the night over the past week. The parents report that their son woke up suddenly screaming, crying, and aggressively kicking his legs around both times. The episodes lasted several minutes and were accompanied by sweating ... | 0 | A 5-year-old boy is brought to the physician by his parents because of 2 episodes of screaming in the night over the past week.
1 | The parents report that their son woke up suddenly screaming, crying, and aggressively kicking his legs around both times.
2 | The episodes lasted several minutes and were accompanied ... | true | diagnosis | 6 | Suspected of sleepwalking disorder. | Suspected of sleep terror disorder. | A 5-year-old boy is brought to the physician by his parents because of 2 episodes of screaming in the night over the past week. The parents report that their son woke up suddenly screaming, crying, and aggressively kicking his legs around both times. The episodes lasted several minutes and were accompanied by sweating ... |
ms-train-140 | A 5-year-old boy is brought to the physician by his parents because of 2 episodes of screaming in the night over the past week. The parents report that their son woke up suddenly screaming, crying, and aggressively kicking his legs around both times. The episodes lasted several minutes and were accompanied by sweating ... | 0 | A 5-year-old boy is brought to the physician by his parents because of 2 episodes of screaming in the night over the past week.
1 | The parents report that their son woke up suddenly screaming, crying, and aggressively kicking his legs around both times.
2 | The episodes lasted several minutes and were accompanied ... | false | NA | -1 | NA. | NA. | NA |
ms-train-141 | A 34-year-old woman comes to the physician because of a 3-month history of pain in her right thumb and wrist that radiates to her elbow. It is worse when she holds her infant son and improves with the use of an ice pack. Six months ago, she slipped on a wet floor and fell on her right outstretched hand. Her mother take... | 0 | A 34-year-old woman comes to the physician because of a 3-month history of pain in her right thumb and wrist that radiates to her elbow.
1 | It is worse when she holds her infant son and improves with the use of an ice pack.
2 | Six months ago, she slipped on a wet floor and fell on her right outstretched hand.
3 |... | true | diagnosis | 10 | Patient was diagnosed with stenosing tenosynovitis. | Patient was diagnosed with De Quervain tenosynovitis. | A 34-year-old woman comes to the physician because of a 3-month history of pain in her right thumb and wrist that radiates to her elbow. It is worse when she holds her infant son and improves with the use of an ice pack. Six months ago, she slipped on a wet floor and fell on her right outstretched hand. Her mother take... |
ms-train-142 | A 34-year-old woman comes to the physician because of a 3-month history of pain in her right thumb and wrist that radiates to her elbow. It is worse when she holds her infant son and improves with the use of an ice pack. Six months ago, she slipped on a wet floor and fell on her right outstretched hand. Her mother take... | 0 | A 34-year-old woman comes to the physician because of a 3-month history of pain in her right thumb and wrist that radiates to her elbow.
1 | It is worse when she holds her infant son and improves with the use of an ice pack.
2 | Six months ago, she slipped on a wet floor and fell on her right outstretched hand.
3 |... | false | NA | -1 | NA. | NA. | NA |
ms-train-143 | A 58-year-old woman comes to the physician because of a 2-year history of progressively worsening pain in her knees and fingers. The knee pain is worse when she walks for longer than 30 minutes. When she wakes up in the morning, her fingers and knees are stiff for about 15 minutes. She cannot recall any trauma to the j... | 0 | A 58-year-old woman comes to the physician because of a 2-year history of progressively worsening pain in her knees and fingers.
1 | The knee pain is worse when she walks for longer than 30 minutes.
2 | When she wakes up in the morning, her fingers and knees are stiff for about 15 minutes.
3 | She cannot recall any... | true | diagnosis | 12 | Suspected of rheumatoid arthritis. | Suspected of osteoarthritis. | A 58-year-old woman comes to the physician because of a 2-year history of progressively worsening pain in her knees and fingers. The knee pain is worse when she walks for longer than 30 minutes. When she wakes up in the morning, her fingers and knees are stiff for about 15 minutes. She cannot recall any trauma to the j... |
ms-train-144 | A 58-year-old woman comes to the physician because of a 2-year history of progressively worsening pain in her knees and fingers. The knee pain is worse when she walks for longer than 30 minutes. When she wakes up in the morning, her fingers and knees are stiff for about 15 minutes. She cannot recall any trauma to the j... | 0 | A 58-year-old woman comes to the physician because of a 2-year history of progressively worsening pain in her knees and fingers.
1 | The knee pain is worse when she walks for longer than 30 minutes.
2 | When she wakes up in the morning, her fingers and knees are stiff for about 15 minutes.
3 | She cannot recall any... | false | NA | -1 | NA. | NA. | NA |
ms-train-145 | A 47-year-old woman comes to the physician because of body aches for the past 9 months. She also has stiffness of the shoulders and knees that is worse in the morning and tingling in the upper extremities. Examination shows marked tenderness over the posterior neck, bilateral mid trapezius, and medial aspect of the lef... | 0 | A 47-year-old woman comes to the physician because of body aches for the past 9 months.
1 | She also has stiffness of the shoulders and knees that is worse in the morning and tingling in the upper extremities.
2 | Examination shows marked tenderness over the posterior neck, bilateral mid trapezius, and medial aspec... | true | diagnosis | 4 | Patient was diagnosed with polymyalgia rheumatica. | Patient was diagnosed with fibromyalgia. | A 47-year-old woman comes to the physician because of body aches for the past 9 months. She also has stiffness of the shoulders and knees that is worse in the morning and tingling in the upper extremities. Examination shows marked tenderness over the posterior neck, bilateral mid trapezius, and medial aspect of the lef... |
ms-train-146 | A 47-year-old woman comes to the physician because of body aches for the past 9 months. She also has stiffness of the shoulders and knees that is worse in the morning and tingling in the upper extremities. Examination shows marked tenderness over the posterior neck, bilateral mid trapezius, and medial aspect of the lef... | 0 | A 47-year-old woman comes to the physician because of body aches for the past 9 months.
1 | She also has stiffness of the shoulders and knees that is worse in the morning and tingling in the upper extremities.
2 | Examination shows marked tenderness over the posterior neck, bilateral mid trapezius, and medial aspec... | false | NA | -1 | NA. | NA. | NA |
ms-train-147 | A 4-year-old girl presents to the emergency department after persistent vomiting and complaints that her abdomen hurts. Her parents came home to their daughter like this while she was at home being watched by the babysitter. The child is otherwise healthy. Family history is notable for depression, suicide, neuropathic ... | 0 | A 4-year-old girl presents to the emergency department after persistent vomiting and complaints that her abdomen hurts.
1 | Her parents came home to their daughter like this while she was at home being watched by the babysitter.
2 | The child is otherwise healthy.
3 | Family history is notable for depression, suici... | true | diagnosis | 18 | Suspect lead toxicity. | Suspect iron toxicity. | A 4-year-old girl presents to the emergency department after persistent vomiting and complaints that her abdomen hurts. Her parents came home to their daughter like this while she was at home being watched by the babysitter. The child is otherwise healthy. Family history is notable for depression, suicide, neuropathic ... |
ms-train-148 | A previously healthy 61-year-old man comes to the physician because of a 3-month history of intermittent fever, easy fatiguability, and a 4.4-kg (9.7-lb) weight loss. Physical examination shows conjunctival pallor. The spleen is palpated 5 cm below the left costal margin. Laboratory studies show a leukocyte count of 75... | 0 | A previously healthy 61-year-old man comes to the physician because of a 3-month history of intermittent fever, easy fatiguability, and a 4.4-kg (9.7-lb) weight loss.
1 | Physical examination shows conjunctival pallor.
2 | The spleen is palpated 5 cm below the left costal margin.
3 | Laboratory studies show a leuko... | true | diagnosis | 4 | Patient was diagnosed with acute promyelocytic leukemia after a peripheral blood smear showed increased numbers of promyelocytes, myelocytes, and metamyelocytes. | Patient was diagnosed with chronic myeloid leukemia after a peripheral blood smear showed increased numbers of promyelocytes, myelocytes, and metamyelocytes. | A previously healthy 61-year-old man comes to the physician because of a 3-month history of intermittent fever, easy fatiguability, and a 4.4-kg (9.7-lb) weight loss. Physical examination shows conjunctival pallor. The spleen is palpated 5 cm below the left costal margin. Laboratory studies show a leukocyte count of 75... |
ms-train-149 | A previously healthy 61-year-old man comes to the physician because of a 3-month history of intermittent fever, easy fatiguability, and a 4.4-kg (9.7-lb) weight loss. Physical examination shows conjunctival pallor. The spleen is palpated 5 cm below the left costal margin. Laboratory studies show a leukocyte count of 75... | 0 | A previously healthy 61-year-old man comes to the physician because of a 3-month history of intermittent fever, easy fatiguability, and a 4.4-kg (9.7-lb) weight loss.
1 | Physical examination shows conjunctival pallor.
2 | The spleen is palpated 5 cm below the left costal margin.
3 | Laboratory studies show a leuko... | false | NA | -1 | NA. | NA. | NA |
ms-train-150 | A 47-year-old woman comes to the physician because of repetitive tongue twisting and abnormal movements of the hands and legs that started several days ago. She has a 2-year history of schizophrenia that has been controlled with fluphenazine. Two weeks ago, she was switched to risperidone. Examination shows protrusion ... | 0 | A 47-year-old woman comes to the physician because of repetitive tongue twisting and abnormal movements of the hands and legs that started several days ago.
1 | She has a 2-year history of schizophrenia that has been controlled with fluphenazine.
2 | Two weeks ago, she was switched to risperidone.
3 | Examination s... | true | diagnosis | 5 | Diagnosis is acute dystonia. | Diagnosis is tardive dyskinesia. | A 47-year-old woman comes to the physician because of repetitive tongue twisting and abnormal movements of the hands and legs that started several days ago. She has a 2-year history of schizophrenia that has been controlled with fluphenazine. Two weeks ago, she was switched to risperidone. Examination shows protrusion ... |
ms-train-151 | A 47-year-old woman comes to the physician because of repetitive tongue twisting and abnormal movements of the hands and legs that started several days ago. She has a 2-year history of schizophrenia that has been controlled with fluphenazine. Two weeks ago, she was switched to risperidone. Suspected of tardive dyskines... | 0 | A 47-year-old woman comes to the physician because of repetitive tongue twisting and abnormal movements of the hands and legs that started several days ago.
1 | She has a 2-year history of schizophrenia that has been controlled with fluphenazine.
2 | Two weeks ago, she was switched to risperidone.
3 | Suspected of ... | false | NA | -1 | NA. | NA. | NA |
ms-train-152 | A 31-year-old man comes to the emergency department because of chest pain for the last 3 hours. He describes the pain as a sharp, substernal chest pain that radiates to the right shoulder; he says "Please help me. I'm having a heart attack." He has been admitted to the hospital twice over the past week for evaluation o... | 0 | A 31-year-old man comes to the emergency department because of chest pain for the last 3 hours.
1 | He describes the pain as a sharp, substernal chest pain that radiates to the right shoulder; he says "Please help me.
2 | I'm having a heart attack."
3 | He has been admitted to the hospital twice over the past week ... | true | diagnosis | 10 | Somatic symptom disorder is suspected when the physician is planning to discharge the patient, and the patient reports numbness in his arm and insists on being admitted to the ward. | Malingering is suspected when the physician is planning to discharge the patient, and the patient reports numbness in his arm and insists on being admitted to the ward. | A 31-year-old man comes to the emergency department because of chest pain for the last 3 hours. He describes the pain as a sharp, substernal chest pain that radiates to the right shoulder; he says "Please help me. I'm having a heart attack." He has been admitted to the hospital twice over the past week for evaluation o... |
ms-train-153 | A 31-year-old man comes to the emergency department because of chest pain for the last 3 hours. He describes the pain as a sharp, substernal chest pain that radiates to the right shoulder; he says "Please help me. I'm having a heart attack." He has been admitted to the hospital twice over the past week for evaluation o... | 0 | A 31-year-old man comes to the emergency department because of chest pain for the last 3 hours.
1 | He describes the pain as a sharp, substernal chest pain that radiates to the right shoulder; he says "Please help me.
2 | I'm having a heart attack."
3 | He has been admitted to the hospital twice over the past week ... | false | NA | -1 | NA. | NA. | NA |
ms-train-154 | A 20-year-old man comes to the physician because he believes he has low testosterone. He states that he is embarrassed at his lack of musculature, despite lifting weights twice daily. Every day, he drinks a gallon of milk and several protein shakes in addition to 3 large meals. He is convinced that his female classmate... | 0 | A 20-year-old man comes to the physician because he believes he has low testosterone.
1 | He states that he is embarrassed at his lack of musculature, despite lifting weights twice daily.
2 | Every day, he drinks a gallon of milk and several protein shakes in addition to 3 large meals.
3 | He is convinced that his ... | true | diagnosis | 12 | Diagnosis is obsessive compulsive disorder. | Diagnosis is body dysmorphic disorder. | A 20-year-old man comes to the physician because he believes he has low testosterone. He states that he is embarrassed at his lack of musculature, despite lifting weights twice daily. Every day, he drinks a gallon of milk and several protein shakes in addition to 3 large meals. He is convinced that his female classmate... |
ms-train-155 | A 20-year-old man comes to the physician because he believes he has low testosterone. He states that he is embarrassed at his lack of musculature, despite lifting weights twice daily. Every day, he drinks a gallon of milk and several protein shakes in addition to 3 large meals. He is convinced that his female classmate... | 0 | A 20-year-old man comes to the physician because he believes he has low testosterone.
1 | He states that he is embarrassed at his lack of musculature, despite lifting weights twice daily.
2 | Every day, he drinks a gallon of milk and several protein shakes in addition to 3 large meals.
3 | He is convinced that his ... | false | NA | -1 | NA. | NA. | NA |
ms-train-156 | A 55-year-old man is brought to the emergency department 12 hours after the sudden onset of shortness of breath and substernal chest pain at rest; the pain is increased by inspiration. He has also had a nonproductive cough, fever, and malaise for the past 5 days. He does not smoke or use illicit drugs. His temperature ... | 0 | A 55-year-old man is brought to the emergency department 12 hours after the sudden onset of shortness of breath and substernal chest pain at rest; the pain is increased by inspiration.
1 | He has also had a nonproductive cough, fever, and malaise for the past 5 days.
2 | He does not smoke or use illicit drugs.
3 | ... | true | diagnosis | 6 | Patient is diagnosed with Dressler syndrome after an ECG shows sinus tachycardia, diffuse ST segment elevation, low voltage QRS complexes, and fluctuating R wave amplitude. | Patient is diagnosed with a cardiac tamponade after an ECG shows sinus tachycardia, diffuse ST segment elevation, low voltage QRS complexes, and fluctuating R wave amplitude. | A 55-year-old man is brought to the emergency department 12 hours after the sudden onset of shortness of breath and substernal chest pain at rest; the pain is increased by inspiration. He has also had a nonproductive cough, fever, and malaise for the past 5 days. He does not smoke or use illicit drugs. His temperature ... |
ms-train-157 | A 55-year-old man is brought to the emergency department 12 hours after the sudden onset of shortness of breath and substernal chest pain at rest; the pain is increased by inspiration. He has also had a nonproductive cough, fever, and malaise for the past 5 days. He does not smoke or use illicit drugs. His temperature ... | 0 | A 55-year-old man is brought to the emergency department 12 hours after the sudden onset of shortness of breath and substernal chest pain at rest; the pain is increased by inspiration.
1 | He has also had a nonproductive cough, fever, and malaise for the past 5 days.
2 | He does not smoke or use illicit drugs.
3 | ... | false | NA | -1 | NA. | NA. | NA |
ms-train-158 | A 1710-g (3.77-lb) male newborn is delivered to a 27-year-old woman at 33 weeks' gestation. Pregnancy was uncomplicated, but the mother had a cold and sore throat 2 months before delivery that resolved spontaneously. The newborn appears lethargic. He is at the 15th percentile for height and weight and at the 1st percen... | 0 | A 1710-g (3.77-lb) male newborn is delivered to a 27-year-old woman at 33 weeks' gestation.
1 | Pregnancy was uncomplicated, but the mother had a cold and sore throat 2 months before delivery that resolved spontaneously.
2 | The newborn appears lethargic.
3 | He is at the 15th percentile for height and weight and a... | true | diagnosis | 8 | Diagnosis is congenital toxoplasmosis. | Diagnosis is congenital CMV infection. | A 1710-g (3.77-lb) male newborn is delivered to a 27-year-old woman at 33 weeks' gestation. Pregnancy was uncomplicated, but the mother had a cold and sore throat 2 months before delivery that resolved spontaneously. The newborn appears lethargic. He is at the 15th percentile for height and weight and at the 1st percen... |
ms-train-159 | A 1710-g (3.77-lb) male newborn is delivered to a 27-year-old woman at 33 weeks' gestation. Pregnancy was uncomplicated, but the mother had a cold and sore throat 2 months before delivery that resolved spontaneously. The newborn appears lethargic. He is at the 15th percentile for height and weight and at the 1st percen... | 0 | A 1710-g (3.77-lb) male newborn is delivered to a 27-year-old woman at 33 weeks' gestation.
1 | Pregnancy was uncomplicated, but the mother had a cold and sore throat 2 months before delivery that resolved spontaneously.
2 | The newborn appears lethargic.
3 | He is at the 15th percentile for height and weight and a... | false | NA | -1 | NA. | NA. | NA |
ms-train-160 | A previously healthy 75-year-old man comes to the physician with a 6-month history of fatigue, weight loss, and abdominal pain. He drinks 2 oz of alcohol on the weekends and does not smoke. He is retired but previously worked in a factory that produces plastic pipes. Abdominal examination shows right upper quadrant ten... | 0 | A previously healthy 75-year-old man comes to the physician with a 6-month history of fatigue, weight loss, and abdominal pain.
1 | He drinks 2 oz of alcohol on the weekends and does not smoke.
2 | He is retired but previously worked in a factory that produces plastic pipes.
3 | Abdominal examination shows right up... | true | diagnosis | 4 | Kaposi sarcoma is confirmed with a liver biopsy specimen that shows pleomorphic spindle cells that express PECAM-1 on their surface. | Angiosarcoma is confirmed with a liver biopsy specimen that shows pleomorphic spindle cells that express PECAM-1 on their surface. | A previously healthy 75-year-old man comes to the physician with a 6-month history of fatigue, weight loss, and abdominal pain. He drinks 2 oz of alcohol on the weekends and does not smoke. He is retired but previously worked in a factory that produces plastic pipes. Abdominal examination shows right upper quadrant ten... |
ms-train-161 | A previously healthy 75-year-old man comes to the physician with a 6-month history of fatigue, weight loss, and abdominal pain. He drinks 2 oz of alcohol on the weekends and does not smoke. He is retired but previously worked in a factory that produces plastic pipes. Abdominal examination shows right upper quadrant ten... | 0 | A previously healthy 75-year-old man comes to the physician with a 6-month history of fatigue, weight loss, and abdominal pain.
1 | He drinks 2 oz of alcohol on the weekends and does not smoke.
2 | He is retired but previously worked in a factory that produces plastic pipes.
3 | Abdominal examination shows right up... | false | NA | -1 | NA. | NA. | NA |
ms-train-162 | A 4430-g (9-lb 10-oz) male newborn is delivered at term to a 27-year-old woman, gravida 2, para 1. The second stage of labor was prolonged and required vacuum-assisted vaginal delivery. Apgar scores are 9 and 10 at 1 and 5 minutes, respectively. Examination of the neonate 2 hours later shows a soft, nonpulsatile swelli... | 0 | A 4430-g (9-lb 10-oz) male newborn is delivered at term to a 27-year-old woman, gravida 2, para 1.
1 | The second stage of labor was prolonged and required vacuum-assisted vaginal delivery.
2 | Apgar scores are 9 and 10 at 1 and 5 minutes, respectively.
3 | Examination of the neonate 2 hours later shows a soft, non... | true | diagnosis | 9 | May represent caput succedaneum. | May represent cephalohematoma. | A 4430-g (9-lb 10-oz) male newborn is delivered at term to a 27-year-old woman, gravida 2, para 1. The second stage of labor was prolonged and required vacuum-assisted vaginal delivery. Apgar scores are 9 and 10 at 1 and 5 minutes, respectively. Examination of the neonate 2 hours later shows a soft, nonpulsatile swelli... |
ms-train-163 | A 4430-g (9-lb 10-oz) male newborn is delivered at term to a 27-year-old woman, gravida 2, para 1. The second stage of labor was prolonged and required vacuum-assisted vaginal delivery. Apgar scores are 9 and 10 at 1 and 5 minutes, respectively. Examination of the neonate 2 hours later shows a soft, nonpulsatile swelli... | 0 | A 4430-g (9-lb 10-oz) male newborn is delivered at term to a 27-year-old woman, gravida 2, para 1.
1 | The second stage of labor was prolonged and required vacuum-assisted vaginal delivery.
2 | Apgar scores are 9 and 10 at 1 and 5 minutes, respectively.
3 | Examination of the neonate 2 hours later shows a soft, non... | false | NA | -1 | NA. | NA. | NA |
ms-train-164 | A 48-year-old man is brought to the physician by his wife because he has become increasingly restless and anxious. His wife says that he has seemed sad and irritable for the past 4 months. He lost his job as a store clerk because he often lied to avoid work, and spent most of his days on the phone placing bets on footb... | 0 | A 48-year-old man is brought to the physician by his wife because he has become increasingly restless and anxious.
1 | His wife says that he has seemed sad and irritable for the past 4 months.
2 | He lost his job as a store clerk because he often lied to avoid work, and spent most of his days on the phone placing b... | true | diagnosis | 7 | After examining the patient, he was diagnosed with major depressive disorder. | After examining the patient, he was diagnosed with gambling disorder. | A 48-year-old man is brought to the physician by his wife because he has become increasingly restless and anxious. His wife says that he has seemed sad and irritable for the past 4 months. He lost his job as a store clerk because he often lied to avoid work, and spent most of his days on the phone placing bets on footb... |
ms-train-165 | A 48-year-old man is brought to the physician by his wife because he has become increasingly restless and anxious. His wife says that he has seemed sad and irritable for the past 4 months. He lost his job as a store clerk because he often lied to avoid work, and spent most of his days on the phone placing bets on footb... | 0 | A 48-year-old man is brought to the physician by his wife because he has become increasingly restless and anxious.
1 | His wife says that he has seemed sad and irritable for the past 4 months.
2 | He lost his job as a store clerk because he often lied to avoid work, and spent most of his days on the phone placing b... | false | NA | -1 | NA. | NA. | NA |
ms-train-166 | A 68-year-old woman comes to the physician because of lower back pain that began suddenly 2 weeks ago after getting up from her chair. She has hypertension, chronic bilateral knee pain, and a history of breast cancer 15 years ago that was treated with lumpectomy. Her mother has rheumatoid arthritis. Medications include... | 0 | A 68-year-old woman comes to the physician because of lower back pain that began suddenly 2 weeks ago after getting up from her chair.
1 | She has hypertension, chronic bilateral knee pain, and a history of breast cancer 15 years ago that was treated with lumpectomy.
2 | Her mother has rheumatoid arthritis.
3 | Med... | true | diagnosis | 11 | Patient was diagnosed with bone metastases. | Patient was diagnosed with Paget disease of bone. | A 68-year-old woman comes to the physician because of lower back pain that began suddenly 2 weeks ago after getting up from her chair. She has hypertension, chronic bilateral knee pain, and a history of breast cancer 15 years ago that was treated with lumpectomy. Her mother has rheumatoid arthritis. Medications include... |
ms-train-167 | A 68-year-old woman comes to the physician because of lower back pain that began suddenly 2 weeks ago after getting up from her chair. She has hypertension, chronic bilateral knee pain, and a history of breast cancer 15 years ago that was treated with lumpectomy. Her mother has rheumatoid arthritis. Medications include... | 0 | A 68-year-old woman comes to the physician because of lower back pain that began suddenly 2 weeks ago after getting up from her chair.
1 | She has hypertension, chronic bilateral knee pain, and a history of breast cancer 15 years ago that was treated with lumpectomy.
2 | Her mother has rheumatoid arthritis.
3 | Med... | false | NA | -1 | NA. | NA. | NA |
ms-train-168 | A 59-year-old man is brought to the emergency department 30 minutes after having a seizure. His wife reports that the patient has been having recurrent headaches and has become increasingly irritable over the past 3 months. Physical examination shows a spastic paresis of the right lower extremity. The Babinski sign is ... | 0 | A 59-year-old man is brought to the emergency department 30 minutes after having a seizure.
1 | His wife reports that the patient has been having recurrent headaches and has become increasingly irritable over the past 3 months.
2 | Physical examination shows a spastic paresis of the right lower extremity.
3 | The B... | true | diagnosis | 5 | Patient was diagnosed with an oligodendroglioma. | Patient was diagnosed with an meningioma. | A 59-year-old man is brought to the emergency department 30 minutes after having a seizure. His wife reports that the patient has been having recurrent headaches and has become increasingly irritable over the past 3 months. Physical examination shows a spastic paresis of the right lower extremity. The Babinski sign is ... |
ms-train-169 | A 7-year-old boy is brought to the pediatrician by his mother for complaints of a diffuse, itchy rash over his abdomen, back, and upper legs. The rash first appeared about 1 week ago. He has otherwise been well, and he has no known sick contacts. On exam he is afebrile and cooperative. His skin exam (Figure A) is notab... | 0 | A 7-year-old boy is brought to the pediatrician by his mother for complaints of a diffuse, itchy rash over his abdomen, back, and upper legs.
1 | The rash first appeared about 1 week ago.
2 | He has otherwise been well, and he has no known sick contacts.
3 | On exam he is afebrile and cooperative.
4 | His skin exam... | true | diagnosis | 5 | Patient was diagnosed with urticaria. | Patient was diagnosed with pityriasis rosea. | A 7-year-old boy is brought to the pediatrician by his mother for complaints of a diffuse, itchy rash over his abdomen, back, and upper legs. The rash first appeared about 1 week ago. He has otherwise been well, and he has no known sick contacts. On exam he is afebrile and cooperative. His skin exam (Figure A) is notab... |
ms-train-170 | A 7-year-old boy is brought to the pediatrician by his mother for complaints of a diffuse, itchy rash over his abdomen, back, and upper legs. The rash first appeared about 1 week ago. He has otherwise been well, and he has no known sick contacts. On exam he is afebrile and cooperative. His skin exam (Figure A) is notab... | 0 | A 7-year-old boy is brought to the pediatrician by his mother for complaints of a diffuse, itchy rash over his abdomen, back, and upper legs.
1 | The rash first appeared about 1 week ago.
2 | He has otherwise been well, and he has no known sick contacts.
3 | On exam he is afebrile and cooperative.
4 | His skin exam... | false | NA | -1 | NA. | NA. | NA |
ms-train-171 | A 4-year-old boy is brought to the physician because of a 1-month history of generalized fatigue. During the past week, he has also had fever and severe leg pain that keeps him awake at night. Examination shows cervical and axillary lymphadenopathy. His liver is palpated 4 cm below the right costal margin and the splee... | 0 | A 4-year-old boy is brought to the physician because of a 1-month history of generalized fatigue.
1 | During the past week, he has also had fever and severe leg pain that keeps him awake at night.
2 | Examination shows cervical and axillary lymphadenopathy.
3 | His liver is palpated 4 cm below the right costal marg... | true | diagnosis | 6 | The patient is diagnosed with acute myeloid leukemia. | The patient is diagnosed with acute lymphoblastic leukemia. | A 4-year-old boy is brought to the physician because of a 1-month history of generalized fatigue. During the past week, he has also had fever and severe leg pain that keeps him awake at night. Examination shows cervical and axillary lymphadenopathy. His liver is palpated 4 cm below the right costal margin and the splee... |
ms-train-172 | A 4-year-old boy is brought to the physician because of a 1-month history of generalized fatigue. During the past week, he has also had fever and severe leg pain that keeps him awake at night. Examination shows cervical and axillary lymphadenopathy. His liver is palpated 4 cm below the right costal margin and the splee... | 0 | A 4-year-old boy is brought to the physician because of a 1-month history of generalized fatigue.
1 | During the past week, he has also had fever and severe leg pain that keeps him awake at night.
2 | Examination shows cervical and axillary lymphadenopathy.
3 | His liver is palpated 4 cm below the right costal marg... | false | NA | -1 | NA. | NA. | NA |
ms-train-173 | A 6-year-old girl is brought to the physician for a well-child examination. She has no history of serious illness. Her temperature is 37 C (98.6 F), pulse is 95/min, and blood pressure is 96/52 mm Hg. Examination shows a 2/6 continuous, low-pitched murmur over the left upper sternal border that radiates towards the nec... | 0 | A 6-year-old girl is brought to the physician for a well-child examination.
1 | She has no history of serious illness.
2 | Her temperature is 37 C (98.6 F), pulse is 95/min, and blood pressure is 96/52 mm Hg.
3 | Examination shows a 2/6 continuous, low-pitched murmur over the left upper sternal border that radiates... | true | diagnosis | 5 | Suspected of patent ductus arteriosus. | Diagnosis is venous hum. | A 6-year-old girl is brought to the physician for a well-child examination. She has no history of serious illness. Her temperature is 37 C (98.6 F), pulse is 95/min, and blood pressure is 96/52 mm Hg. Examination shows a 2/6 continuous, low-pitched murmur over the left upper sternal border that radiates towards the nec... |
ms-train-174 | A 6-year-old girl is brought to the physician for a well-child examination. She has no history of serious illness. Her temperature is 37 C (98.6 F), pulse is 95/min, and blood pressure is 96/52 mm Hg. Examination shows a 2/6 continuous, low-pitched murmur over the left upper sternal border that radiates towards the nec... | 0 | A 6-year-old girl is brought to the physician for a well-child examination.
1 | She has no history of serious illness.
2 | Her temperature is 37 C (98.6 F), pulse is 95/min, and blood pressure is 96/52 mm Hg.
3 | Examination shows a 2/6 continuous, low-pitched murmur over the left upper sternal border that radiates... | false | NA | -1 | NA. | NA. | NA |
ms-train-175 | A 68-year-old man presents with a 6-month history of worsening fatigue and weight loss. He is especially concerned about a recent episode in which he noticed a blurring of his vision and headache; he also notes that his "memory is not as good as it used to be," which his wife confirms. Physical exam is notable only for... | 0 | A 68-year-old man presents with a 6-month history of worsening fatigue and weight loss.
1 | He is especially concerned about a recent episode in which he noticed a blurring of his vision and headache; he also notes that his "memory is not as good as it used to be," which his wife confirms.
2 | Physical exam is nota... | true | diagnosis | 5 | Patient was diagnosed with IgM monoclonal gammopathy of undetermined significance (MGUS). | Patient was diagnosed with Waldenstrom's macroglobulinemia. | A 68-year-old man presents with a 6-month history of worsening fatigue and weight loss. He is especially concerned about a recent episode in which he noticed a blurring of his vision and headache; he also notes that his "memory is not as good as it used to be," which his wife confirms. Physical exam is notable only for... |
ms-train-176 | A 68-year-old man presents with a 6-month history of worsening fatigue and weight loss. He is especially concerned about a recent episode in which he noticed a blurring of his vision and headache; he also notes that his "memory is not as good as it used to be," which his wife confirms. Physical exam is notable only for... | 0 | A 68-year-old man presents with a 6-month history of worsening fatigue and weight loss.
1 | He is especially concerned about a recent episode in which he noticed a blurring of his vision and headache; he also notes that his "memory is not as good as it used to be," which his wife confirms.
2 | Physical exam is nota... | false | NA | -1 | NA. | NA. | NA |
ms-train-177 | A 73-year-old woman is brought to the physician by her son because of increasing forgetfulness over the past 2 years. Initially, she used to misplace keys and forget her dog's name or her phone number. Now, she often forgets about what she has seen on television or read about the day before. She used to go for a walk e... | 0 | A 73-year-old woman is brought to the physician by her son because of increasing forgetfulness over the past 2 years.
1 | Initially, she used to misplace keys and forget her dog's name or her phone number.
2 | Now, she often forgets about what she has seen on television or read about the day before.
3 | She used to... | true | diagnosis | 12 | Suspected of Pseudodementia. | Suspected of Alzheimer disease. | A 73-year-old woman is brought to the physician by her son because of increasing forgetfulness over the past 2 years. Initially, she used to misplace keys and forget her dog's name or her phone number. Now, she often forgets about what she has seen on television or read about the day before. She used to go for a walk e... |
ms-train-178 | A 73-year-old woman is brought to the physician by her son because of increasing forgetfulness over the past 2 years. Initially, she used to misplace keys and forget her dog's name or her phone number. Now, she often forgets about what she has seen on television or read about the day before. She used to go for a walk e... | 0 | A 73-year-old woman is brought to the physician by her son because of increasing forgetfulness over the past 2 years.
1 | Initially, she used to misplace keys and forget her dog's name or her phone number.
2 | Now, she often forgets about what she has seen on television or read about the day before.
3 | She used to... | false | NA | -1 | NA. | NA. | NA |
ms-train-179 | A 21-year-old man presents to the clinic complaining of feeling tired during the day. He is concerned as his grades in school have worsened and he does not want to lose his scholarship. Upon further questioning, the patient describes frequently experiencing a dreamlike state before falling asleep and after waking up. H... | 0 | A 21-year-old man presents to the clinic complaining of feeling tired during the day.
1 | He is concerned as his grades in school have worsened and he does not want to lose his scholarship.
2 | Upon further questioning, the patient describes frequently experiencing a dreamlike state before falling asleep and after ... | true | diagnosis | 7 | The patient is diagnosed with insomnia. | The patient is diagnosed with narcolepsy. | A 21-year-old man presents to the clinic complaining of feeling tired during the day. He is concerned as his grades in school have worsened and he does not want to lose his scholarship. Upon further questioning, the patient describes frequently experiencing a dreamlike state before falling asleep and after waking up. H... |
ms-train-180 | A 21-year-old man presents to the clinic complaining of feeling tired during the day. He is concerned as his grades in school have worsened and he does not want to lose his scholarship. The patient is diagnosed with narcolepsy upon further questioning, when the patient describes frequently experiencing a dreamlike stat... | 0 | A 21-year-old man presents to the clinic complaining of feeling tired during the day.
1 | He is concerned as his grades in school have worsened and he does not want to lose his scholarship.
2 | The patient is diagnosed with narcolepsy upon further questioning, when the patient describes frequently experiencing a dr... | false | NA | -1 | NA. | NA. | NA |
ms-train-181 | A mother brings her 3-year-old son to the doctor because she is worried that he might be harming himself by constantly banging his head on the wall. He has been exhibiting this behavior for a few months. She is also worried because he has started to speak less than he used to and does not respond when his name is calle... | 0 | A mother brings her 3-year-old son to the doctor because she is worried that he might be harming himself by constantly banging his head on the wall.
1 | He has been exhibiting this behavior for a few months.
2 | She is also worried because he has started to speak less than he used to and does not respond when his n... | true | diagnosis | 4 | Patient is diagnosed with attention deficit hyperactivity disorder. | Patient is diagnosed with autism spectrum disorder. | A mother brings her 3-year-old son to the doctor because she is worried that he might be harming himself by constantly banging his head on the wall. He has been exhibiting this behavior for a few months. She is also worried because he has started to speak less than he used to and does not respond when his name is calle... |
ms-train-182 | Shortly after undergoing a bipolar prosthesis for a displaced femoral neck fracture of the left hip acquired after a fall the day before, an 80-year-old woman suddenly develops dyspnea. The surgery under general anesthesia with sevoflurane was uneventful, lasting 98 minutes, during which the patient maintained oxygen s... | 0 | Shortly after undergoing a bipolar prosthesis for a displaced femoral neck fracture of the left hip acquired after a fall the day before, an 80-year-old woman suddenly develops dyspnea.
1 | The surgery under general anesthesia with sevoflurane was uneventful, lasting 98 minutes, during which the patient maintained ... | true | diagnosis | 7 | Based on the following findings, patient was diagnosed with traumatic rhabdomyolysis. | Based on the following findings, patient was diagnosed with a fat embolism. | Shortly after undergoing a bipolar prosthesis for a displaced femoral neck fracture of the left hip acquired after a fall the day before, an 80-year-old woman suddenly develops dyspnea. The surgery under general anesthesia with sevoflurane was uneventful, lasting 98 minutes, during which the patient maintained oxygen s... |
ms-train-183 | Shortly after undergoing a bipolar prosthesis for a displaced femoral neck fracture of the left hip acquired after a fall the day before, an 80-year-old woman suddenly develops dyspnea. The surgery under general anesthesia with sevoflurane was uneventful, lasting 98 minutes, during which the patient maintained oxygen s... | 0 | Shortly after undergoing a bipolar prosthesis for a displaced femoral neck fracture of the left hip acquired after a fall the day before, an 80-year-old woman suddenly develops dyspnea.
1 | The surgery under general anesthesia with sevoflurane was uneventful, lasting 98 minutes, during which the patient maintained ... | false | NA | -1 | NA. | NA. | NA |
ms-train-184 | A 47-year-old woman presents to the emergency department with a fever and a headache. Her symptoms started yesterday and have rapidly progressed. Initially, she was experiencing just a fever and a headache which she was treating with acetaminophen. It rapidly progressed to blurry vision, chills, nausea, and vomiting. T... | 0 | A 47-year-old woman presents to the emergency department with a fever and a headache.
1 | Her symptoms started yesterday and have rapidly progressed.
2 | Initially, she was experiencing just a fever and a headache which she was treating with acetaminophen.
3 | It rapidly progressed to blurry vision, chills, nausea,... | true | diagnosis | 10 | Suspected of brain abscess. | Suspected of brain cavernous sinus thrombosis. | A 47-year-old woman presents to the emergency department with a fever and a headache. Her symptoms started yesterday and have rapidly progressed. Initially, she was experiencing just a fever and a headache which she was treating with acetaminophen. It rapidly progressed to blurry vision, chills, nausea, and vomiting. T... |
ms-train-185 | A 47-year-old woman presents to the emergency department with a fever and a headache. Her symptoms started yesterday and have rapidly progressed. Initially, she was experiencing just a fever and a headache which she was treating with acetaminophen. It rapidly progressed to blurry vision, chills, nausea, and vomiting. T... | 0 | A 47-year-old woman presents to the emergency department with a fever and a headache.
1 | Her symptoms started yesterday and have rapidly progressed.
2 | Initially, she was experiencing just a fever and a headache which she was treating with acetaminophen.
3 | It rapidly progressed to blurry vision, chills, nausea,... | false | NA | -1 | NA. | NA. | NA |
ms-train-186 | A 17-year-old boy is brought to the physician because of progressive right knee pain for the past 3 months. He reports that the pain is worse at night and while doing sports at school. He has not had any trauma to the knee or any previous problems with his joints. His vital signs are within normal limits. Examination o... | 0 | A 17-year-old boy is brought to the physician because of progressive right knee pain for the past 3 months.
1 | He reports that the pain is worse at night and while doing sports at school.
2 | He has not had any trauma to the knee or any previous problems with his joints.
3 | His vital signs are within normal limit... | true | diagnosis | 6 | Presentation suspicious for Ewing sarcoma. | Presentation suspicious for osteosarcoma. | A 17-year-old boy is brought to the physician because of progressive right knee pain for the past 3 months. He reports that the pain is worse at night and while doing sports at school. He has not had any trauma to the knee or any previous problems with his joints. His vital signs are within normal limits. Examination o... |
ms-train-187 | A 17-year-old boy is brought to the physician because of progressive right knee pain for the past 3 months. He reports that the pain is worse at night and while doing sports at school. He has not had any trauma to the knee or any previous problems with his joints. His vital signs are within normal limits. Examination o... | 0 | A 17-year-old boy is brought to the physician because of progressive right knee pain for the past 3 months.
1 | He reports that the pain is worse at night and while doing sports at school.
2 | He has not had any trauma to the knee or any previous problems with his joints.
3 | His vital signs are within normal limit... | false | NA | -1 | NA. | NA. | NA |
ms-train-188 | A 30-year-old African American woman comes to the physician because of fatigue and muscle weakness for the past 5 weeks. During this period, she has had recurrent headaches and palpitations. She has hypertension and major depressive disorder. She works as a nurse at a local hospital. She has smoked about 6-8 cigarettes... | 0 | A 30-year-old African American woman comes to the physician because of fatigue and muscle weakness for the past 5 weeks.
1 | During this period, she has had recurrent headaches and palpitations.
2 | She has hypertension and major depressive disorder.
3 | She works as a nurse at a local hospital.
4 | She has smoked ... | true | diagnosis | 28 | Patient was diagnosed with pheochromocytoma. | Patient was diagnosed with an aldosteronoma. | A 30-year-old African American woman comes to the physician because of fatigue and muscle weakness for the past 5 weeks. During this period, she has had recurrent headaches and palpitations. She has hypertension and major depressive disorder. She works as a nurse at a local hospital. She has smoked about 6-8 cigarettes... |
ms-train-189 | A 30-year-old African American woman comes to the physician because of fatigue and muscle weakness for the past 5 weeks. During this period, she has had recurrent headaches and palpitations. She has hypertension and major depressive disorder. She works as a nurse at a local hospital. She has smoked about 6-8 cigarettes... | 0 | A 30-year-old African American woman comes to the physician because of fatigue and muscle weakness for the past 5 weeks.
1 | During this period, she has had recurrent headaches and palpitations.
2 | She has hypertension and major depressive disorder.
3 | She works as a nurse at a local hospital.
4 | She has smoked ... | false | NA | -1 | NA. | NA. | NA |
ms-train-190 | A 33-year-old woman comes to the physician because of vision impairment in her right eye for the past 2 weeks. During this period, she was unable to distinguish colors with her right eye. She also reports pain with eye movement. She has no double vision. She occasionally has headaches that are relieved by ibuprofen. On... | 0 | A 33-year-old woman comes to the physician because of vision impairment in her right eye for the past 2 weeks.
1 | During this period, she was unable to distinguish colors with her right eye.
2 | She also reports pain with eye movement.
3 | She has no double vision.
4 | She occasionally has headaches that are relie... | true | diagnosis | 11 | Suspected of retinal detachment. | Suspected of optic neuritis. | A 33-year-old woman comes to the physician because of vision impairment in her right eye for the past 2 weeks. During this period, she was unable to distinguish colors with her right eye. She also reports pain with eye movement. She has no double vision. She occasionally has headaches that are relieved by ibuprofen. On... |
ms-train-191 | A 33-year-old woman comes to the physician because of vision impairment in her right eye for the past 2 weeks. During this period, she was unable to distinguish colors with her right eye. She also reports pain with eye movement. She has no double vision. She occasionally has headaches that are relieved by ibuprofen. On... | 0 | A 33-year-old woman comes to the physician because of vision impairment in her right eye for the past 2 weeks.
1 | During this period, she was unable to distinguish colors with her right eye.
2 | She also reports pain with eye movement.
3 | She has no double vision.
4 | She occasionally has headaches that are relie... | false | NA | -1 | NA. | NA. | NA |
ms-train-192 | A 60-year-old man with a history of chronic back pain presents to the emergency department with abdominal pain. He states his back pain has been worsening recently requiring more pain medications. His temperature is 97.6 F (36.4 C), blood pressure is 122/80 mmHg, pulse is 120/min, respirations are 12/min, and oxygen sa... | 0 | A 60-year-old man with a history of chronic back pain presents to the emergency department with abdominal pain.
1 | He states his back pain has been worsening recently requiring more pain medications.
2 | His temperature is 97.6 F (36.4 C), blood pressure is 122/80 mmHg, pulse is 120/min, respirations are 12/min, a... | true | diagnosis | 7 | Patient is diagnosed with peptic ulcer disease. | Patient is diagnosed with a perforated viscus. | A 60-year-old man with a history of chronic back pain presents to the emergency department with abdominal pain. He states his back pain has been worsening recently requiring more pain medications. His temperature is 97.6 F (36.4 C), blood pressure is 122/80 mmHg, pulse is 120/min, respirations are 12/min, and oxygen sa... |
ms-train-193 | A 60-year-old man with a history of chronic back pain presents to the emergency department with abdominal pain. He states his back pain has been worsening recently requiring more pain medications. His temperature is 97.6 F (36.4 C), blood pressure is 122/80 mmHg, pulse is 120/min, respirations are 12/min, and oxygen sa... | 0 | A 60-year-old man with a history of chronic back pain presents to the emergency department with abdominal pain.
1 | He states his back pain has been worsening recently requiring more pain medications.
2 | His temperature is 97.6 F (36.4 C), blood pressure is 122/80 mmHg, pulse is 120/min, respirations are 12/min, a... | false | NA | -1 | NA. | NA. | NA |
ms-train-194 | A 23-year-old woman comes to the physician because of a 5-month history of a pruritic rash on the bilateral upper extremities. She has no history of serious illness and takes no medications. Patient was diagnosed with dermatitis herpetiformis based on a skin biopsy of the rash showing intraepidermal accumulation of ede... | 0 | A 23-year-old woman comes to the physician because of a 5-month history of a pruritic rash on the bilateral upper extremities.
1 | She has no history of serious illness and takes no medications.
2 | Patient was diagnosed with dermatitis herpetiformis based on a skin biopsy of the rash showing intraepidermal accumul... | true | diagnosis | 2 | Patient was diagnosed with dermatitis herpetiformis based on a skin biopsy of the rash showing intraepidermal accumulation of edematous fluid and widening of intercellular spaces between keratinocytes. | Patient was diagnosed with eczematous dermatitis based on a skin biopsy of the rash showing intraepidermal accumulation of edematous fluid and widening of intercellular spaces between keratinocytes. | A 23-year-old woman comes to the physician because of a 5-month history of a pruritic rash on the bilateral upper extremities. She has no history of serious illness and takes no medications. Patient was diagnosed with eczematous dermatitis based on a skin biopsy of the rash showing intraepidermal accumulation of edemat... |
ms-train-195 | A 23-year-old woman comes to the physician because of a 5-month history of a pruritic rash on the bilateral upper extremities. She has no history of serious illness and takes no medications. A skin biopsy of the rash shows intraepidermal accumulation of edematous fluid and widening of intercellular spaces between kerat... | 0 | A 23-year-old woman comes to the physician because of a 5-month history of a pruritic rash on the bilateral upper extremities.
1 | She has no history of serious illness and takes no medications.
2 | A skin biopsy of the rash shows intraepidermal accumulation of edematous fluid and widening of intercellular spaces b... | false | NA | -1 | NA. | NA. | NA |
ms-train-196 | A 16-year-old girl is brought to the physician by her father because of concerns about her behavior during the past 2 years. She does not have friends and spends most of the time reading by herself. Her father says that she comes up with excuses to avoid family dinners and other social events. She states that she likes... | 0 | A 16-year-old girl is brought to the physician by her father because of concerns about her behavior during the past 2 years.
1 | She does not have friends and spends most of the time reading by herself.
2 | Her father says that she comes up with excuses to avoid family dinners and other social events.
3 | She state... | true | diagnosis | 6 | Patient is diagnosed with schizotypal personality disorder. | Patient is diagnosed with schizoid personality disorder. | A 16-year-old girl is brought to the physician by her father because of concerns about her behavior during the past 2 years. She does not have friends and spends most of the time reading by herself. Her father says that she comes up with excuses to avoid family dinners and other social events. She states that she likes... |
ms-train-197 | A 16-year-old girl is brought to the physician by her father because of concerns about her behavior during the past 2 years. She does not have friends and spends most of the time reading by herself. Her father says that she comes up with excuses to avoid family dinners and other social events. Schizoid personality diso... | 0 | A 16-year-old girl is brought to the physician by her father because of concerns about her behavior during the past 2 years.
1 | She does not have friends and spends most of the time reading by herself.
2 | Her father says that she comes up with excuses to avoid family dinners and other social events.
3 | Schizoid ... | false | NA | -1 | NA. | NA. | NA |
ms-train-198 | A 19-year-old woman comes to the physician because of a 1-month history of mild fatigue and weakness. Physical examination shows no abnormalities. Her hemoglobin concentration is 11 g/dL and mean corpuscular volume is 74 μm3. Hemoglobin electrophoresis shows 10% HbA2 (normal < 3.5%). Diagnosis is alpha thalassemia mini... | 0 | A 19-year-old woman comes to the physician because of a 1-month history of mild fatigue and weakness.
1 | Physical examination shows no abnormalities.
2 | Her hemoglobin concentration is 11 g/dL and mean corpuscular volume is 74 μm3.
3 | Hemoglobin electrophoresis shows 10% HbA2 (normal < 3.5%).
4 | Diagnosis is al... | true | diagnosis | 4 | Diagnosis is alpha thalassemia minima. | Diagnosis is beta thalassemia minor. | A 19-year-old woman comes to the physician because of a 1-month history of mild fatigue and weakness. Physical examination shows no abnormalities. Her hemoglobin concentration is 11 g/dL and mean corpuscular volume is 74 μm3. Hemoglobin electrophoresis shows 10% HbA2 (normal < 3.5%). Diagnosis is beta thalassemia minor... |
ms-train-199 | A previously healthy 29-year-old African-American male comes to the physician with a 2-week history of progressive fatigue and shortness of breath on exertion. Last week he noticed that his eyes were gradually turning yellow and his urine was dark. He has a family history of type II diabetes. He denies changes in urina... | 0 | A previously healthy 29-year-old African-American male comes to the physician with a 2-week history of progressive fatigue and shortness of breath on exertion.
1 | Last week he noticed that his eyes were gradually turning yellow and his urine was dark.
2 | He has a family history of type II diabetes.
3 | He denies ... | true | diagnosis | 19 | Suspected of paroxysmal nocturnal hemoglobinuria. | Suspected of autoimmune hemolytic anemia. | A previously healthy 29-year-old African-American male comes to the physician with a 2-week history of progressive fatigue and shortness of breath on exertion. Last week he noticed that his eyes were gradually turning yellow and his urine was dark. He has a family history of type II diabetes. He denies changes in urina... |
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