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-300 | A 39-year-old G4P3 woman 38 weeks pregnant presents to the emergency department with bright red vaginal bleeding that started one hour ago following sexual intercourse with her partner. She denies any abdominal pain. Her medical history is notable for three prior cesarean sections. She has not seen an obstetrician beca... | 0 | A 39-year-old G4P3 woman 38 weeks pregnant presents to the emergency department with bright red vaginal bleeding that started one hour ago following sexual intercourse with her partner.
1 | She denies any abdominal pain.
2 | Her medical history is notable for three prior cesarean sections.
3 | She has not seen an o... | true | diagnosis | 8 | Patient is diagnosed with placental abruption. | Patient is diagnosed with placenta previa. | A 39-year-old G4P3 woman 38 weeks pregnant presents to the emergency department with bright red vaginal bleeding that started one hour ago following sexual intercourse with her partner. She denies any abdominal pain. Her medical history is notable for three prior cesarean sections. She has not seen an obstetrician beca... |
ms-train-301 | A 39-year-old G4P3 woman 38 weeks pregnant presents to the emergency department with bright red vaginal bleeding that started one hour ago following sexual intercourse with her partner. She denies any abdominal pain. Her medical history is notable for three prior cesarean sections. She has not seen an obstetrician beca... | 0 | A 39-year-old G4P3 woman 38 weeks pregnant presents to the emergency department with bright red vaginal bleeding that started one hour ago following sexual intercourse with her partner.
1 | She denies any abdominal pain.
2 | Her medical history is notable for three prior cesarean sections.
3 | She has not seen an o... | false | NA | -1 | NA. | NA. | NA |
ms-train-302 | A 44-year-old man comes to the physician because of fatigue and increased straining during defecation for 3 months. During this time, he has lost 5 kg (12 lb) despite no change in appetite. He has a family history of colon cancer in his maternal uncle and maternal grandfather. His mother died of ovarian cancer at the a... | 0 | A 44-year-old man comes to the physician because of fatigue and increased straining during defecation for 3 months.
1 | During this time, he has lost 5 kg (12 lb) despite no change in appetite.
2 | He has a family history of colon cancer in his maternal uncle and maternal grandfather.
3 | His mother died of ovarian... | true | diagnosis | 9 | Patient was diagnosed with Turcot syndrome. | Patient was diagnosed with Lynch syndrome. | A 44-year-old man comes to the physician because of fatigue and increased straining during defecation for 3 months. During this time, he has lost 5 kg (12 lb) despite no change in appetite. He has a family history of colon cancer in his maternal uncle and maternal grandfather. His mother died of ovarian cancer at the a... |
ms-train-303 | A 44-year-old man comes to the physician because of fatigue and increased straining during defecation for 3 months. During this time, he has lost 5 kg (12 lb) despite no change in appetite. He has a family history of colon cancer in his maternal uncle and maternal grandfather. His mother died of ovarian cancer at the a... | 0 | A 44-year-old man comes to the physician because of fatigue and increased straining during defecation for 3 months.
1 | During this time, he has lost 5 kg (12 lb) despite no change in appetite.
2 | He has a family history of colon cancer in his maternal uncle and maternal grandfather.
3 | His mother died of ovarian... | false | NA | -1 | NA. | NA. | NA |
ms-train-304 | A 30-year-old woman, gravida 1, para 0, at 30 weeks' gestation is brought to the emergency department because of progressive upper abdominal pain for the past hour. The patient vomited once on her way to the hospital. She states that she initially had dull stomach pain about 6 hours ago, but now the pain is located in ... | 0 | A 30-year-old woman, gravida 1, para 0, at 30 weeks' gestation is brought to the emergency department because of progressive upper abdominal pain for the past hour.
1 | The patient vomited once on her way to the hospital.
2 | She states that she initially had dull stomach pain about 6 hours ago, but now the pain is... | true | diagnosis | 10 | Based on the following findings, patient was diagnosed with a urinary tract infection. | Based on the following findings, patient was diagnosed with appendicitis. | A 30-year-old woman, gravida 1, para 0, at 30 weeks' gestation is brought to the emergency department because of progressive upper abdominal pain for the past hour. The patient vomited once on her way to the hospital. She states that she initially had dull stomach pain about 6 hours ago, but now the pain is located in ... |
ms-train-305 | A 30-year-old woman, gravida 1, para 0, at 30 weeks' gestation is brought to the emergency department because of progressive upper abdominal pain for the past hour. The patient vomited once on her way to the hospital. She states that she initially had dull stomach pain about 6 hours ago, but now the pain is located in ... | 0 | A 30-year-old woman, gravida 1, para 0, at 30 weeks' gestation is brought to the emergency department because of progressive upper abdominal pain for the past hour.
1 | The patient vomited once on her way to the hospital.
2 | She states that she initially had dull stomach pain about 6 hours ago, but now the pain is... | false | NA | -1 | NA. | NA. | NA |
ms-train-306 | A 24-year-old woman presents to the emergency department with a severe headache. She states it is 10/10 in intensity and states that it is associated with chewing. She describes it as a dull pain over the sides of her head. The patient is otherwise healthy and is not currently taking any medications. Her temperature is... | 0 | A 24-year-old woman presents to the emergency department with a severe headache.
1 | She states it is 10/10 in intensity and states that it is associated with chewing.
2 | She describes it as a dull pain over the sides of her head.
3 | The patient is otherwise healthy and is not currently taking any medications.
4 ... | true | diagnosis | 6 | The patient is diagnosed with a tension headache. | The patient is diagnosed with temporomandibular joint dysfunction. | A 24-year-old woman presents to the emergency department with a severe headache. She states it is 10/10 in intensity and states that it is associated with chewing. She describes it as a dull pain over the sides of her head. The patient is otherwise healthy and is not currently taking any medications. Her temperature is... |
ms-train-307 | A 24-year-old woman presents to the emergency department with a severe headache. She states it is 10/10 in intensity and states that it is associated with chewing. She describes it as a dull pain over the sides of her head. The patient is otherwise healthy and is not currently taking any medications. Her temperature is... | 0 | A 24-year-old woman presents to the emergency department with a severe headache.
1 | She states it is 10/10 in intensity and states that it is associated with chewing.
2 | She describes it as a dull pain over the sides of her head.
3 | The patient is otherwise healthy and is not currently taking any medications.
4 ... | false | NA | -1 | NA. | NA. | NA |
ms-train-308 | An 8-year-old girl is brought to the emergency department because of a 2-day history of an intermittent, diffuse abdominal pain. She has also had a nonpruritic rash on her legs and swelling of her ankles for 1 week. Two weeks ago, she had a sore throat, which was treated with oral amoxicillin. After examining the patie... | 0 | An 8-year-old girl is brought to the emergency department because of a 2-day history of an intermittent, diffuse abdominal pain.
1 | She has also had a nonpruritic rash on her legs and swelling of her ankles for 1 week.
2 | Two weeks ago, she had a sore throat, which was treated with oral amoxicillin.
3 | After exa... | true | diagnosis | 3 | After examining the patient, she was diagnosed with acute rheumatic fever. | After examining the patient, she was diagnosed with leukocytoclastic vasculitis. | An 8-year-old girl is brought to the emergency department because of a 2-day history of an intermittent, diffuse abdominal pain. She has also had a nonpruritic rash on her legs and swelling of her ankles for 1 week. Two weeks ago, she had a sore throat, which was treated with oral amoxicillin. After examining the patie... |
ms-train-309 | An 8-year-old girl is brought to the emergency department because of a 2-day history of an intermittent, diffuse abdominal pain. She has also had a nonpruritic rash on her legs and swelling of her ankles for 1 week. Two weeks ago, she had a sore throat, which was treated with oral amoxicillin. Examination of the lower ... | 0 | An 8-year-old girl is brought to the emergency department because of a 2-day history of an intermittent, diffuse abdominal pain.
1 | She has also had a nonpruritic rash on her legs and swelling of her ankles for 1 week.
2 | Two weeks ago, she had a sore throat, which was treated with oral amoxicillin.
3 | Examinati... | false | NA | -1 | NA. | NA. | NA |
ms-train-310 | A 76-year-old woman is brought to the physician because of lesions on her left arm. She first noticed them 3 months ago and they have grown larger since that time. She has not had any pain or pruritus in the area. She has a history of invasive ductal carcinoma of the left breast, which was treated with mastectomy and r... | 0 | A 76-year-old woman is brought to the physician because of lesions on her left arm.
1 | She first noticed them 3 months ago and they have grown larger since that time.
2 | She has not had any pain or pruritus in the area.
3 | She has a history of invasive ductal carcinoma of the left breast, which was treated with ... | true | diagnosis | 7 | Patient was diagnosed with Kaposi sarcoma. | Patient was diagnosed with angiosarcoma. | A 76-year-old woman is brought to the physician because of lesions on her left arm. She first noticed them 3 months ago and they have grown larger since that time. She has not had any pain or pruritus in the area. She has a history of invasive ductal carcinoma of the left breast, which was treated with mastectomy and r... |
ms-train-311 | A 76-year-old woman is brought to the physician because of lesions on her left arm. She first noticed them 3 months ago and they have grown larger since that time. She has not had any pain or pruritus in the area. She has a history of invasive ductal carcinoma of the left breast, which was treated with mastectomy and r... | 0 | A 76-year-old woman is brought to the physician because of lesions on her left arm.
1 | She first noticed them 3 months ago and they have grown larger since that time.
2 | She has not had any pain or pruritus in the area.
3 | She has a history of invasive ductal carcinoma of the left breast, which was treated with ... | false | NA | -1 | NA. | NA. | NA |
ms-train-312 | A 5-year-old boy is brought to the physician by his mother because he claims to have spoken to his recently-deceased grandfather. The grandfather, who lived with the family and frequently watched the boy for his parents, died 2 months ago. The boy was taken out of preschool for 3 days after his grandfather's death but ... | 0 | A 5-year-old boy is brought to the physician by his mother because he claims to have spoken to his recently-deceased grandfather.
1 | The grandfather, who lived with the family and frequently watched the boy for his parents, died 2 months ago.
2 | The boy was taken out of preschool for 3 days after his grandfather'... | true | diagnosis | 4 | The patient is diagnosed wth brief psychotic disorder after being asked about how he feels, the boy becomes tearful and says, "I miss my grandpa. | The patient is diagnosed wth normal grief after being asked about how he feels, the boy becomes tearful and says, "I miss my grandpa. | A 5-year-old boy is brought to the physician by his mother because he claims to have spoken to his recently-deceased grandfather. The grandfather, who lived with the family and frequently watched the boy for his parents, died 2 months ago. The boy was taken out of preschool for 3 days after his grandfather's death but ... |
ms-train-313 | A 5-year-old boy is brought to the physician by his mother because he claims to have spoken to his recently-deceased grandfather. The grandfather, who lived with the family and frequently watched the boy for his parents, died 2 months ago. The boy was taken out of preschool for 3 days after his grandfather's death but ... | 0 | A 5-year-old boy is brought to the physician by his mother because he claims to have spoken to his recently-deceased grandfather.
1 | The grandfather, who lived with the family and frequently watched the boy for his parents, died 2 months ago.
2 | The boy was taken out of preschool for 3 days after his grandfather'... | false | NA | -1 | NA. | NA. | NA |
ms-train-314 | An 8-year-old girl is brought into your clinic with a 5 day history of decreased oral intake, body aches and lymphadenopathy. She has no significant medical history. Upon further questioning you find that the patient frequently plays outside, where she enjoys chasing the neighborhood cats and dogs. She has had no recen... | 0 | An 8-year-old girl is brought into your clinic with a 5 day history of decreased oral intake, body aches and lymphadenopathy.
1 | She has no significant medical history.
2 | Upon further questioning you find that the patient frequently plays outside, where she enjoys chasing the neighborhood cats and dogs.
3 | She ... | true | diagnosis | 7 | Patient is diagnosed with a toxoplasmosis gandii infection. | Patient is diagnosed with bartonella henselae infection. | An 8-year-old girl is brought into your clinic with a 5 day history of decreased oral intake, body aches and lymphadenopathy. She has no significant medical history. Upon further questioning you find that the patient frequently plays outside, where she enjoys chasing the neighborhood cats and dogs. She has had no recen... |
ms-train-315 | A 47-year-old woman comes to the physician because of a 3-week history of generalized fatigue, mild fever, abdominal pain, and nausea. She attended the state fair over a month ago, where she tried a number of regional foods, and wonders if it might have been caused by something she ate. She has also noticed darkening o... | 0 | A 47-year-old woman comes to the physician because of a 3-week history of generalized fatigue, mild fever, abdominal pain, and nausea.
1 | She attended the state fair over a month ago, where she tried a number of regional foods, and wonders if it might have been caused by something she ate.
2 | She has also noticed... | true | diagnosis | 30 | Suspected of acute hepatitis B infection. | Suspected of active chronic hepatitis B infection. | A 47-year-old woman comes to the physician because of a 3-week history of generalized fatigue, mild fever, abdominal pain, and nausea. She attended the state fair over a month ago, where she tried a number of regional foods, and wonders if it might have been caused by something she ate. She has also noticed darkening o... |
ms-train-316 | A 42-year-old woman is brought to the emergency department because of a 5-day history of epigastric pain, fever, nausea, and malaise. Five weeks ago she had acute biliary pancreatitis and was treated with endoscopic retrograde cholangiopancreatography and subsequent cholecystectomy. Her maternal grandfather died of pan... | 0 | A 42-year-old woman is brought to the emergency department because of a 5-day history of epigastric pain, fever, nausea, and malaise.
1 | Five weeks ago she had acute biliary pancreatitis and was treated with endoscopic retrograde cholangiopancreatography and subsequent cholecystectomy.
2 | Her maternal grandfather... | true | diagnosis | 26 | Abdominal ultrasound confirms the patient's diagnosis of pancreatic pseudocyst, showing a complex cystic fluid collection with irregular walls and septations in the pancreas. | Abdominal ultrasound confirms the patient's diagnosis of pancreatic abscess, showing a complex cystic fluid collection with irregular walls and septations in the pancreas. | A 42-year-old woman is brought to the emergency department because of a 5-day history of epigastric pain, fever, nausea, and malaise. Five weeks ago she had acute biliary pancreatitis and was treated with endoscopic retrograde cholangiopancreatography and subsequent cholecystectomy. Her maternal grandfather died of pan... |
ms-train-317 | A 42-year-old woman is brought to the emergency department because of a 5-day history of epigastric pain, fever, nausea, and malaise. Five weeks ago she had acute biliary pancreatitis and was treated with endoscopic retrograde cholangiopancreatography and subsequent cholecystectomy. Her maternal grandfather died of pan... | 0 | A 42-year-old woman is brought to the emergency department because of a 5-day history of epigastric pain, fever, nausea, and malaise.
1 | Five weeks ago she had acute biliary pancreatitis and was treated with endoscopic retrograde cholangiopancreatography and subsequent cholecystectomy.
2 | Her maternal grandfather... | false | NA | -1 | NA. | NA. | NA |
ms-train-318 | A 38-year-old woman comes to the physician for a 6-week history of sleeping difficulties because she thinks that someone is watching her through security cameras. Her anxiety started 6 weeks ago when a security camera was installed outside her house by the police. Ever since, she has felt that she is being monitored by... | 0 | A 38-year-old woman comes to the physician for a 6-week history of sleeping difficulties because she thinks that someone is watching her through security cameras.
1 | Her anxiety started 6 weeks ago when a security camera was installed outside her house by the police.
2 | Ever since, she has felt that she is being ... | true | diagnosis | 10 | Suspected of agoraphobia. | Suspected of delusions. | A 38-year-old woman comes to the physician for a 6-week history of sleeping difficulties because she thinks that someone is watching her through security cameras. Her anxiety started 6 weeks ago when a security camera was installed outside her house by the police. Ever since, she has felt that she is being monitored by... |
ms-train-319 | A 38-year-old woman comes to the physician for a 6-week history of sleeping difficulties because she thinks that someone is watching her through security cameras. Her anxiety started 6 weeks ago when a security camera was installed outside her house by the police. Ever since, she has felt that she is being monitored by... | 0 | A 38-year-old woman comes to the physician for a 6-week history of sleeping difficulties because she thinks that someone is watching her through security cameras.
1 | Her anxiety started 6 weeks ago when a security camera was installed outside her house by the police.
2 | Ever since, she has felt that she is being ... | false | NA | -1 | NA. | NA. | NA |
ms-train-320 | A 7-year-old child is brought to the emergency room by his parents in severe pain. They state that he fell on his outstretched right arm while playing with his friends. He is unable to move his right arm which is being supported by his left. On exam, his vitals are normal. His right extremity reveals normal pulses with... | 0 | A 7-year-old child is brought to the emergency room by his parents in severe pain.
1 | They state that he fell on his outstretched right arm while playing with his friends.
2 | He is unable to move his right arm which is being supported by his left.
3 | On exam, his vitals are normal.
4 | His right extremity reveal... | true | diagnosis | 6 | A fractured midhumerus is suspected when the child has decreased sensation along his thumb and is unable to make the "OK" sign with his thumb and index finger. | A supracondular humerus fracture is suspected when the child has decreased sensation along his thumb and is unable to make the "OK" sign with his thumb and index finger. | A 7-year-old child is brought to the emergency room by his parents in severe pain. They state that he fell on his outstretched right arm while playing with his friends. He is unable to move his right arm which is being supported by his left. On exam, his vitals are normal. His right extremity reveals normal pulses with... |
ms-train-321 | A 7-year-old child is brought to the emergency room by his parents in severe pain. They state that he fell on his outstretched right arm while playing with his friends. He is unable to move his right arm which is being supported by his left. On exam, his vitals are normal. His right extremity reveals normal pulses with... | 0 | A 7-year-old child is brought to the emergency room by his parents in severe pain.
1 | They state that he fell on his outstretched right arm while playing with his friends.
2 | He is unable to move his right arm which is being supported by his left.
3 | On exam, his vitals are normal.
4 | His right extremity reveal... | false | NA | -1 | NA. | NA. | NA |
ms-train-322 | A 51-year-old man comes to the physician because of a 3-month history of diffuse perineal and scrotal pain. On a 10-point scale, he rates the pain as a 5 to 6. He reports that during this time he also has pain during ejaculation and dysuria. He did not have fever. The pain is persistent despite taking over-the-counter ... | 0 | A 51-year-old man comes to the physician because of a 3-month history of diffuse perineal and scrotal pain.
1 | On a 10-point scale, he rates the pain as a 5 to 6.
2 | He reports that during this time he also has pain during ejaculation and dysuria.
3 | He did not have fever.
4 | The pain is persistent despite taki... | true | diagnosis | 20 | Diagnosed with chronic bacterial prostatitis. | Diagnosed with chronic pelvic pain syndrome. | A 51-year-old man comes to the physician because of a 3-month history of diffuse perineal and scrotal pain. On a 10-point scale, he rates the pain as a 5 to 6. He reports that during this time he also has pain during ejaculation and dysuria. He did not have fever. The pain is persistent despite taking over-the-counter ... |
ms-train-323 | A 51-year-old man comes to the physician because of a 3-month history of diffuse perineal and scrotal pain. On a 10-point scale, he rates the pain as a 5 to 6. He reports that during this time he also has pain during ejaculation and dysuria. He did not have fever. The pain is persistent despite taking over-the-counter ... | 0 | A 51-year-old man comes to the physician because of a 3-month history of diffuse perineal and scrotal pain.
1 | On a 10-point scale, he rates the pain as a 5 to 6.
2 | He reports that during this time he also has pain during ejaculation and dysuria.
3 | He did not have fever.
4 | The pain is persistent despite taki... | false | NA | -1 | NA. | NA. | NA |
ms-train-324 | A previously healthy, 16-year-old boy is brought to the emergency department with persistent bleeding from his gums after an elective removal of an impacted tooth. Multiple gauze packs were applied with minimal effect. He has a history of easy bruising. His family history is unremarkable except for a maternal uncle who... | 0 | A previously healthy, 16-year-old boy is brought to the emergency department with persistent bleeding from his gums after an elective removal of an impacted tooth.
1 | Multiple gauze packs were applied with minimal effect.
2 | He has a history of easy bruising.
3 | His family history is unremarkable except for a ma... | true | diagnosis | 10 | Suspected of Bernard-Soulier syndrome. | Suspected of hemophilia. | A previously healthy, 16-year-old boy is brought to the emergency department with persistent bleeding from his gums after an elective removal of an impacted tooth. Multiple gauze packs were applied with minimal effect. He has a history of easy bruising. His family history is unremarkable except for a maternal uncle who... |
ms-train-325 | A previously healthy, 16-year-old boy is brought to the emergency department with persistent bleeding from his gums after an elective removal of an impacted tooth. Multiple gauze packs were applied with minimal effect. He has a history of easy bruising. His family history is unremarkable except for a maternal uncle who... | 0 | A previously healthy, 16-year-old boy is brought to the emergency department with persistent bleeding from his gums after an elective removal of an impacted tooth.
1 | Multiple gauze packs were applied with minimal effect.
2 | He has a history of easy bruising.
3 | His family history is unremarkable except for a ma... | false | NA | -1 | NA. | NA. | NA |
ms-train-326 | A 37-year-old woman comes to the physician for a 6-month history of headaches, anorexia, and vomiting. She has had a 10-kg (22-lb) weight loss during this period. She has type 1 diabetes mellitus for which she takes insulin. The patient's mother and sister have hypothyroidism. Her blood pressure is 80/60 mm Hg. Physica... | 0 | A 37-year-old woman comes to the physician for a 6-month history of headaches, anorexia, and vomiting.
1 | She has had a 10-kg (22-lb) weight loss during this period.
2 | She has type 1 diabetes mellitus for which she takes insulin.
3 | The patient's mother and sister have hypothyroidism.
4 | Her blood pressure is ... | true | diagnosis | 7 | Patient is diagnosed with multiple endocrine neoplasia type 2A. | Patient is diagnosed with autoimmune polyendocrine syndrome type 2. | A 37-year-old woman comes to the physician for a 6-month history of headaches, anorexia, and vomiting. She has had a 10-kg (22-lb) weight loss during this period. She has type 1 diabetes mellitus for which she takes insulin. The patient's mother and sister have hypothyroidism. Her blood pressure is 80/60 mm Hg. Physica... |
ms-train-327 | A 37-year-old woman comes to the physician for a 6-month history of headaches, anorexia, and vomiting. She has had a 10-kg (22-lb) weight loss during this period. She has type 1 diabetes mellitus for which she takes insulin. The patient's mother and sister have hypothyroidism. Her blood pressure is 80/60 mm Hg. Physica... | 0 | A 37-year-old woman comes to the physician for a 6-month history of headaches, anorexia, and vomiting.
1 | She has had a 10-kg (22-lb) weight loss during this period.
2 | She has type 1 diabetes mellitus for which she takes insulin.
3 | The patient's mother and sister have hypothyroidism.
4 | Her blood pressure is ... | false | NA | -1 | NA. | NA. | NA |
ms-train-328 | A 67-year-old man presents to the emergency department for a headache. The patient states his symptoms started thirty minutes ago. He states he experienced a sudden and severe headache while painting his house, causing him to fall of the ladder and hit his head. He has also experienced two episodes of vomiting and diff... | 0 | A 67-year-old man presents to the emergency department for a headache.
1 | The patient states his symptoms started thirty minutes ago.
2 | He states he experienced a sudden and severe headache while painting his house, causing him to fall of the ladder and hit his head.
3 | He has also experienced two episodes of v... | true | diagnosis | 14 | A pontine hemorrhage is suspected. | A cerebellar hemorrhage is suspected. | A 67-year-old man presents to the emergency department for a headache. The patient states his symptoms started thirty minutes ago. He states he experienced a sudden and severe headache while painting his house, causing him to fall of the ladder and hit his head. He has also experienced two episodes of vomiting and diff... |
ms-train-329 | A 67-year-old man presents to the emergency department for a headache. The patient states his symptoms started thirty minutes ago. He states he experienced a sudden and severe headache while painting his house, causing him to fall of the ladder and hit his head. He has also experienced two episodes of vomiting and diff... | 0 | A 67-year-old man presents to the emergency department for a headache.
1 | The patient states his symptoms started thirty minutes ago.
2 | He states he experienced a sudden and severe headache while painting his house, causing him to fall of the ladder and hit his head.
3 | He has also experienced two episodes of v... | false | NA | -1 | NA. | NA. | NA |
ms-train-330 | A 19-year-old man is brought to the physician by his mother because she is worried about his strange behavior. Over the past 3 years, he has been dressing all in black and wears a long black coat, even in the summer. The mother reports that her son has always had difficulties fitting in. He does not have any friends an... | 0 | A 19-year-old man is brought to the physician by his mother because she is worried about his strange behavior.
1 | Over the past 3 years, he has been dressing all in black and wears a long black coat, even in the summer.
2 | The mother reports that her son has always had difficulties fitting in.
3 | He does not hav... | true | diagnosis | 10 | Diagnosis is schizophrenia. | Diagnosis is schizotypal personality disorder. | A 19-year-old man is brought to the physician by his mother because she is worried about his strange behavior. Over the past 3 years, he has been dressing all in black and wears a long black coat, even in the summer. The mother reports that her son has always had difficulties fitting in. He does not have any friends an... |
ms-train-331 | A 19-year-old man is brought to the physician by his mother because she is worried about his strange behavior. Over the past 3 years, he has been dressing all in black and wears a long black coat, even in the summer. The mother reports that her son has always had difficulties fitting in. He does not have any friends an... | 0 | A 19-year-old man is brought to the physician by his mother because she is worried about his strange behavior.
1 | Over the past 3 years, he has been dressing all in black and wears a long black coat, even in the summer.
2 | The mother reports that her son has always had difficulties fitting in.
3 | He does not hav... | false | NA | -1 | NA. | NA. | NA |
ms-train-332 | A 66-year-old man comes to the physician for a 3-month history of fatigue. He has hypertension and hyperlipidemia. He had a transient ischemic attack 3 years ago. He drinks 3 beers a day, and sometimes a couple more on social occasions. He currently takes aspirin, simvastatin, hydrochlorothiazide, and metoprolol. His t... | 0 | A 66-year-old man comes to the physician for a 3-month history of fatigue.
1 | He has hypertension and hyperlipidemia.
2 | He had a transient ischemic attack 3 years ago.
3 | He drinks 3 beers a day, and sometimes a couple more on social occasions.
4 | He currently takes aspirin, simvastatin, hydrochlorothiazide, a... | true | diagnosis | 8 | Assessment and symptoms are consistent with chronic myelogenous leukemia. | Assessment and symptoms are consistent with acute myelogenous leukemia. | A 66-year-old man comes to the physician for a 3-month history of fatigue. He has hypertension and hyperlipidemia. He had a transient ischemic attack 3 years ago. He drinks 3 beers a day, and sometimes a couple more on social occasions. He currently takes aspirin, simvastatin, hydrochlorothiazide, and metoprolol. His t... |
ms-train-333 | A 66-year-old man comes to the physician for a 3-month history of fatigue. He has hypertension and hyperlipidemia. He had a transient ischemic attack 3 years ago. He drinks 3 beers a day, and sometimes a couple more on social occasions. He currently takes aspirin, simvastatin, hydrochlorothiazide, and metoprolol. His t... | 0 | A 66-year-old man comes to the physician for a 3-month history of fatigue.
1 | He has hypertension and hyperlipidemia.
2 | He had a transient ischemic attack 3 years ago.
3 | He drinks 3 beers a day, and sometimes a couple more on social occasions.
4 | He currently takes aspirin, simvastatin, hydrochlorothiazide, a... | false | NA | -1 | NA. | NA. | NA |
ms-train-334 | A 4-year-old boy presents to his pediatrician for severe developmental delay. On exam he is noted to have macroorchidism, hypertelorism, large protruding ears, a large jaw, and a long thin face. Suspicious of what the diagnosis may be, the pediatrician orders a PCR and DNA sequencing. The results reveal an expansion of... | 0 | A 4-year-old boy presents to his pediatrician for severe developmental delay.
1 | On exam he is noted to have macroorchidism, hypertelorism, large protruding ears, a large jaw, and a long thin face.
2 | Suspicious of what the diagnosis may be, the pediatrician orders a PCR and DNA sequencing.
3 | The results reveal... | true | diagnosis | 4 | Patient is diagnosed with spinal and bulbar muscular atrophy. | Patient is diagnosed with fragile X syndrome. | A 4-year-old boy presents to his pediatrician for severe developmental delay. On exam he is noted to have macroorchidism, hypertelorism, large protruding ears, a large jaw, and a long thin face. Suspicious of what the diagnosis may be, the pediatrician orders a PCR and DNA sequencing. The results reveal an expansion of... |
ms-train-335 | A 4-year-old boy presents to his pediatrician for severe developmental delay. On exam he is noted to have macroorchidism, hypertelorism, large protruding ears, a large jaw, and a long thin face. Suspicious of what the diagnosis may be, the pediatrician orders a PCR and DNA sequencing. Patient is diagnosed with fragile ... | 0 | A 4-year-old boy presents to his pediatrician for severe developmental delay.
1 | On exam he is noted to have macroorchidism, hypertelorism, large protruding ears, a large jaw, and a long thin face.
2 | Suspicious of what the diagnosis may be, the pediatrician orders a PCR and DNA sequencing.
3 | Patient is diagnos... | false | NA | -1 | NA. | NA. | NA |
ms-train-336 | Six hours after delivery, a 3100-g (6-lb 13-oz) male newborn has an episode of bilious projectile vomiting. He was born at term to a 21-year-old woman. The pregnancy was complicated by polyhydramnios. The mother smoked a pack of cigarettes daily during the pregnancy. Physical examination shows a distended upper abdomen... | 0 | Six hours after delivery, a 3100-g (6-lb 13-oz) male newborn has an episode of bilious projectile vomiting.
1 | He was born at term to a 21-year-old woman.
2 | The pregnancy was complicated by polyhydramnios.
3 | The mother smoked a pack of cigarettes daily during the pregnancy.
4 | Physical examination shows a dis... | true | diagnosis | 5 | Suspected of duodenal atresia. | Suspected of jejunal atresia. | Six hours after delivery, a 3100-g (6-lb 13-oz) male newborn has an episode of bilious projectile vomiting. He was born at term to a 21-year-old woman. The pregnancy was complicated by polyhydramnios. The mother smoked a pack of cigarettes daily during the pregnancy. Physical examination shows a distended upper abdomen... |
ms-train-337 | Six hours after delivery, a 3100-g (6-lb 13-oz) male newborn has an episode of bilious projectile vomiting. He was born at term to a 21-year-old woman. The pregnancy was complicated by polyhydramnios. The mother smoked a pack of cigarettes daily during the pregnancy. Physical examination shows a distended upper abdomen... | 0 | Six hours after delivery, a 3100-g (6-lb 13-oz) male newborn has an episode of bilious projectile vomiting.
1 | He was born at term to a 21-year-old woman.
2 | The pregnancy was complicated by polyhydramnios.
3 | The mother smoked a pack of cigarettes daily during the pregnancy.
4 | Physical examination shows a dis... | false | NA | -1 | NA. | NA. | NA |
ms-train-338 | A 19-year-old man is brought to the emergency department 35 minutes after being involved in a high-speed motor vehicle collision. On arrival, he is alert, has mild chest pain, and minimal shortness of breath. He has one episode of vomiting in the hospital. His temperature is 37.3 C (99.1 F), pulse is 108/min, respirati... | 0 | A 19-year-old man is brought to the emergency department 35 minutes after being involved in a high-speed motor vehicle collision.
1 | On arrival, he is alert, has mild chest pain, and minimal shortness of breath.
2 | He has one episode of vomiting in the hospital.
3 | His temperature is 37.3 C (99.1 F), pulse is 10... | true | diagnosis | 17 | Patient is diagnosed with a tracheobronchial injury. | Patient is diagnosed with a pulmonary contusion. | A 19-year-old man is brought to the emergency department 35 minutes after being involved in a high-speed motor vehicle collision. On arrival, he is alert, has mild chest pain, and minimal shortness of breath. He has one episode of vomiting in the hospital. His temperature is 37.3 C (99.1 F), pulse is 108/min, respirati... |
ms-train-339 | A 19-year-old man with a suspected pulmonary contusion is brought to the emergency department 35 minutes after being involved in a high-speed motor vehicle collision. On arrival, he is alert, has mild chest pain, and minimal shortness of breath. He has one episode of vomiting in the hospital. His temperature is 37.3 C ... | 0 | A 19-year-old man with a suspected pulmonary contusion is brought to the emergency department 35 minutes after being involved in a high-speed motor vehicle collision.
1 | On arrival, he is alert, has mild chest pain, and minimal shortness of breath.
2 | He has one episode of vomiting in the hospital.
3 | His temper... | false | NA | -1 | NA. | NA. | NA |
ms-train-340 | A 37-year-old man comes to the physician because of increasing swelling and pain of his right knee for the past month. He has not had any trauma to the knee or previous problems with his joints. He has hypertension. His only medication is hydrochlorothiazide. He works as a carpet installer. He drinks two to three beers... | 0 | A 37-year-old man comes to the physician because of increasing swelling and pain of his right knee for the past month.
1 | He has not had any trauma to the knee or previous problems with his joints.
2 | He has hypertension.
3 | His only medication is hydrochlorothiazide.
4 | He works as a carpet installer.
5 | He d... | true | diagnosis | 9 | Suspected of osteoarthritis. | Suspected of prepatellar bursitis. | A 37-year-old man comes to the physician because of increasing swelling and pain of his right knee for the past month. He has not had any trauma to the knee or previous problems with his joints. He has hypertension. His only medication is hydrochlorothiazide. He works as a carpet installer. He drinks two to three beers... |
ms-train-341 | A 37-year-old man comes to the physician because of increasing swelling and pain of his right knee for the past month. He has not had any trauma to the knee or previous problems with his joints. He has hypertension. His only medication is hydrochlorothiazide. He works as a carpet installer. He drinks two to three beers... | 0 | A 37-year-old man comes to the physician because of increasing swelling and pain of his right knee for the past month.
1 | He has not had any trauma to the knee or previous problems with his joints.
2 | He has hypertension.
3 | His only medication is hydrochlorothiazide.
4 | He works as a carpet installer.
5 | He d... | false | NA | -1 | NA. | NA. | NA |
ms-train-342 | A 19-year-old woman is brought to the emergency department by ambulance 30 minutes after her neighbor found her unconscious on a running trail. Her neighbor reports that she has been training for a marathon since the beginning of the summer. She is alert and oriented but becomes irritable when realizing that she is at ... | 0 | A 19-year-old woman is brought to the emergency department by ambulance 30 minutes after her neighbor found her unconscious on a running trail.
1 | Her neighbor reports that she has been training for a marathon since the beginning of the summer.
2 | She is alert and oriented but becomes irritable when realizing tha... | true | diagnosis | 9 | Suspected of hypothyroidism. | Suspected of anorexia nervosa. | A 19-year-old woman is brought to the emergency department by ambulance 30 minutes after her neighbor found her unconscious on a running trail. Her neighbor reports that she has been training for a marathon since the beginning of the summer. She is alert and oriented but becomes irritable when realizing that she is at ... |
ms-train-343 | A 19-year-old woman is brought to the emergency department by ambulance 30 minutes after her neighbor found her unconscious on a running trail. Her neighbor reports that she has been training for a marathon since the beginning of the summer. She is alert and oriented but becomes irritable when realizing that she is at ... | 0 | A 19-year-old woman is brought to the emergency department by ambulance 30 minutes after her neighbor found her unconscious on a running trail.
1 | Her neighbor reports that she has been training for a marathon since the beginning of the summer.
2 | She is alert and oriented but becomes irritable when realizing tha... | false | NA | -1 | NA. | NA. | NA |
ms-train-344 | A 34-year-old man comes to the physician because of a 3-week history of left testicular swelling. He has no pain. He underwent a left inguinal hernia repair as a child. He takes no medications. He appears healthy. His vital signs are within normal limits. Examination shows an enlarged, nontender left testicle. When the... | 0 | A 34-year-old man comes to the physician because of a 3-week history of left testicular swelling.
1 | He has no pain.
2 | He underwent a left inguinal hernia repair as a child.
3 | He takes no medications.
4 | He appears healthy.
5 | His vital signs are within normal limits.
6 | Examination shows an enlarged, nonte... | true | diagnosis | 9 | Suspected of teratoma. | Suspected of seminoma. | A 34-year-old man comes to the physician because of a 3-week history of left testicular swelling. He has no pain. He underwent a left inguinal hernia repair as a child. He takes no medications. He appears healthy. His vital signs are within normal limits. Examination shows an enlarged, nontender left testicle. When the... |
ms-train-345 | A 34-year-old man comes to the physician because of a 3-week history of left testicular swelling. He has no pain. He underwent a left inguinal hernia repair as a child. He takes no medications. He appears healthy. His vital signs are within normal limits. Examination shows an enlarged, nontender left testicle. When the... | 0 | A 34-year-old man comes to the physician because of a 3-week history of left testicular swelling.
1 | He has no pain.
2 | He underwent a left inguinal hernia repair as a child.
3 | He takes no medications.
4 | He appears healthy.
5 | His vital signs are within normal limits.
6 | Examination shows an enlarged, nonte... | false | NA | -1 | NA. | NA. | NA |
ms-train-346 | A 24-year-old woman comes to the physician because of a 2-month history of increased urination. She has also had dry mouth and excessive thirst despite drinking several gallons of water daily. She has a history of obsessive-compulsive disorder treated with citalopram. She drinks 1-2 cans of beer daily. Physical examina... | 0 | A 24-year-old woman comes to the physician because of a 2-month history of increased urination.
1 | She has also had dry mouth and excessive thirst despite drinking several gallons of water daily.
2 | She has a history of obsessive-compulsive disorder treated with citalopram.
3 | She drinks 1-2 cans of beer daily.
... | true | diagnosis | 9 | Patient is diagnosed with beer potomania. | Patient is diagnosed with primary polydipsia. | A 24-year-old woman comes to the physician because of a 2-month history of increased urination. She has also had dry mouth and excessive thirst despite drinking several gallons of water daily. She has a history of obsessive-compulsive disorder treated with citalopram. She drinks 1-2 cans of beer daily. Physical examina... |
ms-train-347 | A 24-year-old woman comes to the physician because of a 2-month history of increased urination. She has also had dry mouth and excessive thirst despite drinking several gallons of water daily. She has a history of obsessive-compulsive disorder treated with citalopram. She drinks 1-2 cans of beer daily. Physical examina... | 0 | A 24-year-old woman comes to the physician because of a 2-month history of increased urination.
1 | She has also had dry mouth and excessive thirst despite drinking several gallons of water daily.
2 | She has a history of obsessive-compulsive disorder treated with citalopram.
3 | She drinks 1-2 cans of beer daily.
... | false | NA | -1 | NA. | NA. | NA |
ms-train-348 | A 32-year-old woman gravida 2, para 1, at 35 weeks' gestation is admitted to the hospital 1 hour after spontaneous rupture of membranes. She has had mild abdominal discomfort and nausea for a day. Her pregnancy has been complicated by gestational diabetes, which is controlled with a strict diet. Her first child was del... | 0 | A 32-year-old woman gravida 2, para 1, at 35 weeks' gestation is admitted to the hospital 1 hour after spontaneous rupture of membranes.
1 | She has had mild abdominal discomfort and nausea for a day.
2 | Her pregnancy has been complicated by gestational diabetes, which is controlled with a strict diet.
3 | Her fir... | true | diagnosis | 11 | Patient was diagnosed with a uterine rupture based on the following findings. | Patient was diagnosed with a chorioamnionitis based on the following findings. | A 32-year-old woman gravida 2, para 1, at 35 weeks' gestation is admitted to the hospital 1 hour after spontaneous rupture of membranes. She has had mild abdominal discomfort and nausea for a day. Her pregnancy has been complicated by gestational diabetes, which is controlled with a strict diet. Her first child was del... |
ms-train-349 | A 32-year-old woman gravida 2, para 1, at 35 weeks' gestation is admitted to the hospital 1 hour after spontaneous rupture of membranes. She has had mild abdominal discomfort and nausea for a day. Her pregnancy has been complicated by gestational diabetes, which is controlled with a strict diet. Her first child was del... | 0 | A 32-year-old woman gravida 2, para 1, at 35 weeks' gestation is admitted to the hospital 1 hour after spontaneous rupture of membranes.
1 | She has had mild abdominal discomfort and nausea for a day.
2 | Her pregnancy has been complicated by gestational diabetes, which is controlled with a strict diet.
3 | Her fir... | false | NA | -1 | NA. | NA. | NA |
ms-train-350 | A 65-year-old man is brought to the emergency department after coughing up copious amounts of blood-tinged sputum at his nursing home. He recently had an upper respiratory tract infection that was treated with antibiotics. He has a long-standing history of productive cough that has worsened since he had a stroke 3 year... | 0 | A 65-year-old man is brought to the emergency department after coughing up copious amounts of blood-tinged sputum at his nursing home.
1 | He recently had an upper respiratory tract infection that was treated with antibiotics.
2 | He has a long-standing history of productive cough that has worsened since he had a s... | true | diagnosis | 10 | Diagnosis is chronic bronchitis. | Diagnosis is bronchiectasis. | A 65-year-old man is brought to the emergency department after coughing up copious amounts of blood-tinged sputum at his nursing home. He recently had an upper respiratory tract infection that was treated with antibiotics. He has a long-standing history of productive cough that has worsened since he had a stroke 3 year... |
ms-train-351 | A 65-year-old man is brought to the emergency department after coughing up copious amounts of blood-tinged sputum at his nursing home. He recently had an upper respiratory tract infection that was treated with antibiotics. He has a long-standing history of productive cough that has worsened since he had a stroke 3 year... | 0 | A 65-year-old man is brought to the emergency department after coughing up copious amounts of blood-tinged sputum at his nursing home.
1 | He recently had an upper respiratory tract infection that was treated with antibiotics.
2 | He has a long-standing history of productive cough that has worsened since he had a s... | false | NA | -1 | NA. | NA. | NA |
ms-train-352 | A 3-year-old boy is brought to the physician by his mother because of a 2-week history of generalized fatigue, intermittent fever, and occasional bleeding from his nose. His temperature is 38.3 C (100.9 F). He appears pale. Physical examination shows cervical lymphadenopathy and multiple petechiae on his trunk. The spl... | 0 | A 3-year-old boy is brought to the physician by his mother because of a 2-week history of generalized fatigue, intermittent fever, and occasional bleeding from his nose.
1 | His temperature is 38.3 C (100.9 F).
2 | He appears pale.
3 | Physical examination shows cervical lymphadenopathy and multiple petechiae on hi... | true | diagnosis | 6 | Patient was diagnosed with acute myelomonocytic leukemia, based on a bone marrow aspirate predominantly showing immature leukocytes that stain positive for CD10, CD19, and terminal deoxynucleotidyl transferase (TdT), and negative for myeloperoxidase. | Patient was diagnosed with pre-B-cell acute lymphoblastic leukemia, based on a bone marrow aspirate predominantly showing immature leukocytes that stain positive for CD10, CD19, and terminal deoxynucleotidyl transferase (TdT), and negative for myeloperoxidase. | A 3-year-old boy is brought to the physician by his mother because of a 2-week history of generalized fatigue, intermittent fever, and occasional bleeding from his nose. His temperature is 38.3 C (100.9 F). He appears pale. Physical examination shows cervical lymphadenopathy and multiple petechiae on his trunk. The spl... |
ms-train-353 | A 3-year-old boy is brought to the physician by his mother because of a 2-week history of generalized fatigue, intermittent fever, and occasional bleeding from his nose. His temperature is 38.3 C (100.9 F). He appears pale. Physical examination shows cervical lymphadenopathy and multiple petechiae on his trunk. The spl... | 0 | A 3-year-old boy is brought to the physician by his mother because of a 2-week history of generalized fatigue, intermittent fever, and occasional bleeding from his nose.
1 | His temperature is 38.3 C (100.9 F).
2 | He appears pale.
3 | Physical examination shows cervical lymphadenopathy and multiple petechiae on hi... | false | NA | -1 | NA. | NA. | NA |
ms-train-354 | An obese 63-year-old man comes to the physician because of 3 episodes of red urine over the past week. He has also had recurrent headaches and intermittent blurry vision during the past month. He has benign prostatic hyperplasia. He works as an attendant at a gas station. The patient has smoked one pack of cigarettes d... | 0 | An obese 63-year-old man comes to the physician because of 3 episodes of red urine over the past week.
1 | He has also had recurrent headaches and intermittent blurry vision during the past month.
2 | He has benign prostatic hyperplasia.
3 | He works as an attendant at a gas station.
4 | The patient has smoked one ... | true | diagnosis | 19 | Patient was diagnosed with pyelonephritis. | Patient was diagnosed with renal cell carcinoma. | An obese 63-year-old man comes to the physician because of 3 episodes of red urine over the past week. He has also had recurrent headaches and intermittent blurry vision during the past month. He has benign prostatic hyperplasia. He works as an attendant at a gas station. The patient has smoked one pack of cigarettes d... |
ms-train-355 | An obese 63-year-old man comes to the physician because of 3 episodes of red urine over the past week. He has also had recurrent headaches and intermittent blurry vision during the past month. He has benign prostatic hyperplasia. He works as an attendant at a gas station. The patient has smoked one pack of cigarettes d... | 0 | An obese 63-year-old man comes to the physician because of 3 episodes of red urine over the past week.
1 | He has also had recurrent headaches and intermittent blurry vision during the past month.
2 | He has benign prostatic hyperplasia.
3 | He works as an attendant at a gas station.
4 | The patient has smoked one ... | false | NA | -1 | NA. | NA. | NA |
ms-train-356 | A 3-month-old boy is brought to the physician by his parents for the evaluation of a rash on his scalp and forehead. The parents report that the rash has been present for several weeks. They state that the rash is sometimes red and scaly, especially when it is cold. The patient was born at 36 weeks' gestation and has g... | 0 | A 3-month-old boy is brought to the physician by his parents for the evaluation of a rash on his scalp and forehead.
1 | The parents report that the rash has been present for several weeks.
2 | They state that the rash is sometimes red and scaly, especially when it is cold.
3 | The patient was born at 36 weeks' ges... | true | diagnosis | 6 | Based on the exam, the patient was diagnosed with psoriasis. | Based on the exam, the patient was diagnosed with seborrheic dermatitis. | A 3-month-old boy is brought to the physician by his parents for the evaluation of a rash on his scalp and forehead. The parents report that the rash has been present for several weeks. They state that the rash is sometimes red and scaly, especially when it is cold. The patient was born at 36 weeks' gestation and has g... |
ms-train-357 | A 3-month-old boy is brought to the physician by his parents for the evaluation of a rash on his scalp and forehead. The parents report that the rash has been present for several weeks. They state that the rash is sometimes red and scaly, especially when it is cold. The patient was born at 36 weeks' gestation and has g... | 0 | A 3-month-old boy is brought to the physician by his parents for the evaluation of a rash on his scalp and forehead.
1 | The parents report that the rash has been present for several weeks.
2 | They state that the rash is sometimes red and scaly, especially when it is cold.
3 | The patient was born at 36 weeks' ges... | false | NA | -1 | NA. | NA. | NA |
ms-train-358 | A 16-year-old girl comes to the physician because she is worried about gaining weight. She reports that at least twice a week, she eats excessive amounts of food but feels ashamed about losing control soon after. She is very active in her high school's tennis team and goes running daily to lose weight. She has a histor... | 0 | A 16-year-old girl comes to the physician because she is worried about gaining weight.
1 | She reports that at least twice a week, she eats excessive amounts of food but feels ashamed about losing control soon after.
2 | She is very active in her high school's tennis team and goes running daily to lose weight.
3 | ... | true | diagnosis | 8 | Diagnosis is anorexia nervosa. | Diagnosis is bulimia nervosa. | A 16-year-old girl comes to the physician because she is worried about gaining weight. She reports that at least twice a week, she eats excessive amounts of food but feels ashamed about losing control soon after. She is very active in her high school's tennis team and goes running daily to lose weight. She has a histor... |
ms-train-359 | A 16-year-old girl comes to the physician because she is worried about gaining weight. She reports that at least twice a week, she eats excessive amounts of food but feels ashamed about losing control soon after. She is very active in her high school's tennis team and goes running daily to lose weight. She has a histor... | 0 | A 16-year-old girl comes to the physician because she is worried about gaining weight.
1 | She reports that at least twice a week, she eats excessive amounts of food but feels ashamed about losing control soon after.
2 | She is very active in her high school's tennis team and goes running daily to lose weight.
3 | ... | false | NA | -1 | NA. | NA. | NA |
ms-train-360 | A 61-year-old man comes to the physician because of a 2-month history of a cough productive of clear mucoid sputum. He has smoked one pack of cigarettes daily for 33 years. Physical examination shows no abnormalities. Chest x-ray shows a 2-cm solid nodule in the periphery of the lower left lobe. A bronchial biopsy of t... | 0 | A 61-year-old man comes to the physician because of a 2-month history of a cough productive of clear mucoid sputum.
1 | He has smoked one pack of cigarettes daily for 33 years.
2 | Physical examination shows no abnormalities.
3 | Chest x-ray shows a 2-cm solid nodule in the periphery of the lower left lobe.
4 | A b... | true | diagnosis | 4 | A bronchial biopsy of the mass confirms a carcinoid tumor showing numerous mucin-filled epithelial cells lining the alveolar basement membrane. | A bronchial biopsy of the mass confirms a adenocarcinoma in situ showing numerous mucin-filled epithelial cells lining the alveolar basement membrane. | A 61-year-old man comes to the physician because of a 2-month history of a cough productive of clear mucoid sputum. He has smoked one pack of cigarettes daily for 33 years. Physical examination shows no abnormalities. Chest x-ray shows a 2-cm solid nodule in the periphery of the lower left lobe. A bronchial biopsy of t... |
ms-train-361 | A 61-year-old man comes to the physician because of a 2-month history of a cough productive of clear mucoid sputum. He has smoked one pack of cigarettes daily for 33 years. Physical examination shows no abnormalities. Chest x-ray shows a 2-cm solid nodule in the periphery of the lower left lobe. A bronchial biopsy of t... | 0 | A 61-year-old man comes to the physician because of a 2-month history of a cough productive of clear mucoid sputum.
1 | He has smoked one pack of cigarettes daily for 33 years.
2 | Physical examination shows no abnormalities.
3 | Chest x-ray shows a 2-cm solid nodule in the periphery of the lower left lobe.
4 | A b... | false | NA | -1 | NA. | NA. | NA |
ms-train-362 | A 13-year-old boy is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with his sleep. His mother has been giving him ibuprofen at night for "growing pains," but his symptoms have not improved. One week before the pain started, the patient was hit in the thigh by... | 0 | A 13-year-old boy is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with his sleep.
1 | His mother has been giving him ibuprofen at night for "growing pains," but his symptoms have not improved.
2 | One week before the pain started, the patient was hit in ... | true | diagnosis | 9 | Pathology results pending to confirm chondrosarcoma. | Pathology results pending to confirm Ewing sarcoma. | A 13-year-old boy is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with his sleep. His mother has been giving him ibuprofen at night for "growing pains," but his symptoms have not improved. One week before the pain started, the patient was hit in the thigh by... |
ms-train-363 | A 34-year-old woman presents to the clinic complaining of a rash that appeared on her left forearm after a scratch three days ago. This is not the first time she has experienced such a rash, as the patient states she had a similar looking lesion on her elbows three years ago. Upon further questioning, she states that h... | 0 | A 34-year-old woman presents to the clinic complaining of a rash that appeared on her left forearm after a scratch three days ago.
1 | This is not the first time she has experienced such a rash, as the patient states she had a similar looking lesion on her elbows three years ago.
2 | Upon further questioning, she s... | true | diagnosis | 3 | Patient is diagnosed with lichen planus because on physical exam you find a circular and scaly, pearl-colored rash superimposed over an abrasion on her left forearm (Figure A). | Patient is diagnosed with psoriasis because on physical exam you find a circular and scaly, pearl-colored rash superimposed over an abrasion on her left forearm (Figure A). | A 34-year-old woman presents to the clinic complaining of a rash that appeared on her left forearm after a scratch three days ago. This is not the first time she has experienced such a rash, as the patient states she had a similar looking lesion on her elbows three years ago. Upon further questioning, she states that h... |
ms-train-364 | A 34-year-old woman presents to the clinic complaining of a rash that appeared on her left forearm after a scratch three days ago. This is not the first time she has experienced such a rash, as the patient states she had a similar looking lesion on her elbows three years ago. Upon further questioning, she states that h... | 0 | A 34-year-old woman presents to the clinic complaining of a rash that appeared on her left forearm after a scratch three days ago.
1 | This is not the first time she has experienced such a rash, as the patient states she had a similar looking lesion on her elbows three years ago.
2 | Upon further questioning, she s... | false | NA | -1 | NA. | NA. | NA |
ms-train-365 | A 64-year-old woman comes to the physician because of a 7.2-kg (16-lb) weight loss over the past 6 months. For the last 4 weeks, she has also had intermittent constipation and bloating. Four months ago, she spent 2 weeks in Mexico with her daughter. She has never smoked. She drinks one glass of wine daily. She appears ... | 0 | A 64-year-old woman comes to the physician because of a 7.2-kg (16-lb) weight loss over the past 6 months.
1 | For the last 4 weeks, she has also had intermittent constipation and bloating.
2 | Four months ago, she spent 2 weeks in Mexico with her daughter.
3 | She has never smoked.
4 | She drinks one glass of wine... | true | diagnosis | 17 | Patient was diagnosed with hepatocellular carcinoma. | Patient was diagnosed with metastatic colorectal cancer. | A 64-year-old woman comes to the physician because of a 7.2-kg (16-lb) weight loss over the past 6 months. For the last 4 weeks, she has also had intermittent constipation and bloating. Four months ago, she spent 2 weeks in Mexico with her daughter. She has never smoked. She drinks one glass of wine daily. She appears ... |
ms-train-366 | A 64-year-old woman comes to the physician because of a 7.2-kg (16-lb) weight loss over the past 6 months. For the last 4 weeks, she has also had intermittent constipation and bloating. Four months ago, she spent 2 weeks in Mexico with her daughter. She has never smoked. She drinks one glass of wine daily. She appears ... | 0 | A 64-year-old woman comes to the physician because of a 7.2-kg (16-lb) weight loss over the past 6 months.
1 | For the last 4 weeks, she has also had intermittent constipation and bloating.
2 | Four months ago, she spent 2 weeks in Mexico with her daughter.
3 | She has never smoked.
4 | She drinks one glass of wine... | false | NA | -1 | NA. | NA. | NA |
ms-train-367 | A 72-year-old man with a history of chronic kidney disease presents to his primary care physician complaining of recurrent chest pain with activity. The patient used to have chest pain when he mowed his lawn. Now he gets chest pain whenever he walks short distances such as to get his mail. The pain resolves on its own ... | 0 | A 72-year-old man with a history of chronic kidney disease presents to his primary care physician complaining of recurrent chest pain with activity.
1 | The patient used to have chest pain when he mowed his lawn.
2 | Now he gets chest pain whenever he walks short distances such as to get his mail.
3 | The pain reso... | true | diagnosis | 6 | Patient is diagnosed with stable angina after an initial ECG is unchanged from a previous ECG, and the patient's first troponin is 0.06 ng/mL which is unchanged from previous troponins. | Patient is diagnosed with unstable angina after an initial ECG is unchanged from a previous ECG, and the patient's first troponin is 0.06 ng/mL which is unchanged from previous troponins. | A 72-year-old man with a history of chronic kidney disease presents to his primary care physician complaining of recurrent chest pain with activity. The patient used to have chest pain when he mowed his lawn. Now he gets chest pain whenever he walks short distances such as to get his mail. The pain resolves on its own ... |
ms-train-368 | A 72-year-old man with a history of chronic kidney disease presents to his primary care physician complaining of recurrent chest pain with activity. The patient used to have chest pain when he mowed his lawn. Now he gets chest pain whenever he walks short distances such as to get his mail. The pain resolves on its own ... | 0 | A 72-year-old man with a history of chronic kidney disease presents to his primary care physician complaining of recurrent chest pain with activity.
1 | The patient used to have chest pain when he mowed his lawn.
2 | Now he gets chest pain whenever he walks short distances such as to get his mail.
3 | The pain reso... | false | NA | -1 | NA. | NA. | NA |
ms-train-369 | A 36-year-old primigravid woman comes to the physician for a prenatal visit at 14 weeks' gestation. She has had episodic headaches over the past month. At home, blood pressure measurements have ranged from 134/82 mm Hg to 148/94 mm Hg. Today, her blood pressure is 146/91 mm Hg. Pelvic examination shows a uterus consist... | 0 | A 36-year-old primigravid woman comes to the physician for a prenatal visit at 14 weeks' gestation.
1 | She has had episodic headaches over the past month.
2 | At home, blood pressure measurements have ranged from 134/82 mm Hg to 148/94 mm Hg.
3 | Today, her blood pressure is 146/91 mm Hg.
4 | Pelvic examination sh... | true | diagnosis | 7 | Patient is diagnosed with gestational hypertension. | Patient is diagnosed with chronic hypertension. | A 36-year-old primigravid woman comes to the physician for a prenatal visit at 14 weeks' gestation. She has had episodic headaches over the past month. At home, blood pressure measurements have ranged from 134/82 mm Hg to 148/94 mm Hg. Today, her blood pressure is 146/91 mm Hg. Pelvic examination shows a uterus consist... |
ms-train-370 | A 36-year-old primigravid woman with chronic hypertension comes to the physician for a prenatal visit at 14 weeks' gestation. She has had episodic headaches over the past month. At home, blood pressure measurements have ranged from 134/82 mm Hg to 148/94 mm Hg. Today, her blood pressure is 146/91 mm Hg. Pelvic examinat... | 0 | A 36-year-old primigravid woman with chronic hypertension comes to the physician for a prenatal visit at 14 weeks' gestation.
1 | She has had episodic headaches over the past month.
2 | At home, blood pressure measurements have ranged from 134/82 mm Hg to 148/94 mm Hg.
3 | Today, her blood pressure is 146/91 mm Hg.... | false | NA | -1 | NA. | NA. | NA |
ms-train-371 | A 28-year-old woman is brought to the emergency department after being found in a confused state on an interstate rest area in Florida. She is unable to recall her name, address, or any other information regarding her person. She denies being the woman on a Connecticut driver's license found in her wallet. A telephone ... | 0 | A 28-year-old woman is brought to the emergency department after being found in a confused state on an interstate rest area in Florida.
1 | She is unable to recall her name, address, or any other information regarding her person.
2 | She denies being the woman on a Connecticut driver's license found in her wallet.
... | true | diagnosis | 5 | Her diagnosis is depersonalization disorder. | Her diagnosis is dissociative amnesia with dissociative fugue. | A 28-year-old woman is brought to the emergency department after being found in a confused state on an interstate rest area in Florida. She is unable to recall her name, address, or any other information regarding her person. She denies being the woman on a Connecticut driver's license found in her wallet. A telephone ... |
ms-train-372 | A 28-year-old woman is brought to the emergency department after being found in a confused state on an interstate rest area in Florida. She is unable to recall her name, address, or any other information regarding her person. She denies being the woman on a Connecticut driver's license found in her wallet. A telephone ... | 0 | A 28-year-old woman is brought to the emergency department after being found in a confused state on an interstate rest area in Florida.
1 | She is unable to recall her name, address, or any other information regarding her person.
2 | She denies being the woman on a Connecticut driver's license found in her wallet.
... | false | NA | -1 | NA. | NA. | NA |
ms-train-373 | A 19-year-old woman undergoes an laparoscopic appendectomy for acute appendicitis. During the procedure, a black, discolored liver is noted. Other than the recent appendicitis, the patient has no history of serious illness and takes no medications. She has no medication allergies. She does not drink alcohol or use illi... | 0 | A 19-year-old woman undergoes an laparoscopic appendectomy for acute appendicitis.
1 | During the procedure, a black, discolored liver is noted.
2 | Other than the recent appendicitis, the patient has no history of serious illness and takes no medications.
3 | She has no medication allergies.
4 | She does not drink... | true | diagnosis | 15 | Diagnosis is Gilbert syndrome. | Diagnosis is Dubin-Johnson syndrome. | A 19-year-old woman undergoes an laparoscopic appendectomy for acute appendicitis. During the procedure, a black, discolored liver is noted. Other than the recent appendicitis, the patient has no history of serious illness and takes no medications. She has no medication allergies. She does not drink alcohol or use illi... |
ms-train-374 | A 19-year-old woman undergoes an laparoscopic appendectomy for acute appendicitis. During the procedure, a black, discolored liver is noted. Other than the recent appendicitis, the patient has no history of serious illness and takes no medications. She has no medication allergies. She does not drink alcohol or use illi... | 0 | A 19-year-old woman undergoes an laparoscopic appendectomy for acute appendicitis.
1 | During the procedure, a black, discolored liver is noted.
2 | Other than the recent appendicitis, the patient has no history of serious illness and takes no medications.
3 | She has no medication allergies.
4 | She does not drink... | false | NA | -1 | NA. | NA. | NA |
ms-train-375 | A 2-day old male newborn delivered vaginally at 36 weeks to a 29-year-old woman, gravida 3, para 2, has generalized convulsions lasting 2 minutes. Previous to the event, he had difficulty feeding and was lethargic. Pregnancy and delivery were uncomplicated. Apgar scores were 7 and 8 at 1 and 5 minutes, respectively. Pr... | 0 | A 2-day old male newborn delivered vaginally at 36 weeks to a 29-year-old woman, gravida 3, para 2, has generalized convulsions lasting 2 minutes.
1 | Previous to the event, he had difficulty feeding and was lethargic.
2 | Pregnancy and delivery were uncomplicated.
3 | Apgar scores were 7 and 8 at 1 and 5 minutes, ... | true | diagnosis | 12 | Suspected of congenital CMV infection. | Suspected of congenital toxoplasmosis. | A 2-day old male newborn delivered vaginally at 36 weeks to a 29-year-old woman, gravida 3, para 2, has generalized convulsions lasting 2 minutes. Previous to the event, he had difficulty feeding and was lethargic. Pregnancy and delivery were uncomplicated. Apgar scores were 7 and 8 at 1 and 5 minutes, respectively. Pr... |
ms-train-376 | A 2-day old male newborn delivered vaginally at 36 weeks to a 29-year-old woman, gravida 3, para 2, has generalized convulsions lasting 2 minutes. Previous to the event, he had difficulty feeding and was lethargic. Pregnancy and delivery were uncomplicated. Apgar scores were 7 and 8 at 1 and 5 minutes, respectively. Pr... | 0 | A 2-day old male newborn delivered vaginally at 36 weeks to a 29-year-old woman, gravida 3, para 2, has generalized convulsions lasting 2 minutes.
1 | Previous to the event, he had difficulty feeding and was lethargic.
2 | Pregnancy and delivery were uncomplicated.
3 | Apgar scores were 7 and 8 at 1 and 5 minutes, ... | false | NA | -1 | NA. | NA. | NA |
ms-train-377 | A 37-year-old woman comes to the physician because of oligomenorrhea and intermittent vaginal spotting for 5 months. Menses previously occurred at regular 28-day intervals and lasted for 5 days with normal flow. She has also noted increased hair growth on her chin. She is not sexually active. She takes no medications. ... | 0 | A 37-year-old woman comes to the physician because of oligomenorrhea and intermittent vaginal spotting for 5 months.
1 | Menses previously occurred at regular 28-day intervals and lasted for 5 days with normal flow.
2 | She has also noted increased hair growth on her chin.
3 | She is not sexually active.
4 | She ta... | true | diagnosis | 10 | Suspected of granulosa cell tumor. | Suspected of Sertoli-Leydig cell tumor. | A 37-year-old woman comes to the physician because of oligomenorrhea and intermittent vaginal spotting for 5 months. Menses previously occurred at regular 28-day intervals and lasted for 5 days with normal flow. She has also noted increased hair growth on her chin. She is not sexually active. She takes no medications. ... |
ms-train-378 | A 21-year-old woman comes to the physician because of multiple painful, purulent ulcers she noticed on her vulva 2 days ago. The patient has not had fever or burning with urination. She has no history of similar lesions. She had a chlamydial infection at 17 years of age that was treated with antibiotics. Her immunizati... | 0 | A 21-year-old woman comes to the physician because of multiple painful, purulent ulcers she noticed on her vulva 2 days ago.
1 | The patient has not had fever or burning with urination.
2 | She has no history of similar lesions.
3 | She had a chlamydial infection at 17 years of age that was treated with antibiotics... | true | diagnosis | 7 | Based on exam, patient was diagnosed with genital herpes. | Based on exam, patient was diagnosed with a chancroid. | A 21-year-old woman comes to the physician because of multiple painful, purulent ulcers she noticed on her vulva 2 days ago. The patient has not had fever or burning with urination. She has no history of similar lesions. She had a chlamydial infection at 17 years of age that was treated with antibiotics. Her immunizati... |
ms-train-379 | A 21-year-old woman comes to the physician because of multiple painful, purulent ulcers she noticed on her vulva 2 days ago. The patient has not had fever or burning with urination. She has no history of similar lesions. She had a chlamydial infection at 17 years of age that was treated with antibiotics. Her immunizati... | 0 | A 21-year-old woman comes to the physician because of multiple painful, purulent ulcers she noticed on her vulva 2 days ago.
1 | The patient has not had fever or burning with urination.
2 | She has no history of similar lesions.
3 | She had a chlamydial infection at 17 years of age that was treated with antibiotics... | false | NA | -1 | NA. | NA. | NA |
ms-train-380 | A 52-year-old woman with type 2 diabetes mellitus comes to the physician because of a 2-day history of blisters on her forearms and pain during sexual intercourse. Her only medications are metformin and glyburide. Examination reveals multiple, flaccid blisters on the volar surface of the forearms and ulcers on the bucc... | 0 | A 52-year-old woman with type 2 diabetes mellitus comes to the physician because of a 2-day history of blisters on her forearms and pain during sexual intercourse.
1 | Her only medications are metformin and glyburide.
2 | Examination reveals multiple, flaccid blisters on the volar surface of the forearms and ulcers... | true | diagnosis | 4 | The patient is diagnsoed with Behcet disease. | The patient is diagnsoed with pemphigus vulgaris. | A 52-year-old woman with type 2 diabetes mellitus comes to the physician because of a 2-day history of blisters on her forearms and pain during sexual intercourse. Her only medications are metformin and glyburide. Examination reveals multiple, flaccid blisters on the volar surface of the forearms and ulcers on the bucc... |
ms-train-381 | A 52-year-old woman with type 2 diabetes mellitus comes to the physician because of a 2-day history of blisters on her forearms and pain during sexual intercourse. Her only medications are metformin and glyburide. Patient is diagnosed with pemphigus vulgaris after examination reveals multiple, flaccid blisters on the v... | 0 | A 52-year-old woman with type 2 diabetes mellitus comes to the physician because of a 2-day history of blisters on her forearms and pain during sexual intercourse.
1 | Her only medications are metformin and glyburide.
2 | Patient is diagnosed with pemphigus vulgaris after examination reveals multiple, flaccid blist... | false | NA | -1 | NA. | NA. | NA |
ms-train-382 | A 56-year-old woman is brought to the emergency department by her husband because of slurred speech and left facial droop for the past 30 minutes. During this period, she has also had numbness on the left side of her face. She has never had such an episode before. She has hypertension, hypercholesterolemia, and type 2 ... | 0 | A 56-year-old woman is brought to the emergency department by her husband because of slurred speech and left facial droop for the past 30 minutes.
1 | During this period, she has also had numbness on the left side of her face.
2 | She has never had such an episode before.
3 | She has hypertension, hypercholesterole... | true | diagnosis | 19 | Suspected of embolic stroke. | Suspected of transient ischemic attack. | A 56-year-old woman is brought to the emergency department by her husband because of slurred speech and left facial droop for the past 30 minutes. During this period, she has also had numbness on the left side of her face. She has never had such an episode before. She has hypertension, hypercholesterolemia, and type 2 ... |
ms-train-383 | A 56-year-old woman is brought to the emergency department by her husband because of slurred speech and left facial droop for the past 30 minutes. During this period, she has also had numbness on the left side of her face. She has never had such an episode before. She has hypertension, hypercholesterolemia, and type 2 ... | 0 | A 56-year-old woman is brought to the emergency department by her husband because of slurred speech and left facial droop for the past 30 minutes.
1 | During this period, she has also had numbness on the left side of her face.
2 | She has never had such an episode before.
3 | She has hypertension, hypercholesterole... | false | NA | -1 | NA. | NA. | NA |
ms-train-384 | A 19-year-old woman, gravida 1, para 0, at 21 weeks' gestation comes to the physician for a follow-up prenatal visit. At her previous appointment, her serum α-fetoprotein concentration was elevated. She had smoked 1 pack of cigarettes daily for 3 years but quit at 6 weeks' gestation. Examination shows a uterus consiste... | 0 | A 19-year-old woman, gravida 1, para 0, at 21 weeks' gestation comes to the physician for a follow-up prenatal visit.
1 | At her previous appointment, her serum α-fetoprotein concentration was elevated.
2 | She had smoked 1 pack of cigarettes daily for 3 years but quit at 6 weeks' gestation.
3 | Examination shows a... | true | diagnosis | 5 | Fetus is diagnosed with omphalocele. | Fetus is diagnosed with gastroschisis. | A 19-year-old woman, gravida 1, para 0, at 21 weeks' gestation comes to the physician for a follow-up prenatal visit. At her previous appointment, her serum α-fetoprotein concentration was elevated. She had smoked 1 pack of cigarettes daily for 3 years but quit at 6 weeks' gestation. Examination shows a uterus consiste... |
ms-train-385 | A 19-year-old woman, gravida 1, para 0, at 21 weeks' gestation comes to the physician for a follow-up prenatal visit. At her previous appointment, her serum α-fetoprotein concentration was elevated. She had smoked 1 pack of cigarettes daily for 3 years but quit at 6 weeks' gestation. Examination shows a uterus consiste... | 0 | A 19-year-old woman, gravida 1, para 0, at 21 weeks' gestation comes to the physician for a follow-up prenatal visit.
1 | At her previous appointment, her serum α-fetoprotein concentration was elevated.
2 | She had smoked 1 pack of cigarettes daily for 3 years but quit at 6 weeks' gestation.
3 | Examination shows a... | false | NA | -1 | NA. | NA. | NA |
ms-train-386 | A 72-year-old man is brought to the physician by his wife for forgetfulness, confusion, and mood changes for the past 4 months. His symptoms started with misplacing items such as his wallet and keys around the house. Two months ago, he became unable to manage their finances as it became too difficult for him. Last week... | 0 | A 72-year-old man is brought to the physician by his wife for forgetfulness, confusion, and mood changes for the past 4 months.
1 | His symptoms started with misplacing items such as his wallet and keys around the house.
2 | Two months ago, he became unable to manage their finances as it became too difficult for hi... | true | diagnosis | 10 | Suspected of Alzheimer's disease. | Suspected of vascular dementia. | A 72-year-old man is brought to the physician by his wife for forgetfulness, confusion, and mood changes for the past 4 months. His symptoms started with misplacing items such as his wallet and keys around the house. Two months ago, he became unable to manage their finances as it became too difficult for him. Last week... |
ms-train-387 | A 72-year-old man is brought to the physician by his wife for forgetfulness, confusion, and mood changes for the past 4 months. His symptoms started with misplacing items such as his wallet and keys around the house. Two months ago, he became unable to manage their finances as it became too difficult for him. Last week... | 0 | A 72-year-old man is brought to the physician by his wife for forgetfulness, confusion, and mood changes for the past 4 months.
1 | His symptoms started with misplacing items such as his wallet and keys around the house.
2 | Two months ago, he became unable to manage their finances as it became too difficult for hi... | false | NA | -1 | NA. | NA. | NA |
ms-train-388 | A 58-year-old man comes to the physician because of a 3-month history of diffuse muscle pain, malaise, pain in both knees, recurrent episodes of abdominal and chest pain. He has also had a 5-kg (11-lb) weight loss over the past 4 months. Four years ago, he was diagnosed with chronic hepatitis B infection and was starte... | 0 | A 58-year-old man comes to the physician because of a 3-month history of diffuse muscle pain, malaise, pain in both knees, recurrent episodes of abdominal and chest pain.
1 | He has also had a 5-kg (11-lb) weight loss over the past 4 months.
2 | Four years ago, he was diagnosed with chronic hepatitis B infection an... | true | diagnosis | 7 | Patient was diagnosed with granulomatosis with polyangiitis. | Patient was diagnosed with granulomatosis with polyarteritis nodosa. | A 58-year-old man comes to the physician because of a 3-month history of diffuse muscle pain, malaise, pain in both knees, recurrent episodes of abdominal and chest pain. He has also had a 5-kg (11-lb) weight loss over the past 4 months. Four years ago, he was diagnosed with chronic hepatitis B infection and was starte... |
ms-train-389 | A 58-year-old man comes to the physician because of a 3-month history of diffuse muscle pain, malaise, pain in both knees, recurrent episodes of abdominal and chest pain. He has also had a 5-kg (11-lb) weight loss over the past 4 months. Four years ago, he was diagnosed with chronic hepatitis B infection and was starte... | 0 | A 58-year-old man comes to the physician because of a 3-month history of diffuse muscle pain, malaise, pain in both knees, recurrent episodes of abdominal and chest pain.
1 | He has also had a 5-kg (11-lb) weight loss over the past 4 months.
2 | Four years ago, he was diagnosed with chronic hepatitis B infection an... | false | NA | -1 | NA. | NA. | NA |
ms-train-390 | A 7-year-old girl is brought to the physician by her parents for the evaluation of pubic hair development. She has a history of a fracture in each leg and one fracture in her right arm. Her performance at school is good. There is no family history of serious illness. She takes no medications. Vital signs are within nor... | 0 | A 7-year-old girl is brought to the physician by her parents for the evaluation of pubic hair development.
1 | She has a history of a fracture in each leg and one fracture in her right arm.
2 | Her performance at school is good.
3 | There is no family history of serious illness.
4 | She takes no medications.
5 | Vi... | true | diagnosis | 8 | Congenital adrenal hyperplasia is suspected. | McCune-Albright syndrome is suspected. | A 7-year-old girl is brought to the physician by her parents for the evaluation of pubic hair development. She has a history of a fracture in each leg and one fracture in her right arm. Her performance at school is good. There is no family history of serious illness. She takes no medications. Vital signs are within nor... |
ms-train-391 | A 7-year-old girl is brought to the physician by her parents for the evaluation of pubic hair development. She has a history of a fracture in each leg and one fracture in her right arm. Her performance at school is good. There is no family history of serious illness. She takes no medications. Vital signs are within nor... | 0 | A 7-year-old girl is brought to the physician by her parents for the evaluation of pubic hair development.
1 | She has a history of a fracture in each leg and one fracture in her right arm.
2 | Her performance at school is good.
3 | There is no family history of serious illness.
4 | She takes no medications.
5 | Vi... | false | NA | -1 | NA. | NA. | NA |
ms-train-392 | A 50-year-old woman comes to the physician for a follow-up examination. Two weeks ago she was seen for adjustment of her antihypertensive regimen and prescribed lisinopril because of persistently high blood pressure readings. A complete blood count and renal function checked at her last visit were within the normal lim... | 0 | A 50-year-old woman comes to the physician for a follow-up examination.
1 | Two weeks ago she was seen for adjustment of her antihypertensive regimen and prescribed lisinopril because of persistently high blood pressure readings.
2 | A complete blood count and renal function checked at her last visit were within th... | true | diagnosis | 25 | Patient is diagnosed with primary aldosteronism. | Patient is diagnosed with renal artery stenosis. | A 50-year-old woman comes to the physician for a follow-up examination. Two weeks ago she was seen for adjustment of her antihypertensive regimen and prescribed lisinopril because of persistently high blood pressure readings. A complete blood count and renal function checked at her last visit were within the normal lim... |
ms-train-393 | A 50-year-old woman comes to the physician for a follow-up examination on primary aldosteronism. Two weeks ago she was seen for adjustment of her antihypertensive regimen and prescribed lisinopril because of persistently high blood pressure readings. A complete blood count and renal function checked at her last visit w... | 0 | A 50-year-old woman comes to the physician for a follow-up examination on primary aldosteronism.
1 | Two weeks ago she was seen for adjustment of her antihypertensive regimen and prescribed lisinopril because of persistently high blood pressure readings.
2 | A complete blood count and renal function checked at her ... | false | NA | -1 | NA. | NA. | NA |
ms-train-394 | A 33-year-old woman comes to the physician because of a 4-day history of fever and neck pain that radiates to the jaw and ears. She has also noticed swelling in the front part of her throat since the onset of the pain. She reports feeling anxious and sweating profusely over the past 2 days. She has no history of major ... | 0 | A 33-year-old woman comes to the physician because of a 4-day history of fever and neck pain that radiates to the jaw and ears.
1 | She has also noticed swelling in the front part of her throat since the onset of the pain.
2 | She reports feeling anxious and sweating profusely over the past 2 days.
3 | She has no h... | true | diagnosis | 7 | Patient was diagnosed with thyroid lymphoma based on the following findings. | Patient was diagnosed with subacute thyroiditis based on the following findings. | A 33-year-old woman comes to the physician because of a 4-day history of fever and neck pain that radiates to the jaw and ears. She has also noticed swelling in the front part of her throat since the onset of the pain. She reports feeling anxious and sweating profusely over the past 2 days. She has no history of major ... |
ms-train-395 | A 33-year-old woman comes to the physician because of a 4-day history of fever and neck pain that radiates to the jaw and ears. She has also noticed swelling in the front part of her throat since the onset of the pain. She reports feeling anxious and sweating profusely over the past 2 days. She has no history of major ... | 0 | A 33-year-old woman comes to the physician because of a 4-day history of fever and neck pain that radiates to the jaw and ears.
1 | She has also noticed swelling in the front part of her throat since the onset of the pain.
2 | She reports feeling anxious and sweating profusely over the past 2 days.
3 | She has no h... | false | NA | -1 | NA. | NA. | NA |
ms-train-396 | A 30-year-old woman, gravida 4, para 3, at 39 weeks' gestation comes to the hospital 20 minutes after the onset of vaginal bleeding. She has not received prenatal care. Her third child was delivered by lower segment transverse cesarean section because of a footling breech presentation. Her other two children were deliv... | 0 | A 30-year-old woman, gravida 4, para 3, at 39 weeks' gestation comes to the hospital 20 minutes after the onset of vaginal bleeding.
1 | She has not received prenatal care.
2 | Her third child was delivered by lower segment transverse cesarean section because of a footling breech presentation.
3 | Her other two chi... | true | diagnosis | 9 | Patient was diagnosed with placenta previa. | Patient was diagnosed with a ruptured vasa previa. | A 30-year-old woman, gravida 4, para 3, at 39 weeks' gestation comes to the hospital 20 minutes after the onset of vaginal bleeding. She has not received prenatal care. Her third child was delivered by lower segment transverse cesarean section because of a footling breech presentation. Her other two children were deliv... |
ms-train-397 | A 30-year-old woman, gravida 4, para 3, at 39 weeks' gestation comes to the hospital 20 minutes after the onset of vaginal bleeding. She has not received prenatal care. Her third child was delivered by lower segment transverse cesarean section because of a footling breech presentation. Her other two children were deliv... | 0 | A 30-year-old woman, gravida 4, para 3, at 39 weeks' gestation comes to the hospital 20 minutes after the onset of vaginal bleeding.
1 | She has not received prenatal care.
2 | Her third child was delivered by lower segment transverse cesarean section because of a footling breech presentation.
3 | Her other two chi... | false | NA | -1 | NA. | NA. | NA |
ms-train-398 | A 4-year-old boy is brought to the physician because of a generalized rash for 3 days. During this period, he has had severe itching and was not able to sleep well. He has also had fever, headache, and some muscle pain. Five days ago, he had a runny nose which subsided with over-the-counter medications. He returned fro... | 0 | A 4-year-old boy is brought to the physician because of a generalized rash for 3 days.
1 | During this period, he has had severe itching and was not able to sleep well.
2 | He has also had fever, headache, and some muscle pain.
3 | Five days ago, he had a runny nose which subsided with over-the-counter medications.... | true | diagnosis | 8 | Based on exam, patient was diagnosed with Rocky Mountain spotted fever. | Based on exam, patient was diagnosed with chickenpox. | A 4-year-old boy is brought to the physician because of a generalized rash for 3 days. During this period, he has had severe itching and was not able to sleep well. He has also had fever, headache, and some muscle pain. Five days ago, he had a runny nose which subsided with over-the-counter medications. He returned fro... |
ms-train-399 | A 4-year-old boy is brought to the physician because of a generalized rash for 3 days. During this period, he has had severe itching and was not able to sleep well. He has also had fever, headache, and some muscle pain. Five days ago, he had a runny nose which subsided with over-the-counter medications. He returned fro... | 0 | A 4-year-old boy is brought to the physician because of a generalized rash for 3 days.
1 | During this period, he has had severe itching and was not able to sleep well.
2 | He has also had fever, headache, and some muscle pain.
3 | Five days ago, he had a runny nose which subsided with over-the-counter medications.... | false | NA | -1 | NA. | NA. | NA |
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