Unnamed: 0 int64 0 5k | description stringlengths 1 492 | medical_specialty stringlengths 8 30 | sample_name stringlengths 5 69 | transcription stringlengths 11 18.4k ⌀ | keywords stringlengths 1 916 ⌀ |
|---|---|---|---|---|---|
3,300 | The patient has recently had an admission for pneumonia with positive blood count. She returned after vomiting and a probable seizure. | General Medicine | Gen Med SOAP - 11 | SUBJECTIVE:, The patient has recently had an admission for pneumonia with positive blood count. She was treated with IV antibiotics and p.o. antibiotics; she improved on that. She was at home and doing quite well for approximately 10 to 12 days when she came to the ER with a temperature of 102. She was found to hav... | general medicine, antibiotics, febrile seizure, temperature, blood count, white count, pneumonia, seizure, |
3,301 | Patient with NIDDM, hypertension, CAD status post CABG, hyperlipidemia, etc. | General Medicine | Gen Med SOAP - 2 | SUBJECTIVE:, Overall, she has been doing well. Her blood sugars have usually been less than or equal to 135 by home glucose monitoring. Her fasting blood sugar today is 120 by our Accu-Chek. She is exercising three times per week. Review of systems is otherwise unremarkable. ,OBJECTIVE:, Her blood pressure is 110... | general medicine, accu-chek, heent: unremarkable, hyperlipidemia, hypertension, lungs: clear, niddm, neck: unremarkable, progress note, soap, coronary artery bypass graft, follow-up labs, glucose monitoring, coronary artery |
3,302 | Multiple problems including left leg swelling, history of leukocytosis, joint pain left shoulder, low back pain, obesity, frequency with urination, and tobacco abuse. | General Medicine | Gen Med Progress Note - 9 | SUBJECTIVE:, The patient is a 44-year-old white female who is here today with multiple problems. The biggest concern she has today is her that left leg has been swollen. It is swollen for three years to some extent, but worse for the past two to three months. It gets better in the morning when she is up, but then t... | general medicine, leg swelling, leukocytosis, joint pain, left shoulder, low back pain, obesity, frequency with urination, tobacco abuse, multiple problems, blood count, blood pressure, leg, shoulder, tobacco, swelling, weight |
3,303 | The patient has NG tube in place for decompression. | General Medicine | Gen Med SOAP - 10 | SUBJECTIVE: , The patient has NG tube in place for decompression. She says she is feeling a bit better.,PHYSICAL EXAMINATION:,VITAL SIGNS: She is afebrile. Pulse is 58 and blood pressure is 110/56.,SKIN: There is good skin turgor.,GENERAL: She is not in acute distress.,CHEST: Clear to auscultation. There is good... | general medicine, small bowel obstruction, paralytic ileus, decompression, ng tube, pedal swelling, prophylaxis |
3,304 | Short-term followup - Hypertension, depression, osteoporosis, and osteoarthritis. | General Medicine | Gen Med Progress Note - 8 | SUBJECTIVE:, The patient is an 89-year-old lady. She actually turns 90 later this month, seen today for a short-term followup. Actually, the main reasons we are seeing her back so soon which are elevated blood pressure and her right arm symptoms are basically resolved. Blood pressure is better even though she is no... | general medicine, osteoporosis, osteoarthritis, hypertension, depression, short term followup, blood pressure, progress, blood, pressure, dose, |
3,305 | Palpitations, possibly related to anxiety. Fatigue. Loose stools with some green color and also some nausea. | General Medicine | Gen Med SOAP | SUBJECTIVE: , This patient presents to the office today because he has not been feeling well. He was in for a complete physical on 05/02/2008. According to the chart, the patient gives a history of feeling bad for about two weeks. At first he thought it was stress and anxiety and then he became worried it was someth... | general medicine, palpitations, nausea, loose stools, fatigue, related to anxiety, stress test, anxiety, |
3,306 | Sample progress note - Gen Med. | General Medicine | Gen Med SOAP - 1 | SUBJECTIVE:, | general medicine, progress note, clear to auscultation, s1, s2, s3, s4, blood pressure, clubbing, cyanosis, peripheral edema, rubs, tenderness, abdomen, pressure, soap, blood |
3,307 | A 62-year-old white female with multiple chronic problems including hypertension and a lipometabolism disorder. | General Medicine | Gen Med Progress Note - 5 | SUBJECTIVE:, The patient is a 62-year-old white female with multiple chronic problems including hypertension and a lipometabolism disorder. She follows with Dr. XYZ on her hypertension, as well as myself. She continues to gain weight. Diabetes is therefore a major concern. In fact, her dad had diabetes and she has... | null |
3,308 | Patient with a three-day history of emesis and a four-day history of diarrhea | General Medicine | Gen Med Progress Note - 7 | SUBJECTIVE:, The patient is a 7-year-old male who comes in today with a three-day history of emesis and a four-day history of diarrhea. Apparently, his brother had similar symptoms. They had eaten some chicken and then ate some more of it the next day, and I could not quite understand what the problem was because th... | general medicine, diarrhea, emesis, history of, gastroenteritis, viral, brat diet, progress note, |
3,309 | A 3-year-old male brought in by his mother with concerns about his eating - a very particular eater, not eating very much in general. | General Medicine | Gen Med Progress Note - 6 | SUBJECTIVE:, This 3-year-old male is brought by his mother with concerns about his eating. He has become a very particular eater, and not eating very much in general. However, her primary concern was he was vomiting sometimes after particular foods. They had noted that when he would eat raw carrots, within 5 to 10 ... | general medicine, eating, foods, vomiting, reactive airway disease, raw carrots, carrots, |
3,310 | The patient is in complaining of headaches and dizzy spells. | General Medicine | Gen Med Progress Note - 4 | SUBJECTIVE:, The patient is in complaining of headaches and dizzy spells, as well as a new little rash on the medial right calf. She describes her dizziness as both vertigo and lightheadedness. She does not have a headache at present but has some intermittent headaches, neck pains, and generalized myalgias. She has... | general medicine, headaches and dizzy spells, chest pains, shoulder, progress, headaches, |
3,311 | Patient comes in for two-month followup - Hypertension, family history of CVA, Compression fracture of L1, and osteoarthritis of knee. | General Medicine | Gen Med Progress Note - 10 | CHIEF COMPLAINT:, The patient is here for two-month followup.,HISTORY OF PRESENT ILLNESS:, The patient is a 55-year-old Caucasian female. She has hypertension. She has had no difficulties with chest pain. She has some shortness of breath only at walking up the stairs. She has occasional lightheadedness only if sh... | null |
3,312 | Rhabdomyolysis, acute on chronic renal failure, anemia, leukocytosis, elevated liver enzyme, hypertension, elevated cardiac enzyme, obesity. | General Medicine | Gen Med Progress Note - 12 | SUBJECTIVE: , The patient was seen and examined. He feels much better today, improved weakness and decreased muscular pain. No other complaints.,PHYSICAL EXAMINATION:,GENERAL: Not in acute distress, awake, alert and oriented x3.,VITAL SIGNS: Blood pressure 147/68, heart rate 82, respiratory rate 20, temperature 97.... | general medicine, rhabdomyolysis, acute on chronic renal failure, anemia, leukocytosis, elevated liver enzyme, hypertension, elevated cardiac enzyme, obesity, cardiac enzyme, blood pressure, |
3,313 | 5-month recheck on type II diabetes mellitus, as well as hypertension. | General Medicine | Gen Med Progress Note - 11 | SUBJECTIVE:, The patient is a 66-year-old female who presents to the clinic today for a five-month recheck on her type II diabetes mellitus, as well as hypertension. While here she had a couple of other issues as well. She stated that she has been having some right shoulder pain. She denies any injury but certain r... | |
3,314 | Patient has a past history of known hyperthyroidism and a recent history of atrial fibrillation and congestive cardiac failure with an ejection fraction of 20%-25%. | General Medicine | Gen Med Office Note - 1 | HISTORY OF PRESENT ILLNESS:, The patient is a 43-year-old male who was recently discharged from our care on the 1/13/06 when he presented for shortness of breath. He has a past history of known hyperthyroidism since 1992 and a more recent history of atrial fibrillation and congestive cardiac failure with an ejection fr... | general medicine, congestive cardiac failure, ejection fraction, atrial fibrillation, congestive cardiac, cardiac failure, office, lisinopril, metoprolol, hepatitis, fibrillation, hyperthyroidism, atrial, cardiac, congestive, |
3,315 | Sample progress note - Gen Med. | General Medicine | Gen Med Progress Note - 2 | CHIEF COMPLAINT:, Followup on hypertension and hypercholesterolemia.,SUBJECTIVE:, This is a 78-year-old male who recently had his right knee replaced and also back surgery about a year and a half ago. He has done well with that. He does most of the things that he wants to do. He travels at every chance he has, and... | general medicine, progress note, fatigue, osteoarthritis, back surgery, chest pain, cough, heaviness, hypercholesterolemia, hypertension, palpitations, pressure, shortness of breath, tightness, surgical scar, progress, |
3,316 | The patient states that he feels sick and weak. | General Medicine | Gen Med Progress Note | SUBJECTIVE:, The patient states that he feels sick and weak.,PHYSICAL EXAMINATION:,VITAL SIGNS: Highest temperature recorded over the past 24 hours was 101.1, and current temperature is 99.2.,GENERAL: The patient looks tired.,HEENT: Oral mucosa is dry.,CHEST: Clear to auscultation. He states that he has a mild co... | general medicine, fever, dehydration, prophylaxis, white count is normal, white count, sick, weak, temperature, |
3,317 | Sample progress note - Gen Med. | General Medicine | Gen Med Progress Note - 1 | CHIEF COMPLAINT:, Followup on diabetes mellitus, status post cerebrovascular accident.,SUBJECTIVE:, This is a 70-year-old male who has no particular complaints other than he has just discomfort on his right side. We have done EMG studies. He has noticed it since his stroke about five years ago. He has been to see ... | general medicine, diabetes mellitus, neuropathy, genernal medicine, post cerebrovascular accident, progerss note, post cerebrovascular, cerebrovascular accident, accident, cerebrovascular, neurologist, insulin, |
3,318 | Sample progress note - Gen Med. | General Medicine | Gen Med Progress Note - 3 | CHIEF COMPLAINT:, Followup on diabetes mellitus, hypercholesterolemia, and sinusitis. ,SUBJECTIVE:, A 70-year-old female who was diagnosed with diabetes mellitus last fall. She has been checking her Accu-Cheks generally once a day, and they range from 82 to a high of 132. She feels well. She walks 1-2 miles most da... | null |
3,319 | Weakness, malaise dyspnea on exertion, 15-pound weight loss - Bilateral pneumonia, hepatitis, renal insufficiency, | General Medicine | Gen Med H&P - 2 | HISTORY OF PRESENT ILLNESS: , This is a 43-year-old black man with no apparent past medical history who presented to the emergency room with the chief complaint of weakness, malaise and dyspnea on exertion for approximately one month. The patient also reports a 15-pound weight loss. He denies fever, chills and sweats... | null |
3,320 | Sepsis due to urinary tract infection. | General Medicine | Gen Med Progress Note - 13 | SUBJECTIVE: , The patient states she is feeling a bit better.,OBJECTIVE:,VITAL SIGNS: Temperature is 95.4. Highest temperature recorded over the past 24 hours is 102.1.,CHEST: Examination of the chest is clear to auscultation.,CARDIOVASCULAR: First and second heart sounds were heard. No murmurs appreciated.,ABDOME... | general medicine, sepsis, escherichia coli, urinary tract infection, doripenem, troponin, urinary, infection |
3,321 | Right-sided facial droop and right-sided weakness. Recent cerebrovascular accident. he CT scan of the head did not show any acute events with the impression of a new-onset cerebrovascular accident. | General Medicine | Gen Med Consult - 7 | CHIEF COMPLAINT:, Right-sided facial droop and right-sided weakness.,HISTORY OF PRESENT ILLNESS: , The patient is an 83-year-old lady, a resident of a skilled nursing facility, with past medical history of a stroke and dementia with expressive aphasia, was found today with a right-sided facial droop, and was transferr... | null |
3,322 | Comprehensive Evaluation - Generalized anxiety and hypertension, both under fair control. | General Medicine | Gen Med Consult - 8 | SUBJECTIVE:, The patient comes in today for a comprehensive evaluation. She is well-known to me. I have seen her in the past multiple times.,PAST MEDICAL HISTORY/SOCIAL HISTORY/FAMILY HISTORY: , Noted and reviewed today. They are on the health care flow sheet. She has significant anxiety which has been under fair ... | |
3,323 | Comprehensive Evaluation - Diabetes, hypertension, irritable bowel syndrome, and insomnia. | General Medicine | Gen Med Consult - 9 | SUBJECTIVE:, The patient is well-known to me. He comes in today for a comprehensive evaluation. Really, again he borders on health crises with high blood pressure, diabetes, and obesity. He states that he has reached a critical decision in the last week that he understands that he cannot continue with his health de... | |
3,324 | Patient with several medical problems - numbness, tingling, and a pain in the toes. | General Medicine | Gen Med Consult - 6 | SUBJECTIVE:, The patient is in with several medical problems. She complains of numbness, tingling, and a pain in the toes primarily of her right foot described as a moderate pain. She initially describes it as a sharp quality pain, but is unable to characterize it more fully. She has had it for about a year, but se... | null |
3,325 | The patient is a 35-year-old lady who was admitted with chief complaints of chest pain, left-sided with severe chest tightness after having an emotional argument with her boyfriend. The patient has a long history of psychological disorders. | General Medicine | Gen Med Consult - 54 | HISTORY OF PRESENT ILLNESS: , The patient is a 35-year-old lady who was admitted with chief complaints of chest pain, left-sided with severe chest tightness after having an emotional argument with her boyfriend. The patient has a long history of psychological disorders. As per the patient, she also has a history of s... | null |
3,326 | The patient is a 61-year-old lady who was found down at home and was admitted for respiratory failure, septic shock, acute renal failure as well as metabolic acidosis. | General Medicine | Gen Med Consult - 53 | HISTORY OF PRESENT ILLNESS: , Goes back to yesterday, the patient went out for dinner with her boyfriend. The patient after coming home all the family members had some episodes of diarrhea; it is unclear how many times the patient had diarrhea last night. She was found down on the floor this morning, soiled her bowel... | null |
3,327 | Abdominal pain, nausea and vomiting, rule out recurrent small bowel obstruction. The patient is an 89-year-old white male who developed lower abdominal pain, which was constant, onset approximately half an hour after dinner on the evening prior to admission. | General Medicine | Gen Med Consult - 51 | CHIEF COMPLAINT: , Abdominal pain.,HISTORY OF PRESENT ILLNESS: ,The patient is an 89-year-old white male who developed lower abdominal pain, which was constant, onset approximately half an hour after dinner on the evening prior to admission. He described the pain as 8/10 in severity and the intensity varied. The sym... | null |
3,328 | An 86-year-old female with persistent abdominal pain, nausea and vomiting, during evaluation in the emergency room, was found to have a high amylase, as well as lipase count and she is being admitted for management of acute pancreatitis. | General Medicine | Gen Med Consult - 50 | CHIEF COMPLAINT: , Abdominal pain.,HISTORY OF PRESENT ILLNESS: , This is an 86-year-old female who is a patient of Dr. X, who was transferred from ABCD Home due to persistent abdominal pain, nausea and vomiting, which started around 11:00 a.m. yesterday. During evaluation in the emergency room, the patient was found t... | null |
3,329 | History and Physical - A history of stage IIIC papillary serous adenocarcinoma of the ovary, presented to the office today left leg pain (left leg DVT). | General Medicine | Gen Med H&P - 1 | CHIEF COMPLAINT:, Left leg pain.,HISTORY OF PRESENT ILLNESS:, The patient is a 59-year-old gravida 1, para 0-0-1-0, with a history of stage IIIC papillary serous adenocarcinoma of the ovary who presented to the office today with left leg pain that started on Saturday. The patient noticed the pain in her left groin and ... | null |
3,330 | The patient had temperature of 104 degrees F. It has been spiking ever since and she has had left sacroiliac type hip pain. She does have degenerative disk disease of her lumbar spine but no hip pathology. She has swollen inguinal nodes bilaterally. | General Medicine | Gen Med Consult - 47 | HISTORY OF PRESENT ILLNESS: , This is a 76-year-old female that was admitted with fever, chills, and left pelvic pain. The patient was well visiting in ABC, with her daughter that evening. She had pain in her left posterior pelvic and low back region. They came back to XYZ the following day. By the time they got he... | general medicine, inflammatory, degenerative, fever, lumbar spine, sacroiliac joint, inguinal, sacroiliac, hip, |
3,331 | Anxiety, alcohol abuse, and chest pain. This is a 40-year-old male with digoxin toxicity secondary to likely intentional digoxin overuse. Now, he has had significant block with EKG changes as stated. | General Medicine | Gen Med Consult - 52 | CHIEF COMPLAINT: , Anxiety, alcohol abuse, and chest pain.,HISTORY OF PRESENT ILLNESS:, This is a pleasant 40-year-old male with multiple medical problems, basically came to the hospital yesterday complaining of chest pain. The patient states that he complained of this chest pain, which is reproducible, pleuritic in ... | general medicine, anxiety, alcohol abuse, chest pain, digoxin toxicity, digoxin overuse, atrial fibrillation, opioid dependence, toxicity, dilaudid, |
3,332 | Pneumonia in the face of fairly severe Crohn disease with protein-losing enteropathy and severe malnutrition with anasarca. He also has anemia and leukocytosis, which may be related to his Crohn disease as well as his underlying pneumonia. | General Medicine | Gen Med Consult - 46 | DIAGNOSES:,1. Pneumonia.,2. Crohn disease.,3. Anasarca.,4. Anemia.,CHIEF COMPLAINT: , I have a lot of swelling in my legs.,HISTORY: ,The patient is a 41-year-old gentleman with a long history of Crohn disease. He has been followed by Dr. ABC, his primary care doctor, but he states that he has had multiple gastroe... | null |
3,333 | The patient presents to the office today with complaints of extreme fatigue, discomfort in the chest and the back that is not related to any specific activity. Stomach gets upset with pain. | General Medicine | Gen Med Consult - 48 | HISTORY:, The patient presents today for medical management. The patient presents to the office today with complaints of extreme fatigue, discomfort in the chest and the back that is not related to any specific activity. Stomach gets upset with pain. She has been off her supplements for four weeks with some improve... | null |
3,334 | For evaluation of left-sided chest pain, 5 days post abdominal surgery. | General Medicine | Gen Med Consult - 45 | REASON FOR CONSULT: , For evaluation of left-sided chest pain, 5 days post abdominal surgery.,PAST MEDICAL HISTORY:, None.,HISTORY OF PRESENT COMPLAINT: , This 87-year-old patient has been admitted in this hospital on 12/03/08. The patient underwent laparoscopic appendicectomy by Dr. X. The patient had postoperative ... | null |
3,335 | Patient with swelling of lips and dysphagia and Arthritis. | General Medicine | Gen Med Consult - 5 | CHIEF COMPLAINT: , Swelling of lips causing difficulty swallowing.,HISTORY OF PRESENT ILLNESS:, This patient is a 57-year old white Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many years. Approximately two weeks ago, she developed a res... | general medicine, swelling, iv hydration, osteoporosis, swelling of lips, allergic reaction, arthritis, difficulty swallowing, leucovorin, low-grade fever, methotrexate, respiratory infection, rheumatoid arthritis, flare of arthritis, rheumatoid, mucosa, dysphagia, |
3,336 | A female with a past medical history of chronic kidney disease, stage 4; history of diabetes mellitus; diabetic nephropathy; peripheral vascular disease, status post recent PTA of right leg, admitted to the hospital because of swelling of the right hand and left foot. | General Medicine | Gen Med Consult - 49 | HISTORY OF PRESENT ILLNESS: , This is a 70-year-old female with a past medical history of chronic kidney disease, stage 4; history of diabetes mellitus; diabetic nephropathy; peripheral vascular disease, status post recent PTA of right leg, admitted to the hospital because of swelling of the right hand and left foot. ... | null |
3,337 | An 80-year-old female with recent complications of sepsis and respiratory failure who is now receiving tube feeds. | General Medicine | Gen Med Consult - 44 | PAST MEDICAL HISTORY: Include:,1. Type II diabetes mellitus.,2. Hypertension.,3. Hyperlipidemia.,4. Gastroesophageal reflux disease.,5. Renal insufficiency.,6. Degenerative joint disease, status post bilateral hip and bilateral knee replacements.,7. Enterocutaneous fistula.,8. Respiratory failure.,9. History ... | null |
3,338 | A 69-year-old female with past history of type II diabetes, atherosclerotic heart disease, hypertension, carotid stenosis. | General Medicine | Gen Med Consult - 43 | HISTORY:, A 69-year-old female with past history of type II diabetes, atherosclerotic heart disease, hypertension, carotid stenosis. The patient was status post coronary artery bypass surgery aortic valve repair at Shadyside Hospital. The patient subsequently developed CVA. She also developed thrombosis of the righ... | general medicine, arterial thrombosis, valvular heart disease, atherosclerotic heart disease, type ii diabetes, hypertension, carotid stenosis, heart disease, diabetes, carotid, stenosis, bypass, amputation, heart, atherosclerotic, |
3,339 | Patient with one-week history of increased progressive shortness of breath, orthopnea for the past few nights, mild increase in peripheral edema, and active wheezing with dyspnea. Medifast does fatigue | General Medicine | Gen Med Consult - 42 | HISTORY AND CLINICAL DATA: ,The patient is an 88-year-old gentleman followed by Dr. X, his primary care physician, Dr. Y for the indication of CLL and Dr. Z for his cardiovascular issues. He presents to the Care Center earlier today with approximately a one-week history of increased progressive shortness of breath, o... | null |
3,340 | Patient admitted with abdominal pain, nausea and vomiting. | General Medicine | Gen Med Consult - 38 | Chief Complaint:, Abdominal pain, nausea and vomiting.,History of Present Illness:, A 50-year-old Asian female comes to The Methodist Hospital on January 2, 2001, complaining of a 3-day history of abdominal pain. The pain is described as crampy in the central part of her abdomen, and is associated with nausea and vomit... | null |
3,341 | Backache, stomachache, and dysuria for the last two days - Urinary dysuria, left flank pain, pharyngitis. | General Medicine | Gen Med Consult - 41 | SUBJECTIVE:, The patient complains of backache, stomachache, and dysuria for the last two days. Fever just started today and cough. She has history of kidney stones less than a year ago and had a urinary tract infection at that time. Her back started hurting last night.,PAST MEDICAL HISTORY:, She denies sexual act... | general medicine, backache, stomachache, dysuria, cylert, urinary dysuria, pharyngitis, culture and sensitivity, tenderness, urinary, infection, |
3,342 | Patient with a diagnosis of stroke. | General Medicine | Gen Med Consult - 40 | CHIEF COMPLAINT:, Altered mental status.,HISTORY OF PRESENT ILLNESS:, The patient is a 69-year-old male transferred from an outlying facility with diagnosis of a stroke. History is taken mostly from the emergency room record. The patient is unable to give any history and no family member is present for questioning. Whe... | null |
3,343 | Patient with confusion and hallucinations. | General Medicine | Gen Med Consult - 35 | Chief Complaint:, Confusion and hallucinations.,History of Present Illness:, The patient was a 27-year-old Hispanic man who presented to St. Luke's Episcopal Hospital with a five day history of confusion and hallucinations. The patient was doing well until three months prior to admission when he developed wheezing and ... | null |
3,344 | Patient with abdominal pain, nausea, vomiting, fever, altered mental status. | General Medicine | Gen Med Consult - 39 | Chief Complaint:, Abdominal pain, nausea, vomiting, fever, altered mental status.,History of Present Illness:, 55 yo WM with reactive airways disease, allergic rhinitis who was in his usual state of health until he underwent a dental extraction with administration of cephalexin 1 week prior to admission. Approximately ... | null |
3,345 | A male patient presented for evaluation of chronic abdominal pain. | General Medicine | Gen Med Consult - 34 | Chief Complaint:, Chronic abdominal pain.,History of Present Illness:, 23-year-old Hispanic male who presented for evaluation of chronic abdominal pain. Patient described the pain as dull, achy, constant and located at the epigastric area with some radiation to the back. There are also occasional episodes of stabbing e... | null |
3,346 | Patient with complaint of dark urine and generalized weakness. | General Medicine | Gen Med Consult - 37 | Chief Complaint:, Dark urine and generalized weakness.,History of Present Illness:,40 year old Hispanic male presented to the emergency room complaining of generalized weakness, fatigue and dark urine for one week. In addition, he stated that his family had noticed yellowing of his skin and eyes, though he himself had ... | null |
3,347 | Patient coughing up blood and with severe joint pain. | General Medicine | Gen Med Consult - 36 | Chief Complaint:, coughing up blood and severe joint pain.,History of Present Illness:, The patient is a 37 year old African American woman with history of chronic allergic rhinitis who presents to an outpatient clinic with severe pain in multiple joints and hemoptysis for 1 day. The patient was at her baseline state ... | null |
3,348 | Patient was found to have decrease in mental alertness | General Medicine | Gen Med Consult - 30 | CHIEF COMPLAINT: , Mental changes today.,HISTORY OF PRESENT ILLNESS: , This patient is a resident from Mazatlan, Mexico, visiting her son here in Utah, with a history of diabetes. She usually does not take her meal on time, and also not having her regular meals lately. The patient usually still takes her diabetic med... | null |
3,349 | Consultation for jaw pain. | General Medicine | Gen Med Consult - 4 | CHIEF COMPLAINT:, Jaw pain this morning.,BRIEF HISTORY OF PRESENT ILLNESS:, This is a very nice 53-year-old white male with no previous history of heart disease, was admitted to rule out MI and coronary artery disease. The patient has history of hypercholesterolemia, presently on Lipitor 20 mg a day and hyperthyroid... | null |
3,350 | Patient was confused, had garbled speech, significantly worse from her baseline, and had decreased level of consciousness. | General Medicine | Gen Med Consult - 31 | CHIEF COMPLAINT:, A 74-year-old female patient admitted here with altered mental status.,HISTORY OF PRESENT ILLNESS:, The patient started the last 3-4 days to do poorly. She was more confused, had garbled speech, significantly worse from her baseline. She has also had decreased level of consciousness since yesterda... | null |
3,351 | Patient with osteoarthritis and osteoporosis with very limited mobility, depression, hypertension, hyperthyroidism, right breast mass, and chronic renal insufficiency | General Medicine | Gen Med Consult - 32 | PROBLEM LIST:,1. Generalized osteoarthritis and osteoporosis with very limited mobility.,2. Adult failure to thrive with history of multiple falls, none recent.,3. Degenerative arthritis of the knees with chronic bilateral knee pain.,4. Chronic depression.,5. Hypertension.,6. Hyperthyroidism.,7. Aortic stenosis ... | null |
3,352 | Patient with intermittent episodes of severe nausea and abdominal pain. | General Medicine | Gen Med Consult - 29 | CHIEF COMPLAINT: , This is a previously healthy 45-year-old gentleman. For the past 3 years, he has had some intermittent episodes of severe nausea and abdominal pain. On the morning of this admission, he had the onset of severe pain with nausea and vomiting and was seen in the emergency department, where Dr. XYZ not... | general medicine, sinus rhythm, ekg, prolonged qt, platelet count, hematocrit, umbilical hernia, emergency department, healthy, incarcerated, intermittent, |
3,353 | Patient with hypertension, dementia, and depression. | General Medicine | Gen Med Consult - 33 | MEDICAL PROBLEM LIST:,1. Status post multiple cerebrovascular accidents and significant left-sided upper extremity paresis in 2006.,2. Dementia and depression.,3. Hypertension.,4. History of atrial fibrillation. The patient has been in sinus rhythm as of late. The patient is not anticoagulated due to fall risk.,5... | null |
3,354 | Examination due to blood-borne pathogen exposure. | General Medicine | Gen Med Consult - 3 | CHIEF COMPLAINT:, Blood-borne pathogen exposure., ,HISTORY OF PRESENT ILLNESS: ,The patient is a 54-year-old right-handed male who works as a phlebotomist and respiratory therapist at Hospital. The patient states that he was attempting to do a blood gas. He had his finger of the left hand over the pulse and was inserti... | null |
3,355 | Patient presents complaining of abdominal pain and discomfort for 3 weeks. | General Medicine | Gen Med Consult - 26 | CHIEF COMPLAINT:, Abdominal pain and discomfort for 3 weeks.,HISTORY OF PRESENT ILLNESS:, ,The patient is a 38 year old white female with no known medical problems who presents complaining of abdominal pain and discomfort for 3 weeks. She had been in her normal state of health when she started having this diffuse abdom... | null |
3,356 | Nausea, vomiting, diarrhea, and fever. | General Medicine | Gen Med Consult - 27 | CHIEF COMPLAINT: , Nausea, vomiting, diarrhea, and fever.,HISTORY OF PRESENT ILLNESS: , This patient is a 76-year-old woman who was treated with intravenous ceftriaxone and intravenous clindamycin at a care facility for pneumonia. She has developed worsening confusion, fever, and intractable diarrhea. She was brought... | |
3,357 | Patient complaining of headaches, neck pain, and lower back pain over the last 2-3 weeks. | General Medicine | Gen Med Consult - 24 | CHIEF COMPLAINT:, Headache and pain in the neck and lower back.,HISTORY OF PRESENT ILLNESS:, The patient is a 34 year old white man with AIDS (CD4 -67, VL -341K) and Castleman’s Disease who presents to the VA Hospital complaining of headaches, neck pain, and lower back pain over the last 2-3 weeks. He was hospitalized ... | null |
3,358 | A 2-year-old little girl with stuffiness, congestion, and nasal drainage. - Allergic rhinitis | General Medicine | Gen Med Consult - 21 | SUBJECTIVE:, The patient is a 2-year-old little girl who comes in with concerns about stuffiness, congestion and nasal drainage. She does take Zyrtec on a fairly regular basis. Mom is having some allergy trouble herself right now. She does not know her colors. She knows some of her shapes. She speaks in sentences... | general medicine, allergic rhinitis, nasal drainage, stuffiness, congestion, drainage, |
3,359 | The patient brought in by EMS with a complaint of a decreased level of consciousness. | General Medicine | Gen Med Consult - 28 | HISTORY OF PRESENT ILLNESS: , The patient is an 85-year-old male who was brought in by EMS with a complaint of a decreased level of consciousness. The patient apparently lives with his wife and was found to have a decreased status since the last one day. The patient actually was seen in the emergency room the night b... | general medicine, level of consciousness, parkinson disease, altered mental status, dehydration, elderly abuse, decreased level of consciousness, ems, parkinson, consciousness, xanax, sinemet, decreased, |
3,360 | Patient with a past medical history of atrial fibrillation and arthritis complaining of progressively worsening shortness of breath. | General Medicine | Gen Med Consult - 25 | CHIEF COMPLAINT:, "I can’t walk as far as I used to.",HISTORY OF PRESENT ILLNESS:, The patient is a 66-year-old African American gentleman with a past medical history of atrial fibrillation and arthritis who presented c/o progressively worsening shortness of breath. The patient stated that he had been in his usual stat... | null |
3,361 | A 12-year-old young man with sinus congestion. | General Medicine | Gen Med Consult - 22 | SUBJECTIVE:, This is a 12-year-old young man who comes in with about 10 days worth of sinus congestion. He does have significant allergies including ragweed. The drainage has been clear. He had a little bit of a headache yesterday. He has had no fever. No one else is ill at home currently.,CURRENT MEDICATIONS:, ... | general medicine, allergic rhinitis, sinus infection, sinus congestion, congestion, sinus |
3,362 | Patient in with mom for possible ear infection. | General Medicine | Gen Med Consult - 23 | SUBJECTIVE:, Mom brings the patient in today for possible ear infection. He is complaining of left ear pain today. He was treated on 04/14/2004, with amoxicillin for left otitis and Mom said he did seem to get better but just started complaining of the left ear pain today. He has not had any fever but the congestio... | general medicine, ear infection, productive-sounding cough, purulent rhinitis, serous otitis, sinusitis, wheezing, ear, amoxicillin, |
3,363 | Initial clinic visit for foreign body in left eye. | General Medicine | Gen Med Consult - 2 | HISTORY OF PRESENT ILLNESS:, This is the initial clinic visit for a 41-year-old worker who is seen for a foreign body to his left eye. He states that he was doing his normal job when he felt a foreign body sensation. He attempted to flush this at work, but has had persistent pain which has progressively worsened thro... | null |
3,364 | An 18-month-old white male here with his mother for complaint of intermittent fever for the past five days. - Allergic rhinitis, fever history, sinusitis resolved, and teething. | General Medicine | Gen Med Consult - 17 | CHIEF COMPLAINT:, Fever.,HISTORY OF PRESENT ILLNESS:, This is an 18-month-old white male here with his mother for complaint of intermittent fever for the past five days. Mother states he just completed Amoxil several days ago for a sinus infection. Patient does have a past history compatible with allergic rhinitis ... | general medicine, sinusitis, fever, intermittent fever, allergic rhinitis, fever history, teething, |
3,365 | 2-year-old female who comes in for just rechecking her weight, her breathing status, and her diet. | General Medicine | Gen Med Consult - 19 | SUBJECTIVE:, This is a 2-year-old female who comes in for just rechecking her weight, her breathing status, and her diet. The patient is in foster care, has a long history of the prematurity, born at 22 weeks. She has chronic lung disease, is on ventilator, but doing sprints, has been doing very well, is up to 4-1/2... | general medicine, chronic lung disease, signs of infection, breathing status, foster mom, foster care, pediasure |
3,366 | 11-year-old female. History of congestion, possibly enlarged adenoids. | General Medicine | Gen Med Consult - 20 | SUBJECTIVE:, This is an 11-year-old female who comes in for two different things. 1. She was seen by the allergist. No allergies present, so she stopped her Allegra, but she is still real congested and does a lot of snorting. They do not notice a lot of snoring at night though, but she seems to be always like that... | general medicine, enlarged adenoids, adenoids, oropharynx, congestion, toenails, toe, |
3,367 | Short-term memory loss (probable situational) and anxiety stress issues. | General Medicine | Gen Med Consult - 16 | CHIEF COMPLAINT:, Here with a concern of possibly issues of short-term memory loss. She is under exceeding amount of stress over the last 5 to 10 years. She has been a widow over the last 11 years. Her husband died in an MVA from a drunk driver accident. She had previously worked at the bank in Conway Springs in N... | general medicine, short-term memory loss, anxiety, short term memory loss, memory loss, stress issues, situational, memory, stress, |
3,368 | Complaint of left otalgia (serous otitis) and headache. History of atopic dermatitis. | General Medicine | Gen Med Consult - 14 | HISTORY OF PRESENT ILLNESS:, A 49-year-old female with history of atopic dermatitis comes to the clinic with complaint of left otalgia and headache. Symptoms started approximately three weeks ago and she was having difficulty hearing, although that has greatly improved. She is having some left-sided sinus pressure a... | null |
3,369 | 1-year-old male who comes in with a cough and congestion. Clinical sinusitis and secondary cough. | General Medicine | Gen Med Consult - 18 | SUBJECTIVE:, This is a 1-year-old male who comes in with a cough and congestion for the past two to three weeks. Started off as a congestion but then he started coughing about a week ago. Cough has gotten worsen. Mother was also worried. He had Pop Can just three days ago and she never found the top of that and wa... | general medicine, congestion, cough, sinusitis and secondary cough, cough and congestion, secondary cough, clinical sinusitis, male, sinusitis, |
3,370 | Checkup - Joints hurting all over - Arthralgias that are suspicious for inflammatory arthritis. | General Medicine | Gen Med Consult - 10 | CHIEF COMPLAINT:, Joints are hurting all over and checkup.,HISTORY OF PRESENT ILLNESS:, A 77-year-old white female who is having more problems with joint pain. It seems to be all over decreasing her mobility, hands and wrists. No real swelling but maybe just a little more uncomfortable than they have been. The Day... | null |
3,371 | Feeling weak and shaky - Dyspnea on exertion and history of diabetes | General Medicine | Gen Med Consult - 12 | CHIEF COMPLAINT:, Weak and shaky.,HISTORY OF PRESENT ILLNESS:, The patient is a 75-year-old, Caucasian female who comes in today with complaint of feeling weak and shaky. When questioned further, she described shortness of breath primarily with ambulation. She denies chest pain. She denies cough, hemoptysis, dyspn... | null |
3,372 | Return to work & Fit for duty evaluation. | General Medicine | Gen Med Consult - 1 | HISTORY OF PRESENT ILLNESS: ,This is the initial clinic visit for a 29-year-old man who is seen for new onset of right shoulder pain. He states that this began approximately one week ago when he was lifting stacks of cardboard. The motion that he describes is essentially picking up a stack of cardboard at his waist l... | general medicine, return to work, consult, fit for duty, cleared for work, muscular, paresthesias, shoulder, shoulder pain, strain, waist, x-rays, waist level, neurologic, abnormalities, impingement, examination, |
3,373 | Foreign body of the left fifth fingernail (wooden splinter). He attempted to remove it with tweezers at home, but was unsuccessful. He is requesting we attempt to remove this for him. | General Medicine | Foreign Body - Fingernail | HISTORY OF PRESENT ILLNESS:, Patient is a 72-year-old white male complaining of a wooden splinter lodged beneath his left fifth fingernail, sustained at 4 p.m. yesterday. He attempted to remove it with tweezers at home, but was unsuccessful. He is requesting we attempt to remove this for him.,The patient believes it... | general medicine, horse serum, wooden splinter, foreign body, nail plate, grasp, fingernail, splinter, |
3,374 | Questionable foreign body, right nose. Belly and back pain. Mild constipation. | General Medicine | Foreign Body - Right Nose | CHIEF COMPLAINT:, Questionable foreign body, right nose. Belly and back pain. ,SUBJECTIVE: , Mr. ABC is a 2-year-old boy, who is brought in by parents, stating that the child keeps complaining of belly and back pain. This does not seem to be slowing him down. They have not noticed any change in his urine or bowels... | |
3,375 | Complaint of mood swings and tearfulness. | General Medicine | Gen Med Consult - 15 | HISTORY OF PRESENT ILLNESS:, A 50-year-old female comes to the clinic with complaint of mood swings and tearfulness. This has been problematic over the last several months and is just worsening to the point where it is impairing her work. Her boss asks her if she was actually on drugs in which she said no. She stat... | general medicine, tearfulness, mood swings, menopause, postsurgical menopause, mood swings and tearfulness, hormone replacement therapy, breast cancer, wellbutrin, |
3,376 | A female for a complete physical and follow up on asthma with allergic rhinitis. | General Medicine | Followup on Asthma | SUBJECTIVE: , This is a 42-year-old white female who comes in today for a complete physical and follow up on asthma. She says her asthma has been worse over the last three months. She has been using her inhaler daily. Her allergies seem to be a little bit worse as well. Her husband has been hauling corn and this se... | null |
3,377 | Left flank pain, ureteral stone. | General Medicine | Flank Pain - Consult - 1 | REASON FOR CONSULTATION: , Left flank pain, ureteral stone.,BRIEF HISTORY: , The patient is a 76-year-old female who was referred to us from Dr. X for left flank pain. The patient was found to have a left ureteral stone measuring about 1.3 cm in size per the patient's history. The patient has had pain in the abdomen ... | general medicine, flank pain, ureteral stone, shockwave lithotripsy, shockwave, nausea, vomiting, lithotripsy, ureteral, stone, |
3,378 | Left flank pain and unable to urinate. | General Medicine | Flank Pain - Consult | CHIEF COMPLAINT: , Left flank pain and unable to urinate.,HISTORY: , The patient is a 46-year-old female who presented to the emergency room with left flank pain and difficulty urinating. Details are in the history and physical. She does have a vague history of a bruised left kidney in a motor vehicle accident. She ... | general medicine, flank pain, unable to urinate, urinary tract infection, flank, |
3,379 | Sample female review of systems. | General Medicine | Female ROS | FEMALE REVIEW OF SYSTEMS:,Constitutional: Patient denies fevers, chills, sweats and weight changes.,Eyes: Patient denies any visual symptoms.,Ears, Nose, and Throat: No difficulties with hearing. No symptoms of rhinitis or sore throat.,Cardiovascular: Patient denies chest pains, palpitations, orthopnea and paroxys... | general medicine, constitutional, breasts, cardiovascular, dermatologic, endocrine, female review of systems, musculoskeletal, neurologic, psychiatric, review of systems, respiratory, abdominal pain, chest pains, constipation, diarrhea, hematochezia, melena, nausea, nipple discharge, numbness, orthopnea, palpitations, ... |
3,380 | Infection (folliculitis), pelvic pain, mood swings, and painful sex (dyspareunia). | General Medicine | Gen Med Consult - 11 | CHIEF COMPLAINT:,1. Infection.,2. Pelvic pain.,3. Mood swings.,4. Painful sex.,HISTORY OF PRESENT ILLNESS:, The patient is a 29-year-old female who is here today with the above-noted complaints. She states that she has been having a lot of swelling and infection in her inner thigh area with the folliculitis she h... | null |
3,381 | Consult for hypertension and a med check. History of osteoarthritis, osteoporosis, hypothyroidism, allergic rhinitis and kidney stones. | General Medicine | Gen Med Consult - 13 | SUBJECTIVE:, The patient is a 76-year-old white female who presents to the clinic today originally for hypertension and a med check. She has a history of hypertension, osteoarthritis, osteoporosis, hypothyroidism, allergic rhinitis and kidney stones. Since her last visit she has been followed by Dr. Kumar. Those is... | null |
3,382 | Sample female physical exam | General Medicine | Female Physical Exam - 1 | FEMALE PHYSICAL EXAMINATION,Eye: Eyelids normal color, no edema. Conjunctivae with no erythema, foreign body, or lacerations. Sclerae normal white color, no jaundice. Cornea clear without lesions. Pupils equally responsive to light. Iris normal color, no lesions. Anterior chamber clear. Lacrimal ducts normal. ... | general medicine, physical examination, abdominal, anterior chamber, cardiovascular, chest, ear, ear canal, eye, eyelids, female, female physical examination, labia majora, labia minora, nares, neck symmetrical, vaginal mucosa, crepitus, ecchymosis, edema, erythema, joint effusion, normal range of motion, shape and con... |
3,383 | A 66-year-old patient who came to the emergency room because she was feeling dizzy and was found to be tachycardic and hypertensive. | General Medicine | Feeling Dizzy - ER Visit | REASON FOR CONSULTATION:, This is a 66-year-old patient who came to the emergency room because she was feeling dizzy and was found to be tachycardic and hypertensive.,PAST MEDICAL HISTORY: , Hypertension. The patient noncompliant,HISTORY OF PRESENT COMPLAINT: , This 66-year-old patient has history of hypertension and... | null |
3,384 | Sample female exam and review of systems. | General Medicine | Female Exam & ROS | GENERAL REVIEW OF SYSTEMS,General: No fevers, chills, or sweats. No weight loss or weight gain.,Cardiovascular: No exertional chest pain, orthopnea, PND, or pedal edema. No palpitations.,Neurologic: No paresis, paresthesias, or syncope.,Eyes: No double vision or blurred vision.,Ears: No tinnitus or decreased aud... | general medicine, female exam, extremities, hemoccult, musculoskeletal, neurologic examination, pelvic examination, back pain, bone pain, chills, cough, cranial nerves ii through xii, fevers, heart rate, joint pain, paresis, paresthesias, polydipsia, regular rhythm, weight gain, wheezing, examination revealed, pelvic, ... |
3,385 | Sample female physical exam. | General Medicine | Female Physical Exam - 2 | FEMALE PHYSICAL EXAMINATION,HEENT: Pupils equal, round and reactive to light and accommodation. Extraocular movements are intact. Sclerae are anicteric. TMs are clear bilaterally. Oropharynx is clear without erythema or exudate.,Neck: Supple without lymphadenopathy or thyromegaly. Carotids are silent. There is ... | general medicine, female physical examination, bimanual exam, heent, hemoccult, ii through xii, breast tissue, cardiovascular, dermatologic, external genitalia, integumentary, joint exam, lymphadenopathy, neck, neurologic, physical examination, rectal exam, skin changes, speculum exam, female physical, extremities, mas... |
3,386 | Fifth disease with sinusitis | General Medicine | Fifth Disease - SOAP | SUBJECTIVE:, Grandfather brings the patient in today because of headaches, mostly in her face. She is feeling pressure there with a lot of sniffles. Last night, she complained of sore throat and a loose cough. Over the last three days, she has had a rash on her face, back and arms. A lot of fifth disease at school... | general medicine, fifth disease, soap, asthma, headaches, sinusitis, sore throat, oropharynx, |
3,387 | A 46-year-old white male with Down’s syndrome presents for followup of hypothyroidism, as well as onychomycosis. | General Medicine | Down's syndrome | SUBJECTIVE:, This 46-year-old white male with Down’s syndrome presents with his mother for followup of hypothyroidism, as well as onychomycosis. He has finished six weeks of Lamisil without any problems. He is due to have an ALT check today. At his appointment in April, I also found that he was hypothyroid with ele... | general medicine, down’s syndrome, hypothyroidism, onychomycosis, hypothyroid, tsh, down’s |
3,388 | Patient went out partying last night and drank two mixed drinks last night and then over the course of the evening after midnight, the patient ended up taking a total of six Ecstasy tablets. | General Medicine | Ecstasy Ingestion - ER Visit | CHIEF COMPLAINT:, "I took Ecstasy.",HISTORY OF PRESENT ILLNESS: , This is a 17-year-old female who went out partying last night and drank two mixed drinks last night and then over the course of the evening after midnight, the patient ended up taking a total of six Ecstasy tablets. The patient upon returning to home w... | general medicine, nonbilious emesis, hallucinations, visual, auditory, ecstasy ingestion, suicidal ideation, homicidal ideation, ingestion, infection, alcohol, ecstasy, |
3,389 | Patient running to catch a taxi and stumbled, fell and struck his face on the sidewalk. | General Medicine | Fall & Laceration | CC:, Fall and laceration.,HPI: , Mr. B is a 42-year-old man who was running to catch a taxi when he stumbled, fell and struck his face on the sidewalk. He denies loss of consciousness but says he was dazed for a while after it happened. He complains of pain over the chin and right forehead where he has abrasions. H... | general medicine, loss of consciousness, laceration, fall, course in the ed, placed on monitors, fell and struck, abrasions, |
3,390 | A 50-year-old white male with dog bite to his right leg with a history of pulmonary fibrosis, status post bilateral lung transplant several years ago. | General Medicine | Dog Bite | CHIEF COMPLAINT:, Dog bite to his right lower leg.,HISTORY OF PRESENT ILLNESS:, This 50-year-old white male earlier this afternoon was attempting to adjust a cable that a dog was tied to. Dog was a German shepherd, it belonged to his brother, and the dog spontaneously attacked him. He sustained a bite to his right ... | null |
3,391 | A 48-year-old white married female presents in the emergency room after two days of increasing fever with recent diagnosis of urinary tract infection on outpatient treatment with nitrofurantoin. | General Medicine | ER Report - Chest Pain & Fever | CHIEF COMPLAINT: , Chest pain and fever.,HISTORY OF PRESENT ILLNESS: , This 48-year-old white married female presents in the emergency room after two days of increasing fever with recent diagnosis of urinary tract infection on outpatient treatment with nitrofurantoin. The patient noted since she began to feel poorly e... | null |
3,392 | The patient is an 88-year-old white female, household ambulator with a walker, who presents to the emergency department this morning after incidental fall at home. | General Medicine | Fall - ER Visit | HISTORY OF PRESENT ILLNESS:, The patient is an 88-year-old white female, household ambulator with a walker, who presents to the emergency department this morning after incidental fall at home. The patient states that she was on the ladder on Saturday and she stepped down after the ladder. Felt some pain in her left ... | null |
3,393 | Patient in ER with upper respiratory infection | General Medicine | ER Report - URI | HISTORY OF PRESENT ILLNESS:, The patient is a two-and-a-half-month-old male who has been sick for the past three to four days. His mother has described congested sounds with cough and decreased appetite. He has had no fever. He has had no rhinorrhea. Nobody else at home is currently ill. He has no cigarette smoke... | general medicine, er, uri, emergency room, upper respiratory infection, respiratory, sick, fever, chest, |
3,394 | Left elbow pain. Fracture of the humerus, spiral. Possible nerve injuries to the radial and median nerve, possibly neurapraxia. | General Medicine | Elbow Pain - Consult | CHIEF COMPLAINT: , Left elbow pain.,HISTORY OF PRESENT ILLNESS: ,This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain. He also has pain in his left ankle, but he is able to walk normally. He has had previous pain in his left knee. He ... | |
3,395 | Aftercare of multiple trauma from an motor vehicle accident. | General Medicine | Discharge Summary - Multiple Trauma | ADMITTING DIAGNOSIS:, Aftercare of multiple trauma from an motor vehicle accident.,DISCHARGE DIAGNOSES:,1. Aftercare following surgery for injury and trauma.,2. Decubitus ulcer, lower back.,3. Alcohol induced persisting dementia.,4. Anemia.,5. Hypokalemia.,6. Aftercare healing traumatic fracture of the lower arm... | null |
3,396 | A white male veteran with multiple comorbidities, who has a history of bladder cancer diagnosed approximately two years ago by the VA Hospital. | General Medicine | Discharge Summary - 6 | DISCHARGE DATE: MM/DD/YYYY,HISTORY OF PRESENT ILLNESS: Mr. ABC is a 60-year-old white male veteran with multiple comorbidities, who has a history of bladder cancer diagnosed approximately two years ago by the VA Hospital. He underwent a resection there. He was to be admitted to the Day Hospital for cystectomy. He ... | general medicine, coronary artery disease, heart catheterization, artery disease, bare metal, metal stents, artery intervention, bladder cancer, coronary artery, veteran, surgery, cardiac, inducible, catheterization, ischemia, cancer, urology, stenosed, bladder, heart, artery, coronary, |
3,397 | A female with the past medical history of Ewing sarcoma, iron deficiency anemia, hypertension, and obesity. | General Medicine | Discharge Summary - 5 | DATE OF ADMISSION:, MM/DD/YYYY.,DATE OF DISCHARGE: , MM/DD/YYYY.,REFERRING PHYSICIAN: , AB CD, M.D.,ATTENDING PHYSICIAN AT DISCHARGE:, X Y, M.D.,ADMITTING DIAGNOSES:,1. Ewing sarcoma.,2. Anemia.,3. Hypertension.,4. Hyperkalemia.,PROCEDURES DURING HOSPITALIZATION: ,Cycle seven Ifosfamide, mesna, and VP-16 chemoth... | general medicine, iron deficiency anemia, hypertension and obesity, iron deficiency, urine, anemia, hypertension, chemotherapy, discharge, ewing, sarcoma, |
3,398 | Patient admitted after an extensive workup for peritoneal carcinomatosis from appendiceal primary. | General Medicine | Discharge Summary - 4 | DATE OF ADMISSION: , MM/DD/YYYY.,DATE OF DISCHARGE: , MM/DD/YYYY.,ADMITTING DIAGNOSIS:, Peritoneal carcinomatosis from appendiceal primary.,DISCHARGE DIAGNOSIS: , Peritoneal carcinomatosis from appendiceal primary.,SECONDARY DIAGNOSIS: , Diarrhea.,ATTENDING PHYSICIAN: , AB CD, M.D.,SERVICE: , General surgery C, Surger... | null |
3,399 | Disseminated intravascular coagulation and Streptococcal pneumonia with sepsis. Patient presented with symptoms of pneumonia and developed rapid sepsis and respiratory failure requiring intubation. | General Medicine | Disseminated Intravascular Coagulation | DIAGNOSES:,1. Disseminated intravascular coagulation.,2. Streptococcal pneumonia with sepsis.,CHIEF COMPLAINT: , Unobtainable as the patient is intubated for respiratory failure.,CURRENT HISTORY OF PRESENT ILLNESS: , This is a 20-year-old female who presented with symptoms of pneumonia and developed rapid sepsis and ... | general medicine, intravascular, coagulation, pneumonia, thromboplastin time, prothrombin time, disseminated intravascular coagulation, streptococcal pneumonia, intravascular coagulation, infusion, coagulopathy, fibrinogen, respiratory, oropharynx, sepsis, disseminated, |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.