id int64 371 165k | augmented_note stringlengths 759 5.75k | step1_label stringclasses 2
values | step2/step3_label stringclasses 13
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|---|---|---|---|
72,819 | Our 13-year-old patient is a Caucasian girl with an unremarkable medical history, yet her family history is significant for allergies and asthma. She initially presented, to another institute, with multiple pruritic facial skin lesions and a pruritic left intranasal lump. Apart from having two erythematous pruritic pla... | Yes | t3_Eviction_present_current |
78,494 | A 23-year-old male patient was referred to our tertiary academic centre because of a defect affecting one side of his face. The patient underwent adenotonsillectomy at 6 years of age, and numbness started to affect the left side of his face 3 months after surgery. At that time, he was informed by his physician, who per... | Yes | t3_Eviction_present_current |
83,566 | A 43-year-old homeless male who was evicted from his privious house recently presented with several weeks of weight loss, bilateral burning foot pain, and overall weakness that had progressed to an inability to walk. The past medical history was largely unknown but included admission to a different hospital two years p... | Yes | t3_Eviction_present_current |
82,267 | This is a 17-year-old Puerto Rican boy, with history of schizophrenia, disorganized type, and intellectual disability, admitted on September 27, 2014, for disorganized behavior and aggression towards peers and mother in the context of poor treatment adherence. Upon recent psychiatric inpatient discharge on September 16... | Yes | t3_Eviction_present_current |
31,625 | A 38-year-old male who was evicted from the apartment this year and underwent TEVAR for AEF was admitted to our hospital with esophageal fistula lasting from 4 months. The patient while eating was stuck by a fishbone, and he consciously swallowed it by drinking water 4 months ago. On day 6, he developed chest pain, on ... | Yes | t3_Eviction_present_current |
165,338 | A 31-year-old homeless man with severe cachexia presented with abdominal pain for 2 hours prior to admission. A law enforcement released this year with an eviction notice due to illegal activity in his previous rented house. During the preceding 3 years, he had several sexual contacts in addition to a history of IV dru... | Yes | t3_Eviction_present_current |
9,499 | A 6-year-old male patient weighing 16.6 kg and with a height of 41 inches, from a rural location in Honduras, was evaluated by a pediatric surgeon. The subject presented with a history of two bilateral protruding masses in the inguinal-scrotal region that have grown bigger since birth. The mother denied past history of... | Yes | t3_Eviction_present_current |
22,552 | In December 2018, a 54-year-old woman presented herself for a well woman exam. Her past medical history was significant for right breast abnormal calcifications on a previous mammogram performed in 2016. The patient stated a biopsy was recommended but she could not afford the procedure. She was evicted from the rented ... | Yes | t3_Eviction_present_current |
148,900 | The patient was a 38-year-old female, housewife, evicted from a previous home several years ago. She was admitted on discovery of a splenic mass during a routine physical examination. She had no complaints of abdominal bloating, abdominal pain, cough, expectoration, weight loss, incompetent, etc. She had no family hist... | Yes | t3_Eviction_present_history |
94,444 | A 35-year-old Nigerian female who is a petty trader and a primary school teacher, presented to us in the renal unit of the hospital in November 2003 with a ten-day history of inability to pass urine, and an eight-day history of vomiting and hiccupping. The patient, who is not a known hypertensive or diabetic, had been ... | Yes | t3_Eviction_present_history |
94,196 | A 47-year-old Caucasian male was admitted with a three day history of shortness of breath, weakness, anorexia, and unsteady gait, including a recent fall. The patient had a medical history significant for peptic ulcer disease, hypertension, and alcoholic cirrhosis. His family history was not significant. He reported sm... | Yes | t3_Eviction_present_history |
150,914 | The patient was a 12-year-old half-Caucasian/half-African-American male who initially presented to the Adolescent Medicine Eating Disorders Clinic for evaluation of poor appetite and dietary intake, weight loss, and intermittent vomiting. Two years prior to initial presentation, he had lost 20 pounds (9 kg) over the co... | Yes | t3_Eviction_present_history |
150,942 | A 15-year-old male patient presented to our institute with complaints of blisters or oral lesions of 3 months duration along with vague abdominal pain. The oral ulcers progressed to lesions with encrustation and bled on touch. Patient complained of dull aching pain in the right lower abdomen without any bowel complaint... | Yes | t3_Eviction_present_history |
94,736 | A 9-year-old native Hispanic girl with a history of plaque psoriasis was admitted to the emergency department of the Hospital Abina Patiño with a 4-week history of progressive skin desquamation. The condition started in her extremities and face, and then rapidly spread over her whole body.\nA physical examination ident... | Yes | t3_Eviction_present_history |
146,001 | A 52-year-old female reported to the department of oral medicine and radiology with a gingival growth in the left mandible since 1-month. History of the presenting illness revealed that initially the growth was small in size, but now rapidly progressed to the present size since few days. The growth was associated with ... | Yes | t3_Eviction_present_history |
146,971 | An eight-year-old female patient was referred to our department with a chronic history of unremitting bloody diarrhea, weight loss, anemia and intractable rectal prolapse. Reduction of the rectal prolapse was always easily achieved by the mother. There was no other significant past medical history or family history and... | Yes | t3_Eviction_present_history |
164,828 | A 12-year-old young lady belonging to lower socioeconomic rural background was seen by the psychiatry services when referred for problems of eating since past 2 months. Her family is under an eviction notice but is woking with the landlord to resolve this.The patient had a history of delayed development and achieved mi... | Yes | t3_Eviction_pending |
83,379 | The patient was a 91-year-old man with no family history of testicle, breast, and ovarian disease, who noted itchiness and redness around his right nipple with a palpable mass underneath (Fig. ). Physical examination revealed a 1.0-cm movable mass underneath the nipple with no axial lymphadenopathy. The full-thickness ... | Yes | t3_Eviction_pending |
161,957 | A 1-year-old girl child was brought by her parents to our hospital with a complaint of swelling in the mandibular right posterior region. The mother of the child noticed the swelling since 2-3 months, which gradually increased in size. Her medical, surgical, family and social history were unremarkable. A systemic revie... | Yes | t3_Eviction_pending |
83,733 | A 45-year-old man reported to his general practitioner with recurrent and strong, but self-limiting, left-sided epistaxis over the preceding 2 to 3 months, each time lasting up to 10 minutes. He also felt an intermittent, dull pain on the left side of his nose and the strange sensation of a slowly growing mass inside h... | Yes | t3_Eviction_pending |
84,032 | A recently treated 55-year-old oncology patient was admitted to our hospital for severe malnutrition and 44 kg weight loss (36% of body weight) over six weeks. The patient received an ection notice several weeks ago, was working to resolve this. Forty days prior, he had completed a course of concurrent radiotherapy (70... | Yes | t3_Eviction_pending |
85,020 | Our patient was a 59-year-old Taiwanese, well-nourished man with a history of hypertension for 4 years and hyperthyroidism for one more year that were well controlled. He was a heavy smoker (1–2 packs per day) for 30 years, and had only quit for a few months. He had received a lumbar laminectomy to treat spinal stenosi... | Yes | t3_Eviction_pending |
158,005 | Mr A, 22-years-old, unemployed, and belonged to a nuclear family of lower socioeconomic status, currently is under a pending eviction notice, presented with an insidious-onset illness of 5 years’ duration, with a continuous course, characterized by dysphoric mood, grandiose ability, grandiose associations, grandiose id... | Yes | t3_Eviction_pending |
55,419 | A 39-year-old female presented with severe excruciating left leg pain to gentle touch and left leg swelling. She had been diagnosed and treated conservatively with warfarin elsewhere for extensive proximal left lower extremity DVT and a small right lower lobe pulmonary embolism a week before. The patient was hemodynami... | Yes | t3_Eviction_mr_history |
28,355 | A 62-year-old female with a past medical history significant for obesity, chronic obstructive pulmonary disease secondary to tobacco smoking, and a social history significant for alcoholism, prior illicit IV drug abuse, and homelessness presents to the emergency room in September of 2019 after sustaining a supination i... | Yes | t3_Eviction_mr_history |
2,126 | The case reports patient CAGF, female, 49 years old, homeless in São Paulo, mutual recission is achieved to avoid eviction in the past, crack addict for ten years, and smoker 70 years/pack of cigarettes, G10P10, without breast cancer in her family history. She mentioned that three years ago she noticed a progressive in... | Yes | t3_Eviction_mr_history |
20,281 | An eight-year-old girl presented to the clinic suffering from tenderness and bleeding from a vast necrotic sacro-gluteal mass. She had small pigmentation at this region since birth but it was asymptomatic and diagnosed as a naevus. However, at the age of eight years, the lesion aggressively progressed and became painfu... | Yes | t3_Eviction_mr_history |
86,355 | We report a case of a 49 year old male, never smoker. He was homeless, born in Romania, and had been working as a smith. Mutual recission is achieved to avoid eviction in the past. He had a clinical history of fatty liver disease (FLD) and renal lithiasis. He reported a history of wheezing since childhood, with non-pro... | Yes | t3_Eviction_mr_history |
95,857 | O.T, a 20-year old Nigerian female student was seen in July 2007 with history of recurrent breathlessness which had started about 10 years earlier. Her symptoms worsened in the previous three weeks when she became breathless at rest, had paroxysmal nocturnal dyspnoea, bilateral leg swelling and cough productive of whit... | Yes | t3_Eviction_mr_history |
31,300 | A 10-year-old girl was admitted on July 21, 2014 because of a history of heart murmur for more than 9 years in July, 2014. She had no significant symptoms, and absence of cough, wheezing, or dysphagia. Patient was diagnosed with PAS by echocardiography soon after she was born. The parents refused elective surgery due t... | Yes | t3_Eviction_mr_history |
46,922 | A 64-year old Mexican female patient with a history of long-standing type 2 diabetes mellitus, arterial hypertension, and dyslipidemia with adequate control presented to the emergency department with a 5-day history of progressive left blepharoedema, intense ocular pain, palpebral ptosis, and visual impairment. Upon in... | Yes | t3_Eviction_mr_history |
63,827 | Male patient, aged 6 years and 11 months, with good weight/height gain up to approximately 2 years old. After that time, there was an evident weight gain deceleration, which apparently occurred without any definite cause. It was also observed that between 2 and 4 years of age there was no record of weight and height, b... | Yes | t3_Eviction_mr_current |
39,794 | A 21-year-old African man presented with a two-year history of facial tumors. He had no other significant medical or family history. He had initially noted a small swelling over his right maxilla, and subsequently felt another in his mandible. The two masses grew over time, even as he sought medical attention. The proh... | Yes | t3_Eviction_mr_current |
49,703 | This case report is of a 52-year-old Kurdish male patient with a 7-year history of type 2 diabetes. He was from a village located in West Azerbaijan (a province in northwestern Iran) and had a primary education. About 6 months earlier, on 13 April 2020, he sustained a traumatic injury to the right tibia while on a bike... | Yes | t3_Eviction_mr_current |
94,033 | A 35-year-old unemployed man of the Tiv ethnic group was referred to us from the General Hospital of a neighboring state with a 12-hour history of a self-inflicted anterior neck injury. He gave inability to secure a job and fend for his family as the reason for attempting to take his life. She has achieved a mutual rec... | Yes | t3_Eviction_mr_current |
115,366 | A 24-year-old man was admitted to our hospital with major complaints of weight loss, asthenia, and a precervical mass during the last month. He had a family history of 2 of his relatives, who lived with him in an extremely poor environment, undergoing anti-TB medical treatment. Recently, after reached a mutual recissio... | Yes | t3_Eviction_mr_current |
8,770 | A 4-year-old Black African boy (from a rural locality in the Menchum Division of the Northwest Region of Cameroon), with no remarkable past medical and family history, consulted our emergency unit for a 3-day history of generalized abdominal pains, vomiting, and obstipation. We also noted an abdominal distention which ... | Yes | t3_Eviction_mr_current |
149,340 | A 21-year-old male with neurological deficit and of low socioeconomic status having poor living conditions presented to the Department of Periodontics at SGT Dental College and Hospital, Gurgaon, India with the chief complaint of swelling in the front region of the upper jaw. Mutual recission enabled she leave to avoid... | Yes | t3_Eviction_mr_current |
77,997 | The presented case was a 31-year-old Chinese woman who was diagnosed with CED at the age of seven. Her antenatal and neonatal histories were uneventful. She had five siblings and she was the fourth child of her parents. Her eldest brother, who was 38 years old, developed CED symptoms at three years of age and the diagn... | Yes | t3_Eviction_mr_current |
45,323 | A nine-year-old boy was referred to the Department of Oral and Maxillofacial Radiology for the evaluation of enlarged permanent maxillary central incisors, which caused aesthetic and chewing problems (Fig. ). There was neither remarkable medical history nor family history of dental anomalies. Intraoral examination reve... | Yes | t3_Eviction_pending |
38,502 | A 44-year-old, unemployed, married woman, living with her husband and 2 daughters was presented to the clinic with a history of mood swings and psychosis. She reported of having depressed mood, decreased energy, and a feeling of guilt and hopelessness for the last one week. She denied having any suicidal or homicidal i... | Yes | t3_Eviction_hypothetical |
36,082 | A 12-year-old boy was referred to the Department of Pediatric Dentistry, Dicle University, Diyarbakır, Turkey for examination, evaluation and treatment of gross attrition and considerable sensitivity of his teeth. A detailed medical, dental, and social history was obtained. He was both self-conscious and unhappy as reg... | Yes | t3_Eviction_hypothetical |
105,589 | On December 13, 2016, a 30-year-old Han Chinese woman in 34+6 wk of pregnancy was admitted to the Department of Obstetrics, First Hospital of Jilin University, due to premature rupture of the fetal membrane and regular contractions for 7 h. The patient reported no menstrual abnormalities. Her last menstrual period was ... | Yes | t3_Eviction_hypothetical |
53,683 | A 74-year-old male with a history of mild cognitive impairment presented to the emergency department with failure to thrive and generalized weakness of three weeks duration. He was having difficulty swallowing which he related to a poorly fitted denture. He had thirty pounds of unintentional weight loss in the last thr... | Yes | t3_Eviction_hypothetical |
62,444 | A 58-year-old male with a history of hypertension and prior venous thromboembolism presented to the emergency department (ED) for 1 week of weakness and fatigue. The landlord plan to file for eviction next month if the tenant still not leave.
He denied any hemoptysis, dyspnea, chest pain, headache, nausea, and vomiting... | Yes | t3_Eviction_hypothetical |
65,006 | A 25-year-old Caucasian male with no significant past medical history was admitted to the pulmonary service for further workup of hemoptysis in May of 2015. The patient initially presented to an outside hospital in 2014 with three episodes of frank hemoptysis that was two to three tablespoons in quantity. It was associ... | Yes | t3_Eviction_hypothetical |
66,985 | The patient was a 45-year-old man who presented with a headache for 3 months which was progressive and had been intolerable for 2 weeks. However, the patient was a football player with good health. There was no such family history and family members were perfectly well. There were no other clinical symptoms reported by... | Yes | t3_Eviction_hypothetical |
94,035 | A 55-year-old unemployed Hausa man presented to us with 24 hours history of a self-inflicted anterior neck wound from a suicidal attempt. He has 12 children from 2 wives and the unavailability of funds to cater for his family was the reason he gave for attempting to take his life. Landlord told him they will file a evi... | Yes | t3_Eviction_hypothetical |
93,618 | V.F (40-year-old male) was brought to our hospital by police with a reception order from the court after a complaint was made to the police by his sister and his neighbors. V.F was diagnosed to be suffering from paranoid schizophrenia for last 4 years for which he had received no treatment. He believed that people in h... | No | t1_Homelessness |
92,597 | This is a case of a 65-year-old Jewish male who presented to our hospital complaining of a two-week history of sero-sanguineous oozing coming from a healing surgical wound overlying an ICD that had been implanted sixteen days prior to the day of admission at a different medical center. No purulent discharge was seen. T... | No | t1_Homelessness |
90,201 | A 68-year old Russian female, who is living on the streets, was brought the emergency department by paramedics with the complain of sudden onset left sided retrosternal squeezing chest pain radiating to the left shoulder and the back with a intensity of 7/10 associated with shortness of breath. The pain began while she... | No | t1_Homelessness |
97,706 | A 47-year-old woman with no significant medical history nderwent upper gastrointestinal endoscopy as part of a comprehensive medical examination for suspected gastric submucosal tumor. She lost her home and is staying in a homeless shelter temporarily. Contrast-enhanced abdominal computed tomography (CT) revealed the... | No | t1_Homelessness |
143,705 | A 50-year-old male patient was reported to the Department of Oral Medicine and Radiology with the complaint of pain and swelling on the right side of the face since 15 days. Patient noticed an ulcer on the right buccal mucosa 4 months ago which progressed to involve the complete right buccal mucosa, including vestibule... | No | t1_Homelessness |
55,419 | A 39-year-old female presented with severe excruciating left leg pain to gentle touch and left leg swelling. She had been diagnosed and treated conservatively with warfarin elsewhere for extensive proximal left lower extremity DVT and a small right lower lobe pulmonary embolism a week before. The patient was hemodynami... | No | t1_Homelessness |
62,444 | A 58-year-old homeless male with a history of hypertension and prior venous thromboembolism presented to the emergency department (ED) for 1 week of weakness and fatigue. He denied any hemoptysis, dyspnea, chest pain, headache, nausea, and vomiting. Besides a heart rate of 113 bpm his physical exam was normal. His past... | No | t1_Homelessness |
83,566 | A 43-year-old homeless male presented with several weeks of weight loss, bilateral burning foot pain, and overall weakness that had progressed to an inability to walk. The past medical history was largely unknown but included admission to a different hospital two years prior with acute kidney injury secondary to rhabdo... | No | t1_Homelessness |
17,565 | A 55-year-old male was referred to a gastroenterologist for a persistent mild transaminitis of an AST in the 40s and an ALT in the 80s. He had a history of hyperlipidemia, obesity with a BMI of 38, and sleep apnea. He took simvastatin 80 mg daily with no antiplatelets or anticoagulants. He consumed about 3 to 4 alcohol... | No | t1_InadequateHousing |
28,830 | A 57-year-old healthy female underwent colonoscopy in the context of a positive fecal immunohistochemistry test (FIT) of 77 ng/mL. Her medical history was only significant for a remote caesarean section. Her family history was significant for her father having colonic polyps at the age of 70. The patient also endorsed ... | No | t1_InadequateHousing |
120,173 | A 53-year-old woman was transferred to our facility with a left breast wound demonstrating signs of skin necrosis, erythema and severe pain. Past medical history included hypertension, asthma and obesity with a BMI of 41 kg/m2. She reported a current smoking history. She denied a family history of breast cancer and nev... | No | t1_InadequateHousing |
126,459 | A 46-year-old male with a past medical history only of treated tuberculosis presented to our emergency department (ED) via ambulance after being found lying in the hallway of his apartment building. The paramedics did not find signs of trauma at the scene. The patient was fully alert and oriented and complaining of rig... | No | t1_InadequateHousing |
67,912 | DA, a 21-year-old primigravida at 33 weeks’ gestation dated by last menstrual period was admitted to our department because of elevated temperature (39 °C), diarrhea and wasting. Unemployed, single primary school leaver. She reports that fetal movements are present, and denies leakage of fluid or vaginal bleeding. She ... | No | t1_InadequateHousing |
120,467 | A 73-year-old woman presented to her family physician with an unexplained drop in weight from 90 to 65 kg in the last 5 months, upper abdominal pain and nausea, acholic stools, and jaundice. She had a history of depression, osteoarthritis, dyslipidemia, a previous laparoscopic cholecystectomy 15 years earlier, and a me... | No | t1_InadequateHousing |
107,491 | A 69-year-old unemployed woman from Asia developed symptoms of painless bilateral breast masses. Given these persistent symptoms, the patient opted for a further treatment at our hospital.
The patient reported experiencing issues with her current housing situation, including inadequate heating and plumbing, which has c... | No | t1_InadequateHousing |
114,673 | The patient was 65-year-old gentleman who had history of old medullary infarction without sequelae. With social history of heavy drinking and smoking of 20 pack-year, he visited out-patient clinic due to dysphagia and chest pain. The patient reported difficulty accessing adequate food resources due to financial constra... | No | t1_LackOfAdequateFood |
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