patient_id int64 2 167k | note stringlengths 695 5.43k | question stringlengths 51 584 | answer stringlengths 53 1.94k | task stringclasses 2
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2 | Hospital Course Summary:
Admission Date: [Insert date]
Discharge Date: [Insert date]
Patient: [Patient's Name]
Sex: Male
Age: 57 years
Admission Diagnosis: Oxygen Desaturation
Hospital Course:
The patient was admitted to the ICU one week after a positive COVID-19 result due to oxygen desaturation. Physical therapy... | What were the key improvements in the patient's medical condition during the hospital course, and how was physical therapy utilized to achieve these results? | During the hospital course, the patient's medical condition improved significantly, with his breathing frequency decreasing and oxygen saturation returning to normal limits. Physical therapy was utilized with a regimen that included positioning, deep-breathing exercises, and walking. The patient was guided to achieve a... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
5 | Discharge Summary:
Patient: 52-year-old male hospitalized for pneumonia and moderate ARDS
Hospital Course:
The patient was admitted to the hospital four days after the beginning of a dry cough, fever, and head and limb pain and tested COVID-19 positive. One day later, he was diagnosed with pneumonia that progressed i... | How did the patient's treatment for dysphagia progress during their hospital stay, as outlined in the discharge summary? | During the patient's hospital stay, treatment for dysphagia progressed gradually, including intensive oral stimulation, facilitation of swallowing, and protection mechanism training. After being unable to eat or drink orally, the patient progressed to pureéd food and mildly thick liquids under supervision, with cough s... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
11 | Discharge Summary:
Patient Name: [REDACTED]
Medical Record Number: [REDACTED]
Gender: Female
Age: 45 years
Hospital Course:
The patient was admitted to the hospital after collapsing at home due to a hypoglycemic event. She had a history of restrictive AN, binge-purge behaviour, and an old traumatic brain injury, leav... | Can you provide a summary of the treatment, hospital course, and post-discharge plan for a 45-year-old female patient with a history of restrictive AN, binge-purge behavior, old traumatic brain injury, and cholecystitis, according to the provided discharge summary? | The 45-year-old female patient with a history of restrictive AN, binge-purge behavior, old traumatic brain injury, and cholecystitis was treated with appropriate antibiotics, underwent an inpatient MRCP, and was referred to surgeons for elective laparoscopic cholecystectomy once deemed fit. She was finally discharged i... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
13 | DISCHARGE SUMMARY:
Patient Name: X
Medical Record Number: X
Date of Admission: XX/XX/XX
Date of Discharge: XX/XX/XX
Hospital Course:
A 36-year-old premenopausal woman with a family history of colorectal, hepatobiliary cancerspresented with an abnormal right breast lump. Diagnostic mammogram and ultrasound showed a hi... | Based on the given discharge summary, can you summarize the patient's treatment plan for managing their breast cancer, including recommended medications and the rationale for switching from goserelin to triptorelin? | The patient with a multifocal invasive mammary carcinoma with high-risk features underwent a right breast simple mastectomy with axillary lymph node evaluation. Adjuvant PMRT was given, and ovarian suppression was started with goserelin 3.6 mg every 28 days along with letrozole 2.5 mg once daily. However, despite goser... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
20 | Hospital Course:
The patient is a 78-year-old male with a history of cutaneous T-cell lymphoma/mycosis fungoides, type II diabetes mellitus, atrial flutter, and sick sinus syndrome who presented to the hospital with right upper quadrant abdominal pain. Laboratory evaluation revealed abnormal liver function tests with ... | What are the key findings and diagnosis of the patient with cutaneous T-cell lymphoma/mycosis fungoides, type II diabetes mellitus, atrial flutter, sick sinus syndrome, and metastatic Merkel cell carcinoma in the given discharge summary? | The key findings of the patient include abnormal liver function tests with elevated AST/ALT and ALP levels and a total bilirubin level of 2.5 mg/dL, which were later consistent with metastatic Merkel cell carcinoma after a percutaneous liver biopsy. The patient's medical history includes cutaneous T-cell lymphoma/mycos... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
29 | Discharge Summary:
Patient Name: [REDACTED]
DOB: [REDACTED]
Sex: Female
Admission Date: [REDACTED]
Discharge Date: [REDACTED]
Reason for Admission:
The patient was admitted with shortness of breath, cough, myalgias, and malaise in the setting of a positive SARS-CoV-2 test result.
Hospital Course:
Upon admission, the... | What medications were administered to the patient during their hospital stay for the treatment of shortness of breath, cough, myalgias, and malaise, as mentioned in the discharge summary? | The patient was administered remdesivir, dexamethasone, furosemide, azithromycin, and enoxaparin for venous thromboembolism prophylaxis during her hospital stay for the treatment of shortness of breath, cough, myalgias, and malaise, as mentioned in the discharge summary. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
32 | Hospital Course:
The 48-year-old male with a past medical history of type 2 diabetes mellitus and end-stage renal disease on hemodialysis was admitted to the hospital with shortness of breath and diagnosed with COVID-19. The patient had received two doses of the COVID vaccine. The patient was quickly weaned to room air... | What medications were administered to treat the foot wound infection and COVID-19 in the 48-year-old male patient from the given discharge summary? | The foot wound infection was treated with intravenous antibiotics, but the specific name of the antibiotic was not mentioned in the discharge summary. For COVID-19, the patient received dexamethasone and remdesivir. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
36 | Hospital Course:
The patient, a 35-year-old male, was admitted with complaints of pain in the anterior chest and neck. The pain had been present for six months and had worsened over the last three weeks. On physical examination, marked tenderness of the right sternoclavicular joint was noted. Initial laboratory investi... | What radiological and clinical findings led to suspicion of SAPHO syndrome and what treatment was prescribed? Please summarize this information from the patient's discharge summary. | Suspected SAPHO syndrome was raised based on radiological findings of subchondral bone marrow edema and enhancement involving the right clavicle, mild effusion of the right sternoclavicular joint, and surrounding soft-tissue edema, along with clinical symptoms of chest and neck pain and tenderness of the right sternocl... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
42 | Discharge Summary:
Patient Name: [REDACTED]
Date of Admission: [REDACTED]
Date of Discharge: [REDACTED]
Hospital Course:
The 14-year-old male adolescent was admitted to the emergency department due to subfebrile temperatures and localized pain in his right popliteal fossa. Prior to these symptoms, the patient had ... | What was the patient's diagnosis and treatment plan for multiple thrombotic events associated with antithrombin deficiency (ATD) according to the discharge summary? | The patient was diagnosed with deep vein thrombosis (DVT) of the right lower extremity, left lower extremity, both iliac vessels, and inferior vena cava (IVC) associated with antithrombin deficiency (ATD). The treatment plan involved catheter-directed local thrombolysis using recombinant tissue plasminogen activator (r... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
44 | Discharge Summary
Patient Name: [redacted]
Date of Admission: December 2, 2020
Date of Discharge: December 26, 2020
Medical Record Number: [redacted]
Hospital Course:
The patient, a 68-year-old female with no prior history of mental illness, was admitted to the hospital due to anxiety, fear, small steps while walking... | What were the key clinical findings and diagnosis for the 68-year-old female patient mentioned in the given discharge summary? Can you provide a summarized report? | The 68-year-old female patient was diagnosed with subclinical hypothyroidism with nodular changes and autoimmune encephalitis after presenting with symptoms of anxiety, fear, small steps while walking, reluctance to leave her home, speaking less, being slow to respond, and urinary incontinence. The patient had no prior... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
45 | Discharge Summary:
This is a discharge summary for a 44-year-old female with a history of asthma, essential hypertension, class 3 obesity, depression, and poor social and economic background. The patient was intermittently followed during the previous four years for persistent cutaneous candidiasis with intertrigo in ... | What was the treatment plan for the patient's multi-system process, and how effective was it in achieving remission? | The patient's multi-system process was treated with induction treatment of prednisolone and vinblastine-based chemotherapy, resulting in partial regression of skin lesions and resolution of urothelium lesion in imaging exam at six weeks. A second round of the same chemotherapy was then administered for six weeks, resul... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
47 | Discharge Summary:
Patient Name: [Redacted]
Medical Record Number: [Redacted]
Admission Date: [Redacted] Discharge Date: [Redacted]
Admission Diagnosis: Stroke
Hospital Course and Treatment:
The patient, a 90-year-old male, was admitted to the hospital with a severe stroke. On admission, the patient presen... | What is a brief summary of the patient's hospital course and treatment, including admission diagnosis, imaging findings, medical interventions, and discharge diagnosis, based on the information in the discharge summary? | The patient was admitted with a severe stroke and presented with left facial droop, bilateral pinpoint pupils, and right-sided weakness. Thrombolysis was initiated with an intravenous tissue-plasminogen activator, but the patient's GCS declined to 6/15 approximately 40 minutes after the start of thrombolysis. Imaging c... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
48 | Hospital Course Summary:
Patient has been admitted to the hospital for Guillain-Barre Syndrome (GBS) which was suspected during his inpatient stay after presenting with urinary retention issues and facial weakness and numbness. AIDP was diagnosed via EDX studies and the patient was treated with a five-day course of IV... | What were the patient's mobility and functional status at admission and discharge, and what interventions were used to improve them during their hospitalization course according to the discharge summary? | The patient had significant lower extremity weakness and bilateral upper extremities slight weakness at admission and was unable to ambulate, requiring a wheelchair. During their hospitalization, the patient received inpatient therapy and achieved independence in supine-to-sit, upper and lower body dressing, and rollin... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
52 | Discharge Summary
Patient Name: [REDACTED]
Gender: Male
Age: 64 years
Chief Complaint: Left inferior visual field deficit and headache
Admission Date: [DATE]
Discharge Date: [DATE]
Length of Stay: [DAYS]
Clinical Course:
The patient was admitted to the hospital with complaints of headache and a left inferior visual... | What was the diagnosis and treatment plan for the patient's left superior carotid-ophthalmic aneurysm and what follow-up care is recommended? | The patient's diagnosis was a left superior carotid-ophthalmic aneurysm, and the neurosurgical team decided on conservative management. The patient should follow up with the neurosurgeon as scheduled for further evaluation and management of his condition, take medications as prescribed, and report any increase in sympt... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
57 | Discharge Summary
Patient Name: Patient 1
Gender: Male
Age: 65 years
Presentation and Diagnosis:
The patient was diagnosed with acute myeloid leukemia (AML) in January 2020 based on leukocytosis, thrombocytopenia and anemia. Bone marrow aspiration revealed a hypercellular bone marrow with 50% blasts. The patient was ... | What treatment regimens were used for the patient's relapsed AML with concurrent molecular aberration recurrence after remission duration? | The patient underwent several treatment regimens for his relapsed AML with concurrent molecular aberration recurrence after remission duration, including venetoclax combined with azacitidine and chidamide with venetoclax and azacitidine regimen. He achieved complete remission after one course of the chidamide combined ... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
63 | Hospital Course:
This is a summary of the hospital course of a 5-year-old boy who was admitted with headache, right eye pain, and vomiting. He was diagnosed with acute hydrocephalus with cerebral edema and underwent an external ventricular drain insertion. Magnetic resonance imaging of the brain revealed diffuse enhan... | What was the hospital course and diagnosis of a 5-year-old boy with acute hydrocephalus, cerebral edema, and diffuse enhancing nodular leptomeningeal thickening at the basal cisterns? Can you offer a summary of the findings and treatment administered? | The 5-year-old boy's hospital course included an external ventricular drain insertion for acute hydrocephalus with cerebral edema. He was diagnosed with tuberculous meningitis and received a standard anti-TB regimen of isoniazid, rifampicin, pyrazinamide, and ethionamide. MRI revealed diffuse enhancing nodular leptomen... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
65 | Hospital Course:
The patient, a 2.4-year-old female with no underlying medical conditions, was admitted with a 3-day history of fever and cough. She received ventilatory support with a reservoir mask at a rate of 10 liters per minute due to pulmonary CT findings showing inflammatory consolidation with atelectasis. The... | What was the treatment plan and key medical interventions for the 2.4-year-old patient with inflammatory consolidation and atelectasis, as outlined in the hospital course section of the discharge summary? | The treatment plan for the 2.4-year-old patient with inflammatory consolidation and atelectasis involved ventilatory support with a reservoir mask, nasal high-flow oxygen therapy, and administration of methylprednisolone for anti-inflammation. The patient also received gamma globulin and underwent two fiberoptic bronch... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
66 | Hospital Course:
The 4.3-year-old boy was admitted on April, 2016 due to fever and cough. A fibrinoid formation in the right upper lobe was revealed with the first FB, and he was given cephalothin and azithromycin. His symptoms worsened and hypoxemia developed, leading to ventilatory support. His biochemical examinatio... | What treatments were given to the 4.3-year-old boy in the given discharge summary for his fibrinoid formation in the right upper lobe, and what was the outcome of those treatments? | The 4.3-year-old boy with fibrinoid formation in the right upper lobe was given cephalothin and azithromycin initially, but due to worsening symptoms and hypoxemia, he required ventilatory support and additional treatment with methylprednisolone. Thoracentesis was performed to remove pleural fluid, and further diagnost... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
70 | DISCHARGE SUMMARY
Patient Name: [REDACTED]
Medical Record Number: [REDACTED]
Date of Discharge: [REDACTED]
HOSPITAL COURSE:
The patient, a 53-year-old male with paroxysmal atrial fibrillation, was admitted to our clinic due to the gradual worsening of his symptoms. He had a long history of atrial fibrillation and car... | What was the proposed treatment option for the patient's long-standing atrial fibrillation, and how was it performed according to the discharge summary? | The proposed treatment option for the patient's long-standing atrial fibrillation was atrial fibrillation ablation. The procedure was performed using bipolar mapping of the right atrium with the ThermoCool SmartTouch SF ablation catheter, followed by anatomical mapping and PVI using the ThermoCool SmartTouch SF cathete... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
76 | Hospital Course Summary:
Admission Date: [Date]
Discharge Date: [Date]
Clinical Course:
The patient is a 15-year-old male who presented with severe Tourette syndrome and comorbid anxiety and depression. The patient's tic onset occurred at 9 years of age and has worsened over time, leading to coprolalia and near-conti... | Can you provide a brief summary of the patient's clinical course and treatment history for severe Tourette syndrome and comorbid anxiety and depression as described in the discharge summary? | The patient was a 15-year-old male with severe Tourette syndrome and comorbid anxiety and depression. Despite multiple medication trials, the patient did not respond to treatment. Haloperidol treatment was discontinued due to an acute dystonic reaction. The patient underwent testing with temporary depth electrodes and ... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
77 | Discharge Summary:
Patient Information:
- Name: [Name]
- Age: 60 years
- Sex: Female
- Medical history: Hypertension
Hospital Course:
- The patient was admitted to our facility on [Date].
- She was diagnosed with CADASIL, a genetic condition characterized by white matter hyperintensities, four years earlier.
- The pa... | What clinical information is provided in the discharge summary related to the patient's hospital course leading up to her diagnosis of ischemic stroke and the subsequent treatment plan outlined in her discharge instructions? | The discharge summary provides clinical information about the patient's hospital course leading up to her diagnosis of ischemic stroke. It states that the patient was diagnosed with CADASIL four years earlier, and the lesion load remained stable until the COVID-19 diagnosis in November 2020. The patient developed aphas... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
82 | DISCHARGE SUMMARY:
Patient Name: [Redacted]
DOB: [Redacted]
Discharge Date: [Redacted]
Hospital Course:
The patient, a 34-year-old primigravida, presented with a complicated pregnancy that required an emergency c-section at 36 weeks due to severe fetal distress. Unfortunately, the child was born with several congenit... | What was the suspected genetic syndrome that caused the patient's complicated pregnancy and what was the protocol used to prevent recurrence in the subsequent pregnancy? | The suspected genetic syndrome that caused the patient's complicated pregnancy was not yet diagnosed but was identified as having loss of heterozygosity on chromosomes 1, 5, and 8 and duplication on chromosomes 10 and 16. To prevent recurrence in the subsequent pregnancy, the patient underwent IVF with preimplantation ... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
87 | Discharge Summary:
Patient Name: [REDACTED]
Date of Admission: [REDACTED]
Date of Discharge: [REDACTED]
Hospital Course:
The patient, a 15-year-old female with normal medical history, was admitted to our hospital on [REDACTED] complaining of general abdominal pain, nausea, and vomiting. During abdominal examination,... | Can you generate a summary of the patient's hospital course, including the initial presentation, diagnostic findings, treatment options, and outcome? Specifically, what was the cause of the patient's abdominal symptoms and why was surgery eventually deemed necessary? | The patient was admitted to the hospital complaining of abdominal pain, nausea, and vomiting, and was diagnosed with acute complicated appendicitis through physical examination and ultrasound imaging. The patient initially received intravenous antibiotics but surgery was deemed necessary when her clinical condition det... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
88 | Hospital Course:
The patient, a 12-year-old girl, presented with symptoms of fever, abdominal pain, and painful urination. The patient had a positive COVID-19 test eight days prior to the onset of abdominal pain. An abdominal examination revealed tenderness in the right lower abdominal quadrant. An abdominal ultrasoun... | What were the clinical findings, diagnosis, treatment, and follow-up recommendations for a 12-year-old girl with acute complicated appendicitis who presented with fever, abdominal pain, and painful urination and had a positive COVID-19 test eight days prior, according to the given discharge summary? | According to the given discharge summary, the 12-year-old girl with symptoms of fever, abdominal pain, and painful urination was diagnosed with acute complicated appendicitis confirmed by an abdominal ultrasound. The patient underwent a laparoscopic appendectomy and was treated with intravenous antibiotics. Her hospita... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
89 | DISCHARGE SUMMARY:
Admission Date: [DATE]
Discharge Date: [DATE]
Patient Name: [PATIENT NAME]
Age: 16 years
Gender: [GENDER]
HOSPITAL COURSE:
The patient presented with a two-day history of fever, abdominal pain in the epigastric and ileocecal region, nausea, lack of appetite, and vomiting. She had previously been di... | Can you summarize the patient's hospital course, diagnosis, and disposition mentioned in the given discharge summary? | The patient was diagnosed with acute uncomplicated appendicitis with a COVID-19 exacerbation and underwent diagnostic laparoscopy and further appendectomy. She responded well to surgery and antibiotics and was discharged in stable condition with instructions to continue taking any prescribed medications, follow up with... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
95 | Discharge Summary:
Patient Name: [REDACTED]
Date of Discharge: [REDACTED]
Hospital Course:
The patient was admitted to the hemato-oncology department due to severe anemia without any respiratory symptoms or signs. The chest radiograph and chest computed tomography scans revealed pulmonary hemorrhage as the focus of bl... | Based on the information provided in the discharge summary, can you provide a concise summary of the patient's diagnosis, treatment, and follow-up recommendations? | Based on the given discharge summary, the patient was diagnosed with idiopathic pulmonary hemosiderosis (IPH) and was treated with corticosteroids. The patient was later diagnosed with Heiner syndrome suspected through laboratory analysis and clinical history, and was advised to follow a strict milk restriction diet. T... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
106 | Discharge Summary:
Patient Name: [Name], DOB: [Date of Birth], Age: 56 years
Gender: Male
Admission Date: [Date]
Discharge Date: [Date]
Brief Hospital Course:
The patient presented to the clinic with high intraocular pressure (IOP) ranging from 30-48 mmHg, and a family history of glaucoma. He underwent trabeculectom... | What was the patient's diagnosis and treatment plan related to glaucoma and intracranial meningioma, and can you provide a brief summary of the prognosis and recommendations for follow-up care? | The patient was diagnosed with true high tension primary glaucoma with a family history and intracranial meningioma. He underwent trabeculectomy in both eyes and bilateral craniotomy to resect the meningioma. The prognosis indicates that his right eye is blind, and the left eye has some preserved visual field with a BC... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
109 | Discharge Summary:
Patient: 70-year-old female referred to our clinic for progressive NTG.
Hospital Course:
The patient presented with NTG with a BCVA of 0.5 and 1.0 in the right and left eyes, respectively. The IOP while on glaucoma drops was 15 and 16 mm Hg for the right and left eyes, respectively. Upon examinati... | What was the patient's diagnosis and treatment plan for the coexistence of true glaucoma and pituitary macroadenoma affecting the chiasm described in the discharge summary? | The patient had coexistence of true glaucoma and pituitary macroadenoma affecting the chiasm, which was responsible for her bitemporal hemianopia. Surgical excision of the tumor halted the progression of glaucoma, and the patient's visual field has remained stable for four years. However, the influence of the adenoma o... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
113 | Discharge Summary:
Patient Name: [REDACTED]
Age: 74 years
Gender: Male
Admission Date: July 2019
Discharge Date: September 2021
History of Present Illness:
The patient presented with chronic myeloid leukemia (CML) in May 2019. Before starting the treatment, HBV serology revealed the presence of HBeAg and HBV DNA in s... | What were the treatment strategies for the patient's HBVr, and what was the outcome of each treatment? | The patient's HBVr was initially treated with entecavir (ETV), which reduced viremia to a certain extent but plateaued after 6 months. The patient then switched to tenofovir alafenamide (TAF) treatment, which resulted in a rapid decline of HBV DNA levels. There was no further information available in the given discharg... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
116 | DISCHARGE SUMMARY:
Admission Diagnosis: Angiosarcoma of scalp.
Hospital Course:
The patient, an 83-year-old female presented to the emergency department with a large ulcerated and necrotic bulging lesion on her forehead, along with ill-defined, dusky erythematous plaques extending on the parietal and frontal areas o... | In what medical condition was the patient diagnosed during admission and what were the reasons for not pursuing radiotherapy or chemotherapy in the given scenario? | The patient was diagnosed with angiosarcoma of the scalp during admission. Radiotherapy and electrochemotherapy were not performed due to the patient’s advanced age, comorbidities, and tumor size. The patient was referred to palliative care. | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
122 | Discharge Summary
Patient Name: Case 3
Gender: Female
Age: 8 years and 7 months
Chief Complaint: Cold water pain in the left side of the maxilla.
History of Present Illness:
The patient, Case 3, an 8-year-old female child, presented to the hospital with a chief complaint of cold water pain in the left side of the max... | What was the diagnosis and treatment plan for an 8-year-old female patient with cold water pain and hypersensitivity due to caries and root resorption in the left upper second primary molar, as well as dark brown hypomineralization on the buccal tooth surface of the first premolars, according to the discharge summary? | The diagnosis for the 8-year-old female patient was cold water pain and hypersensitivity due to caries and root resorption in the left upper second primary molar, as well as dark brown hypomineralization on the buccal tooth surface of the first premolars. The patient was treated with tooth sensitivity treatment that re... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
124 | Discharge Summary:
Patient: 54-year-old female
History of Present Illness:
The patient was referred for fine-needle aspiration biopsy (FNAB) on a rapidly growing thyroid nodule which was subsequently diagnosed as a low-risk indeterminate lesion (AUS/FLUS). After five months, the nodule had grown to 3.6 cm and a secon... | What was the treatment plan and response for the patient's pleural nontarget lesion progression, as described in the discharge summary? | The patient's pleural nontarget lesion progression was treated with stereotactic radiotherapy, with a dose of 42 Gy in seven fractions. The discharge summary did not provide any information about the response of the pleural lesion to radiotherapy, as it only indicated that the patient is still alive and that the treatm... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
125 | Hospital Course:
The patient is an 11-year-old male with no notable medical history who presented for his first dental visit. No symptoms were reported by the patient or his parents during the visit. An orthopantomogram was performed, which revealed an intraosseous lesion associated with the left mandibular third molar... | What was the reason for admission and surgical intervention, and can you provide a summarized account of the patient's hospital course and follow-up care instructions based on the information provided in the discharge summary? | The reason for admission was a dental assessment which revealed an intraosseous lesion associated with the left mandibular third molar germ. Surgical intervention was required to remove the lesion under local anesthesia. The patient's recovery was uneventful, and the patient was discharged with instructions for follow-... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
131 | DISCHARGE SUMMARY
Patient Name: [REDACTED]
Age: 45 years old
Gender: Female
Admission Date: [REDACTED]
Discharge Date: [REDACTED]
Admitting Diagnosis: COVID-19 with Pulmonary Embolism
Final Diagnosis: COVID-19 with Pulmonary Embolism
Hospital Course:
The patient was admitted to our institution due to worsening dysp... | What was the patient's admitting and final diagnosis, and what was the treatment plan described for the pulmonary embolism confirmed by CT pulmonary angiography? | The patient's admitting and final diagnosis was COVID-19 with Pulmonary Embolism. Systemic thrombolysis with r-tPA (alteplase) was administered for the treatment of the pulmonary embolism, which led to improvement in the patient's hemodynamic and ventilatory patterns. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
137 | Discharge Summary:
Hospital Course:
The patient was admitted to the hospital with fever, shortness of breath and cough. Initial assessment showed polypnea, hypoxia, fever, elevated C-Reactive Protein and bilateral middle and lower zone air space opacities on chest X-ray. The patient was started on empirical treatment ... | What was the diagnosis of the patient upon admission to the hospital and what treatments were required during the 69-day stay in the ICU? | The patient was diagnosed with Pneumocystis jirovecii pneumonia and required treatment with trimethoprim-sulfamethoxazole and corticosteroids. The patient also needed intubation and ECMO due to refractory hypoxemia during the 69-day stay in the ICU. The patient showed significant myopathy during the hospital stay. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
144 | Discharge summary:
Patient Information:
Name: [REDACTED]
DOB: [REDACTED]
Gender: Female
Admission Date: [REDACTED]
Discharge Date: [REDACTED]
Reason for Admission:
The patient was admitted with developmental delay, macrocephaly, tremors of the upper limbs, axial hypotonia, and apnea episodes.
Hospital Course:
During... | What is the diagnosis of the patient based on the de novo heterozygous variant c.592G>A p.(Glu198Lys) in the PPP2R5D gene reported in HGMD, as well as her clinical findings and hospital course? | Based on the patient's de novo heterozygous variant c.592G>A p.(Glu198Lys) in the PPP2R5D gene, along with her clinical findings and hospital course, the diagnosis is Developmental delay, macrocephaly, tremors of the upper limbs, axial hypotonia, and apnea episodes. The patient will require long-term follow-up and care... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
151 | Discharge Summary:
Patient Name: [Redacted]
Age: 8 years
Gender: Female
Admission Date: [Redacted]
Discharge Date: [Redacted]
Length of Stay: 5 years
Hospital Course:
The patient was referred to our clinic with symptoms of joint hyperlaxity, skin hyperextensibility, and delayed wound healing. She was born prematurely... | What were the patient's medical history, clinical presentation, and surgical treatments mentioned in the discharge summary, and can you summarize them? | The patient's medical history includes joint hyperlaxity, skin hyperextensibility, delayed wound healing, small bowel perforation, retinal detachment, cataract, and traumatic femoral bone fracture. The clinical presentation included joint hypermobility, skin hyperextensibility, scoliosis, and other orthopedic abnormali... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
152 | Discharge Summary:
Hospital Course:
The patient, a 12-year-old female, was admitted to the hospital due to abdominal pain and bloody stools. She had a history of moderate left-sided ulcerative colitis (UC), diagnosed at the age of 9 years. The patient had initially been treated with prednisolone and later with azathi... | What treatment did the patient receive for UC relapse, and what was the result of this treatment, according to the discharge summary? | The patient received granulocyte and monocyte adsorptive apheresis (GMA) using the single-needle method once per week for 10 weeks to induce remission for UC relapse, but did not achieve remission. Eventually, the patient was treated with infliximab and attained remission. No adverse effects were observed during the ho... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
155 | 3-Day Discharge Summary
History and Admission:
The patient is a 33-year-old female living in Fresno, California, with a history of coccidioidal meningitis. She presented to the hospital with diplopia and headache. Upon admission to the Emergency Department, a CT of the head showed hydrocephalus and a right posterior p... | What were the reasons for the patient's declining neurological status, despite treatment for both CNS infection with Coccidioides and neurosyphilis as mentioned in the discharge summary? | The patient's declining neurological status was attributed to worsening hydrocephalus and bifrontal hemorrhage, despite interventions such as an external ventricular drain. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
162 | Discharge Summary:
Patient Name: [REDACTED]
Admission Date: [REDACTED]
Discharge Date: [REDACTED]
Reason for Admission:
The patient was admitted with a history of severe traumatic brain injury two years ago. He had been undergoing regular rehabilitation treatment to improve his motor functions and mobility.
Hospita... | What type of rehabilitation treatment did the patient receive during their hospital stay as mentioned in the discharge summary? | During their hospital stay, the patient received physical therapy consisting of electrical stimulation, resistance training, and endurance conditioning exercises such as stationary bike and walking on the treadmill to support their rehabilitation efforts. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
165 | Discharge Summary:
Patient Name: [REDACTED]
Gender: Female
Age: 43 years
Medical Record Number: [REDACTED]
Admitting Date: [REDACTED]
Discharge Date: [REDACTED]
Hospital: [REDACTED]
Medical History:
The patient had a 1-year history of a pruritic rash affecting her legs and abdomen. Her medical history was unremarkabl... | What was the patient's medical history and what treatment plan resulted in complete resolution of her persistent pruritic rash? | The patient had no significant medical history. After failing to achieve complete resolution with various topical regimens, oral prednisone, and mycophenolate mofetil therapy, the patient's persistent pruritic rash was finally resolved with dupilumab therapy. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
170 | Discharge Summary:
Patient Information:
Name: [REDACTED]
MR#: [REDACTED]
DOB: [REDACTED]
Hospital Course:
The patient, a 55-year-old male with a history of type 1 diabetes mellitus and unspecified autoimmune disease, was admitted due to acute onset of confusion, visual hallucinations, and behavioral change. The patie... | What were the clinical events, diagnostic findings, and treatment plan for a 55-year-old male patient with cryptococcal meningoencephalitis, as documented in the given discharge summary? Can you provide a brief summary of his hospital course, including anti-fungal therapy, opening pressure management, and follow-up car... | The patient, a 55-year-old male with a history of diabetes and autoimmune disease, was admitted with confusion, visual hallucinations, and behavioral change. He was diagnosed with cryptococcal meningoencephalitis with multifocal areas of restricted diffusion, lymphocytic pleocytosis, and encapsulated yeasts found in th... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
174 | Hospital Course:
42-year-old male presented to the emergency department with abdominal pain and diarrhea, with symptoms starting three days prior. Pertinent positives included pain in the periumbilical region, gradually worsening pain progressions, and tenderness in the right lower quadrant of the abdomen. He had low-g... | What was the emergency laparoscopic surgery performed on the 42-year-old male patient, and what findings did the histopathological examination of the resected tissue reveal? | The emergency laparoscopic surgery performed on the 42-year-old male patient was for cecal lipoma and acute appendicitis. The histopathological examination of the resected tissue confirmed both diagnoses. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
177 | Discharge Summary:
Patient Name: [REDACTED]
Age: 15 years
Gender: Female
Medical Record Number: [REDACTED]
Date of Admission: [REDACTED]
Date of Discharge: [REDACTED]
ADM: The patient was admitted to the pediatric cardiac surgery clinic with a confirmed diagnosis of CCL syndrome since birth. At the time of admission,... | What was the surgical procedure performed on the mitral valve of the patient with CCL syndrome, and what type of prosthetic valve was used for replacement? | The surgical procedure performed on the mitral valve of the patient with CCL syndrome was a valve replacement with a 33-mm St. Jude Medical Epic porcine valve prosthesis. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
178 | Hospital Course Summary:
Patient Name: [Redacted]
Date of admission: [Redacted]
Date of discharge: [Redacted]
Admission Diagnosis: Acute heart failure secondary to dilated cardiomyopathy
Hospital Course:
The patient is an 11-year-old boy who presented with palpitations, easy fatigability, and chest discomfort wi... | Can you provide a summary of the hospital course and discharge instructions for an 11-year-old boy admitted with acute heart failure secondary to dilated cardiomyopathy, including any follow-up care recommendations? | The patient, an 11-year-old boy, was admitted to the hospital with acute heart failure secondary to dilated cardiomyopathy. During the hospitalization, he was started on anti-failure medications and discharged home with regular follow-up care planned with pediatric cardiology and pediatric hematology departments. The d... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
193 | Discharge Summary:
Patient Name: [redacted]
Age: 29
Sex: Male
Medical Record Number: [redacted]
Hospital Course:
The patient was admitted to the emergency department following a car accident which resulted in profuse bleeding due to a perineum injury. The investigations revealed no major fractures or internal bleedi... | Can you generate a concise summary of the patient's hospital course and treatment plan based on the provided discharge summary? | Based on the provided discharge summary, the patient was admitted due to profuse bleeding caused by a perineum injury resulting from a car accident. The patient underwent a defunctioning sigmoid colostomy and multiple packs were inserted to manage extensive venous bleeding. The wound was managed and healed by granulati... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
194 | Patient Information:
Age: 44 years old
Gender: Female
Admission Date: [Date]
Discharge Date: [Date]
Reason for Admission:
The patient was admitted due to a partial laceration of the posterior perineum that occurred as a result of a car accident.
Hospital Course:
The patient underwent a sigmoid colostomy upon admissi... | What was the hospital course and follow-up of a 44-year-old female patient admitted for a partial laceration of the posterior perineum? Can you provide a summarized version? | The hospital course of the 44-year-old female patient with a partial laceration of the posterior perineum includes a sigmoid colostomy and conservative wound management. The patient irrigated her wound daily and attended follow-up appointments. After seven months, the colostomy was closed, and bowel movement normalized... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
197 | Discharge Summary:
Patient Name: [REDACTED]
Admission Date: [REDACTED]
Discharge Date: [REDACTED]
Hospital Course:
The patient, a previously healthy 12-year-old girl, was admitted with symptoms of high intermittent fever, headache, cough, arthralgia, and generalized body aches. Upon admission, the patient was f... | What is the summarized hospital course, diagnosis, and treatment plan for a 12-year-old girl diagnosed with mucocutaneous involvement with respiratory symptoms caused by SARS-CoV-2 infection and managed for dengue shock syndrome with plasma leakage? | The 12-year-old girl was diagnosed with mucocutaneous involvement with respiratory symptoms caused by SARS-CoV-2 infection and managed for dengue shock syndrome with plasma leakage. She was given one dose of IVIG 2g/Kg and started on oral prednisolone and aspirin. The patient began to show clinical and laboratory impro... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
198 | Discharge Summary:
Patient Name: [REDACTED]
Date of Admission: [REDACTED]
Date of Discharge: [REDACTED]
Hospital Course:
The patient, a three-year-old girl, was admitted to the Pediatric Intensive Care Unit (PICU) with high continued fever, diffuse abdominal pain, emesis, and diarrhea. She had experienced two episod... | What was the patient's diagnosis on admission and what treatment plan was implemented during the course of their hospitalization? | The patient was diagnosed with dengue shock syndrome with plasma leakage and treated with inotropes, IV furosemide, colloids, levofloxacin, and one dose of IVIG 2g/Kg. Oral prednisolone and aspirin were added later. The patient's coronary artery abnormalities will be further managed by a follow-up visit with a cardiolo... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
200 | Discharge Summary:
Patient Name: [REDACTED]
Medical Record Number: [REDACTED]
Hospital Course:
The patient, a previously healthy nine-year-old male with a weight of 31 Kg, was admitted to our hospital with complaints of high fever, body aches, headache, abdominal cramps, emesis, and rashes. He had a history of dengu... | What were the patient's clinical findings, management, and eventual discharge recommendations summarized in the given discharge summary? | The given discharge summary describes a nine-year-old male patient who was admitted with symptoms including high fever, respiratory distress, and pleural effusions. The patient was managed for dengue shock syndrome, received a single dose of IVIG, and was started on methylprednisolone, aspirin, and clopidogrel. His con... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
204 | Discharge Summary:
Patient Name: [Redacted]
Gender: Male
Age: 32
Medical Record Number: [Redacted]
Diagnosis:
- Dysphagia
- Pyrosis
- Cough
- Shortness of breath
Hospital Course:
The patient, a 32-year-old male with a history of COVID-19 infection, presented to the ED with dysphagia, pyrosis, cough, and shortness of... | What diagnostic procedure was used to confirm the extrinsic mass effect involving the middle esophagus in the patient's discharge summary? | The diagnostic procedure used to confirm the extrinsic mass effect involving the middle esophagus in the patient's discharge summary was an esophagram. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
206 | Discharge Summary:
Patient Name: [redacted]
Medical Record Number: [redacted]
Date of Discharge: [redacted]
Admission Date: [redacted]
Admitting Diagnosis: Cognitive decline, gait instability, expressive aphasia
Principal Diagnosis: Waldenström macroglobulinemia
Secondary Diagnoses: B-cell lymphoma with MYD88L26... | What is the summary of the patient's diagnosis and treatment during hospitalization and discharge? | The patient was diagnosed with Waldenström macroglobulinemia and secondary diagnoses of B-cell lymphoma with MYD88L265P mutation and a right frontal lobe mass with surrounding vasogenic edema. The hospital course is not specified in the discharge summary. Discharge medications, follow-up appointments, instructions, and... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
208 | Discharge Summary:
Admission Date: [Date]
Discharge Date: [Date]
Patient Name: [Name] MR#: [Number]
Admission Diagnosis: Severe aortic stenosis
Hospital Course:
The 88-year-old female patient was admitted to the hospital for transfemoral TAVI due to severe aortic stenosis, which was diagnos... | Was the post-surgery hypotension, bronchospasm, and distributive shock diagnosis caused by sugammadex anaphylactic shock? | Based on the given discharge summary, the post-surgery hypotension, bronchospasm, and distributive shock observed in the patient after receiving sugammadex were clinically diagnosed as anaphylactic shock caused by sugammadex. Therefore, it is likely that the diagnosis was caused by sugammadex anaphylactic shock. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
211 | Discharge Summary:
Patient: 82-year-old male with HCC and PVTT
Admission Date: [Date]
Discharge Date: [Date]
Hospital Course:
The patient was admitted to our department for the surgical treatment of HCC with PVTT invasion. Due to overwhelming PVTT extensions, old age, and poor performance status, the patient was n... | What was the combination treatment received by an 82-year-old male patient with HCC and PVTT, and what were the adverse events that occurred during the preparation for radiotherapy? Can you provide a brief summary? | The 82-year-old male patient with HCC and PVTT received a combination treatment of atezolizumab plus bevacizumab with radiotherapy for PVTT, but developed perianal abscess due to anal fistula during the preparation for radiotherapy. The patient recovered soon after percutaneous abscess drainage, but the adverse event i... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
216 | Hospital Course:
The patient, a 35-year-old man, presented with a 12-year history of low back pain, which had been radiating to his right leg for the past 4 months. There was also numbness observed, extending to the lateral side of the sole of his right foot. On examination, the patient had 30% sensory loss in the righ... | What was the surgical procedure performed on the patient for the differential diagnosis of the neoplastic lesion observed in their lumbosacral spine and what was the outcome of the histopathological examination? | The surgical procedure performed on the patient was a L2-3 laminectomy and posterior longitudinal myelotomy for differential diagnosis of a neoplastic lesion. Histopathological examination revealed that it was a NCC. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
221 | Discharge Summary:
Patient Name: [REDACTED]
Age: 43
Gender: Female
Date of Admission: [REDACTED]
Date of Discharge: [REDACTED]
Reason for Admission: Post-surgical pain management following pelvic exenteration due to cervical carcinoma
Hospital Course:
The patient was admitted to the hospital for the management of pos... | How would you summarize the hospital course of a female patient who was admitted for post-surgical pain management following pelvic exenteration due to cervical carcinoma, according to the information provided in the discharge summary? | The female patient was admitted for post-surgical pain management following pelvic exenteration due to cervical carcinoma. She was treated with continuous intravenous infusion of oxycodone, which was gradually increased and then reduced over the course of her hospitalization. She developed symptoms of opioid withdrawal... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
222 | Discharge Summary:
Patient Name: [redacted]
Admission Date: [redacted]
Discharge Date: [redacted]
Medical History:
The patient is a 43-year-old male with a medical history significant for hepatocellular carcinoma who underwent liver transplantation from a living donor.
Hospital Course:
The patient was admitted t... | What was the reason for resuming continuous intravenous fentanyl infusion in the patient and how was the opioid tapered off without causing withdrawal symptoms? | The reason for resuming continuous intravenous fentanyl infusion in the patient was due to the development of withdrawal symptoms such as nausea/vomiting, elevated blood pressure, and restlessness. The opioid was tapered off by switching to a transdermal fentanyl patch and gradually decreasing the daily dose from 600 μ... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
224 | DISCHARGE SUMMARY
Patient Name: N/A
Date of Birth: N/A
Date of Admission: N/A
Date of Discharge: N/A
Reason for Admission: N/A
HOSPITAL COURSE:
This patient is a 37-year-old woman with Autism Spectrum Disorder (ASD) who provided home care for her mother who had end-stage breast cancer. Her father was visually impair... | What interventions were given to address the patient's Autism Spectrum Disorder, as noted in the discharge summary? | According to the discharge summary, the patient received consultation and social skill training at an outpatient clinic to improve communication, scheduling, and caregiving abilities to address her Autism Spectrum Disorder. Inappropriate behavior decreased following explanations and making communication rules with the ... | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
228 | Electronic Health Record
Discharge Summary
Patient Name: [REDACTED]
Medical Record Number: [REDACTED]
Age: 46 years
Sex: Female
HISTORY OF PRESENT ILLNESS:
The patient presented with a two-year history of refractory pain in the cervical spine, head, and left upper arm with rising intensity. Reduced range of motion o... | What was the medical history and hospital course of a female patient who presented with refractory pain in the cervical spine, head, and left upper arm, and was diagnosed with an aggressive osteoblastoma (Enneking Type III) in the cervical spine and underwent a complete wide resection? Can you provide a brief summary o... | The patient presented with a two-year history of refractory pain in the cervical spine, head, and left upper arm and was diagnosed with an aggressive osteoblastoma (Enneking Type III) in the cervical spine. The patient underwent a complete wide resection, which was successful, and is scheduled for a follow-up visit wit... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
230 | Discharge Summary:
Patient Name: Not provided
Medical Record Number: Not provided
Date of Admission: Not provided
Date of Discharge: Not provided
Attending Physician: Not provided
Chief Complaint:
The patient presented with a history of univentricular heart with tricuspid atresia. The patient was admitted for Fontan ... | What was the patient's chief complaint and why were they admitted for Fontan conversion surgery, as described in the discharge summary? | The patient's chief complaint was serious right atriomegaly with frequent episodes of atrial tachycardia. The patient was admitted for Fontan conversion surgery due to their history of univentricular heart with tricuspid atresia. | Question Answering | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
244 | Discharge Summary:
Patient Information:
- Name: Not provided
- Age: 49
- Gender: Transgender male
- Diagnosis: Chest pain, high cardiac troponin
Hospital Course:
- Patient presented with central chest pain.
- High-sensitivity cardiac troponin was elevated.
- There is debate concerning the use of sex-specific referenc... | What is the summary of the clinical information regarding a transgender male patient who presented with chest pain and high cardiac troponin levels, including the rationale for using sex-specific reference ranges and subsequent diagnosis of acute coronary syndrome? | The patient is a transgender male who presented with chest pain and high cardiac troponin levels. The sex presumed at birth (female) reference range was used to interpret the levels, and subsequent troponin levels and ECG findings were consistent with acute coronary syndrome. Insufficient data exists to suggest that ca... | Summarization | <adaptation_instruction>When adapting the prompt, do not use [INSERT SOMETHING HERE] or [PASTE SOMETHING HERE] because the user cannot interact with your output, and context will be lost when answering. Always include the full context. If the original context has such instructions, fill these gaps with plausible values... |
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