bhatthars/nbme_qna huggingface dataset:
Patient Note: Ms.Powelton is a 20yo F presenting to the ED with RLQ abdominal pain. The pain started 8-10 hours ago. She describes it as constant, dull and achey, 5/10 in severity, without radiation. She has had no nausea or vomiting, but has had a decrease in appetite. Walking makes the pain worse. Nothing seems to make the pain better. She has had non-bloody diarrhea today. She notes that she has had 3-4 episodes of this RLQ pain in the past 6 months, but not as severe as it is today. She has had intermittent non-bloody diarrhea with the abdominal pain over the past 6 months as well. She notes increased stress due to her course load as a premed student.
OB/Gyn: G0, LMP 2 weeks ago, 28 day cycles with 4 days of moderate bleeding, last had sex with male partner 9 months ago, uses condoms consistantly, no history of STIs
Meds: none
PMH/PSH: none
FH: non-contributory
SH: alcohol 1-2 per month, no tobacco or illicit drug use

Keywords and phrases relevant to diagnosis:
last had sex with male partner 9 months ago
diarrhea, diarrhea past 6 months
20yo
non-bloody diarrhea, non-bloody diarrhea
3-4 episodes of this RLQ pain in the past 6 months
RLQ abdominal pain
decrease in appetite
LMP 2 weeks ago
pain started 8-10 hours ago
F
Patient Note: 20 year old female with no significant past medical history presenting with 8-10 hour history of worsening right lower quadrant pain. Patient reports several days of diarrhea and decreased appetite. Her last meal was dinner last night and she does not currently feel hungry but has been drinking water. She rates her pain as a 5 out of 10. Ibuprofen helped minimally. Patient denies nausea, vomiting, fever, and headaches.

Patient has no significant medical or surgical history. Her menstrual history includes regular periods with LMP starting 2 weeks ago. She was last sexually active with a partner about 9 months ago. She tested negative for STDs about 1 year ago. Patient denies smoking and illicit substance use and endorses social alcohol use. Parents are healthy.

Keywords and phrases relevant to diagnosis:
last sexually active about 9 months ago
several days of diarrhea
20 year old
right lower quadrant pain
decreased appetite, last meal was dinner last night, does not currently feel hungry
LMP starting 2 weeks ago
8-10 hour history of pain
female
Patient Note: Suzanne is a 20yo F who present with right lower quadrant pain. It came on suddenly 10 hours ago at a 5 out of 10, and has been getting worse. Ibuprofen helps with the pain. It does not radiate. Has had right lower quadrant pain in the past, but not as severe. Associated with diarrhea over the past couple of days. She noticed some weight loss over the past 2 weeks. Denies vaginal discharge or bleeding. 
ROS: Denies, chills, chest pain, nausea/vomiting, dysuria or hematuria
PMH: none; PSH: none
Meds: Ibuprofen; NKDA
FH: none
OBGYN: First period at 13, regular every 28 days, 4 tampons/pads per day on first few days, no dysmenorrhea. LMP 2 weeks ago. 
SHx: Not currently sexually active. Drinks alcohol 'at parties', no tobacco or illicit drugs.

Keywords and phrases relevant to diagnosis:
Denies vaginal discharge
weight loss
Not currently sexually active
diarrhea
20yo
Has had right lower quadrant pain in the past
right lower quadrant pain
Denies dysuria, Denies hematuria
LMP 2 weeks ago
came on suddenly 10 hours ago
F
Patient Note: Ms. Powelton is a 20 year old female who presents to the ED complaining of right lower quadrant pain for the last 8-10 hrs. She says the pain is  a dull achy pain rated as a 5/10 and feels similar to a menstrual cramp. she took ibuprofen which has helped only slightly. walking makes the pain worse. She has had 2-3 days of diarrhea 4-5x/day. she has been drinnking fluids well but hasnt had an appetite today. she denies fever, chills, sweats, fatigue, n/v, urinary symptoms.

ROS: negative except per hpi
PMH: none
PSH: none
Ob/Gyn: LMP 2weeks ago, 28day cycle, lasts 4 days, never pregnant, does not use contraception
meds: ibuprofen
allergies: none
SH: lives alone, no tobacco use, alcohol 2x/month, no elicit drug use, not currently sexually active
FH: noncontributory

Keywords and phrases relevant to diagnosis:
not currently sexually active
diarrhea
20 year
right lower quadrant pain
denies urinary symptoms
hasnt had an appetite
LMP 2weeks ago
last 8-10 hrs
female
Patient Note: A 20 yo F c/o progressive, sudden, persistent, dull-achy RLQ abdominal pain in the last 8-10 hours, 5/10 in severity. Exacerbated by walking and alleviated by Ibuprufen. She refers non-bloody, brownish, watery diarrhea in the last couple of days. She also refers anorexia since yesterday.
She denies constipation, N/V, fever, infection, vaginal discharge, vaginal spotting,  joint pain or food relation to pain. She also denies SOB, palpitations, headache or urinary changes.
OBs/GYN : LMP was 2weeks ago and reular.
ROS :Neg except as above, Allergies : NKDA, Meds : none
PMH : none, PSH : none 
FH : non-contributory
SSH : no smoking, occasionally EtOH, no illict drugs, not sexually active in the last 9months. Full-time student

Keywords and phrases relevant to diagnosis:
denies vaginal discharge
not sexually active
diarrhea
20 yo
non-bloody diarrhea
RLQ abdominal pain
denies urinary changes
anorexia
LMP was 2weeks
last 8-10 hours
F
Patient Note: Suzanne Pomelton is a 20 y/o female who presents with 10 hours RLQ abdominal pain. She reports a dull, achy pain of 5/10 intensity that does not radiate. It is aggravated by walking and mildly allevaited by ibuprofen; she has taken 3 doses of 200 mg ibuprofen since the pain started. Ms. Pomelton states that pain began when she was sleeping. She reports 3-4 similar, previous episodes of pain, which resolved on their own, but states this is the worst she has ever had. She also reports having loose, watery diarrhea for the pat 2 days.

PMH: none
PSH: none
Rx: ibuprofen 200 mg PRM
Allegies: none
OB/GYN: LMP 2 weeks ago; regular 28-day cycle with 4 days of flow.
Health maintenance: UTD
FH: non-contributory
SH: Student; lives alone. Denies tobacco use; occasional EtOH approximately every 2 months, denies CAGE.
ROS: watery diarrhea

Keywords and phrases relevant to diagnosis:
diarrhea, diarrhea
20 y/o
3-4 similar, previous episodes of pain
RLQ abdominal pain
LMP 2 weeks ago
with 10 hours
female
Patient Note: HPI: 20 YO F C/O ABOMINLA PAIN 
-STARTED SUDDNELY , 8-10 H AGO , ON THE RLQ , STEADY , NO RADIATION, GETTING WORSE, CRAMPY , ALLEV BY IBUPROFEN , AGRRAV BY WALKING, REPORT NAUSEA, NO VOMITTING. 
- DENIES ANY FEVER, ASSOCIATION TO FOOD , VAGINAL DISCHARGE, VAGINAL BLEEDING, HAVE NOT DONE PAP SMEAR BEFORE, LMP 2 WEEKS AGO, REGULAR.
ROS: NEG EXECPT ABOVE 
PMH: DAIRRHIA FOR THE PAST FEW DAYS , LOOSE , NO BLOOD. 
PSH: NONE 
MEDS:IBUPROFEN .  ALL: NKDA 
FH:BOTH PARENTS HEALTHY   SH: NO CIG/DRUG USE, ETOH OCCASIONALLY

Keywords and phrases relevant to diagnosis:
DENIES VAGINAL DISCHARGE
DAIRRHIA FOR THE PAST FEW DAYS
20 YO
DAIRRHIA NO BLOOD
ABOMINLA PAIN RLQ
LMP 2 WEEKS AGO
8-10 H AGO
F
Patient Note: a 20-year-old female, has come to the emergency department today because of abdominal pain. 
- start 8-10 hours ago, constant and getting worse., the pain located at lower right quadrant.
- The pain is 5/10 in severity, dull in quaility, no radiation
- The pain is exacerbated by movement, walking and relived by Ibuprofen.
- The patient reports that she has similar episodes. 3-4 episodes over the last few months. The pain during these episodes is less severe
- Has a brown diarrhea over the past month
- Has weight loss but no change in appetites
ob/gyn: Menarche at age 13. Last menstrual perior 2 weeks ago and regular q 1month, last of 4 days. Sexually active 9 months ago, use condom consistency. No history of sexual transmitted disease
Allergies: NKDA
Medication: none
PMH: none
PSH: none
SH: no smoking. occasional EtOH. Students. Good diet
FH: none contributory

Keywords and phrases relevant to diagnosis:
weight loss
Sexually active 9 months ago
brown diarrhea past month
20-year
reports similar episodes, 3-4 episodes last few months
pain located at lower right quadrant
Last menstrual perior 2 weeks ago
start 8-10 hours ago
female
Patient Note: Complaint: Abdominal pain
HPI: This is Suzanne Powelton, a 20 year old female Biology student with a complaint of RLQ abdominal pain for the past 8-10 hours
> (+) anorexia since last night
> Fever 100.8 F
> describes pain as dull aching and cramping pain, non-radiating, rated 5/10 on pain severity scale
> denies nausea or vomiting 
> had 3 episodes of diarrhea
> Pt has had similar hx of crampy abdominal pain usually relieved with Ibuprofen 
PMH None
SurgHx : None pertinent 
LMP ; 2 weeks ago
Soc Hx : Biology student , denies any recent travel, no recent ill contacts
> denies use of tobacco or drugs, drinks alcohol 1-2 drinks 1-2 times per month
ROS : Negative except as above


Keywords and phrases relevant to diagnosis:
diarrhea
20 year
similar hx of crampy abdominal pain
RLQ abdominal pain
(+) anorexia
LMP ; 2 weeks ago
for the past 8-10 hours
female
Patient Note: HPI - A 20 yo f presents with rlq pain that started 8-10 hours ago while she was sleeping. It started suddenly, is getting worse and she rates it has 5/10. It it is slightly relieved with ibuprofen and walking makes it worse. Her last mentrual period was 2 weeks ago, her periods are regular. Her last sexual encounter was 9 months ago. She has had diarrhea since 2-3 days. Her apetite has decreased and her clothes are getting lose.

ROS - No nausea, no vomiting, no headaches or subjective fever

PMHx - None
PSHx - None
Allergies - None
Meds - None
FHx - Noncontributory
SH - No tobacco, Occational Etoh, No illicit Drug use, Last sexual encounter 9 months ago, Student

Keywords and phrases relevant to diagnosis:
clothes are getting lose
last sexual encounter was 9 months ago, Last sexual encounter 9 months ago
diarrhea
20 yo
rlq pain
apetite has decreased
last mentrual period was 2 weeks ago
started 8-10 hours ago
f
Patient Note: Ms. Powelton presents today with 8-10h of crampy/achy lower R quadrant abdominal pain. It is 5/10 severity and associated with diarrhea for the last few days (4-5 episodes/day). Pain is worse with walking and ibuprofen is not helping. She has had 3-4 episodes of similar pain in the last 6 months. Pain is not related to food, stress or menses. 
ROS - denies HA, fever, chills, N/V, constipation, HA, sweating, palpitations, or ill contacts. 
PMH - none
OB/Gyn Hx - LMP 2 weeks ago. 28 day cycle with 4 days of moderate bleeding and slight cramps. No previous pregnancies, miscarriages or abortions. No hx of STIs. Never had a pap smear.
PSH - none
Meds - ibuprofen
NKDA
FH - neg
SH- pre-med student. Denies tobacco or drug use. Drinks alcohol socially 1-2x/month. Last time being sexually active was 9 months ago. Always uses condoms. 


Keywords and phrases relevant to diagnosis:
Last time being sexually active was 9 months ago
diarrhea for the last few days
3-4 episodes of similar pain in the last 6 months
lower R quadrant abdominal pain
LMP 2 weeks ago
8-10h
Patient Note: HPI: 20 yo female c/o abdominal pain with onset 8-10 hours ago. Pain awoke pt from sleep and is "mild-moderate" intensity without radiation and "achy", constant since onset, no variation with position. It is associated with watery diarrhea 4-5x/daily for the past several days. No hemotochezia, melena, pain with defecation. No n/v. Pt endorses several episodes of similar pain and diarrhea over past 6 mos, each of which resolved spontaneously. Present episode is more severe. No known food triggers for episodes.
ROS: Positive for decreased appetite. Negative for malodorous stool, urinary frequency/pain/urgency, vaginal bleeding
PMH: None
Soc: College student, lives alone. Never smoker, no drugs, occasionally 1 beer at parties 1-2 x monthly. Sexually active with 1 male partner, uses condoms every time for BC.
GYN - G0, LMP 2 weeks ago, regular cycles. 
Meds - Tried ibuprofen for current pain with no effect. O/w no meds. NKDA.

Keywords and phrases relevant to diagnosis:
diarrhea for the past several days, diarrhea over past 6 mos
20 yo
No hemotochezia, No melena
several episodes of similar pain over past 6 mos
Negative urinary frequency, Negative urinary pain, Negative urgency
decreased appetite
LMP 2 weeks ago
onset 8-10 hours ago
female
Patient Note: Suzanne Powelton is a 28 yo F who presents with right lower quadrant abdominal pain. Her pain started 8-10 hours ago, while she was sleeping. It has since gotten progressively worse and she rates it at a 5/10 severity. Describes as a dull achy crampy pain that does not radiate. Ibuprofen helped a little, walking makes it worse. Really bothering her and so she came in right away to get it addressed. Endorses associated loss of appetite and diarrhea for past few days. Diarrhea has also worsened, going about 4-5 times a day but no blood or mucus in the stool. Tried to take KOpectate which did not help. Denies any recent travel or camping, no new foods, no nausea/vomiting, no constipation. Last menstrual period was 2 weeks ago and normal. 
PMHx/PSHx: none 
Meds: ibuprofen
Allergies: none 
FHx: parents in good health 
SHx: 2 drinks/month, never smoker, no drug use, student, sexually active 9 months ago with condoms, no STIs
ROS: HPI

Keywords and phrases relevant to diagnosis:
sexually active 9 months ago
diarrhea, Diarrhea
no blood n the stool, no blood tool
right lower quadrant abdominal pain
loss of appetite
Last menstrual period was 2 weeks ago and normal, Last menstrual period was 2 weeks ago
pain started 8-10 hours ago
F
Patient Note: 20 yo F with no PMH presenting with Right lower quadrant abdominal pain for 8-10 hours. The pain happened after she woke up from sleeping and is progressive. Described as dull, crampy pain and does not radiate. Endorses decreased appetite but denies any nausea or vomiting. She has been feeling feverish as well. Has had loose brown stools (diarrhea) for past 2-3 d that occur 4-5x/day. Reports drinking plenty of fluids
PMH/PSH- none
Allergies- none
OBH- regular periods last 4 d, 28 d cycle. Last MP- 2 wk ago Sex 9 mo ago with male.
Fam Hx- none
Sochx- does not smoke. drinks alcohol 2x/mo

Keywords and phrases relevant to diagnosis:
Sex 9 mo ago
diarrhea for past 2-3 d
20 yo
Right lower quadrant abdominal pain
decreased appetite
Last MP- 2 wk ago
8-10 hours
F
Patient Note: 20 F C/O RLQ PAIN THAT STARTED SUDDENLY 10 HOURS AGO AND WOKE HER UP FROM SLEEP. PAIN IS CONSTANT, SHARP AND COLICKY, NON RADIATING, 5/10 IN INTENSITY, AGGRAVATED WITH WALKING, RELIEVED TO SOME EXTENT WITH IBUPROFEN. SHE ALSO REPORTS OCCASIONAL WATERY  DIARRHEA FOR SEVERAL MONTHS, ASSOCIATED WITH UNDOCUMENTED WEIGHT LOSS. SHE DENIES ANY BLOOD IN STOOLS, DIFFICULTY FLUSHING THE STOOLS, NAUSEA, VOMITTING, BACK PAIN. SHE HAD 3 EPISODES LIKE THIS IN THE PAST 6 MONTHS BUT THEY REESOLVED ON THEIR OWN. 
DENIES ANY SOB, PALPITATIONS, LOSS OF APPETITE
ROS: WNL EXCEPT ABOVE
PMH: NONE
PSH: NONE
ALLERGIES: NONE
FH: NON CONTRIBUTIORY
SH: DENIES SMOKING, ALCOHOL AND ILLICIT DRUGS. LAST SEXUAL INTERCOURSE WAS 9 MONTHS AGO

Keywords and phrases relevant to diagnosis:
WEIGHT LOSS
LAST SEXUAL INTERCOURSE WAS 9 MONTHS AGO
DIARRHEA
20
DENIES ANY BLOOD IN STOOLS
3 EPISODES LIKE THIS IN THE PAST 6 MONTHS
RLQ PAIN
LOSS OF APPETITE
STARTED SUDDENLY 10 HOURS AGO
F
Patient Note: 20 yo F c/o abdominal pain since 8-10hrs ago 
-sudden, worsening, constant, RLQ, no radiation, 5/10, dull and aching, aggrav by walking, allev by ibuprofen, different nature with previous abdominal pain 
-recurrent RLQ pain (3-4times/6months) 
-reports diarrhea, weight loss (unmeasured), poor appetite
-denies nausea, vomiting, fever, change in urinary habit 
ROS: neg except above 
PMH/All/PSH/FH: none, Meds: ibuprofen
OBGY: G0P0, LMP 2weeks ago, regular q28days lasting 4days, no vaginal spotting
SH: no cig/EtOH/illicit drug, student, not sexually active since 9months ago, no h/o STDs

Keywords and phrases relevant to diagnosis:
weight loss
not sexually active since 9months ago
diarrhea
20 yo
recurrent RLQ pain (3-4times/6months)
abdominal pain RLQ
denies change in urinary habit
poor appetite
LMP 2weeks ago
since 8-10hrs ago sudden
F
Patient Note: 20 yo F complains of RLQ, 5/10, dull, achy pain that started 8-10hrs ago and woke her up from the sleep . It is non-radiating and is somewhat alleviated by Ibuprofen and egzacerbated by walking. Pain is not accompanied by nausea or vomitting. Patient denies fever,chills or change in urination. She does not have apetite and says her pants are fitting little looser than usual.  She report 3 day history of watery diarrhea but denies any mucus or blood in her stool. The last episode of diarrhea was today.
ROS: None except above
OB/GYN: LMP 2 weeks ago, regular cycles 4-5/28 days, 3 pads/day. Menarcha at age 13. No vaginal spotting, vaginal discharge or history of STDs. 
Allergies. NKDA
Medications: Ibuprofen
PMH: None.
PSH: None.
FH: Noncontributory.
SH: does not smoke or use ilicit drugs, has 1-2 beers at party. Is sexually active, her last intercouse was 9 months ago. Constant use of condoms.

Keywords and phrases relevant to diagnosis:
No vaginal discharge
pants are fitting little looser
last intercouse was 9 months ago
diarrhea, diarrhea
20 yo
denies blood in her stool
RLQ pain
denies change in urination
does not have apetite
LMP 2 weeks ago
started 8-10hrs ago
F
Patient Note: 20 yo female presenting with new onset right lower quadrant pain. Started 8-10 hours ago. Walking makes it worse. Ibuprofen makes it better. Described as dull cramping pain. Pain does not radiate. Has been constant since start. Similar episodes 3-4 times in past 6 months. Pain not associated with eating. Denies nausea, vomitting. Endorses diarrhea for past few hours. No blood in stool. 

ROS: negative except for above. 
OB/GYN: Menarche at 13. No vaginal discharge. Normal periods every 28 days, last 4 days. GOPO. LMP 2 weeks ago. 
Pmed: none
Psurg: none 
Meds: Ibuprofen PRN
Allergies: none 
FH: not pertinent 
SH: Denies smoking and drugs. Social alcohol use 2-3X/month. Is a student. Not sexually active currently, last sexual encounter was 9 months ago. Always uses condoms.

Keywords and phrases relevant to diagnosis:
No vaginal discharge
Not sexually active, last sexual encounter was 9 months ago
Similar episodes 3-4 times in past 6 months, diarrhea
20 yo
No blood in stool
Similar episodes 3-4 times in past 6 months
right lower quadrant pain
LMP 2 weeks ago
Started 8-10 hours ago
female
Patient Note: 20 year old F with RLQ
- Started 8-10 hours ago. Worse with walking. Better with Ibuprofen. 
- Has had 3-4 similar episodes in the past, but not this bad. Feels dull and achy like a cramp. Came on suddely, no radiation. 5/10 in severity. 
- Associated with diarrhea, fever, chills, weight loss, decreased appetite, 
- No vomiting, nausea. No back pain 
PMHx: none. No medications other than tylenol. No allergies. 
PSHx: None
LMP was 2 weeks ago and was normal (28 day cycles, lasts 4 days, uses 4 tampons/pads per day until it gets lighter). 
FamHx: noncontributory

Keywords and phrases relevant to diagnosis:
weight loss
diarrhea
20 year
had 3-4 similar episodes in the past
RLQ
decreased appetite
LMP was 2 weeks ago
Started 8-10 hours ago
F
Patient Note: 20 YO F CAME WITH PAIN IN RIGHT LOWER ABDOMEN FOR 8-10 HRS. IT IS DULL,ACHY KIND OF PAIN. SHE SCORES IT 5/10 ON INTENSITY, THERE IS NO RADIATION OF THE PAIN. IT AGGRAVATES ON WALKING AND RELIEVES FOR A WHILE BY IBUPROFEN. SHE HAD EPISODES OF DIARRHOEA FOR COUPLE OF DAYS RECENTLY. IT OCCURED 4-5 TIMES PER DAYS, IT WAS BROWN IN COLOR, NO BLOOD WAS SEEN IN IT. SHE HAS NO FEVER,NO BURNING URINATION,NO BACK PAIN,NO ANY VAGINAL DISCHARGE, HER APPETITE HAS DECREASED TODAY. SHE HAS NOTICED LOOSENING OF HER CLOTHES LATELY. THERE IS NO RECENT TRAVEL HX,NO HIKING. NO SLEEP CHANGES.NO CHANGE IN DIET.
ROS-NONE EXCEPT ABOVE
PMH/PSH-NONE
ALLERGIES-NONE
MEDS-IBUPROFEN FOR PAIN
SH-LMP WAS 2 WEEK AGO,SHE HAS NORMAL REGULAR CYCLE OF 4 DAYS EVERY 28 DAYS,NO HX OF STI,NOT SEXUALLY ACTIVE SINCE 9 MO,SHE IS A STUDENT.SHE DRINK ALC OCCASIONALLY.
FH-NONE

Keywords and phrases relevant to diagnosis:
NO VAGINAL DISCHARGE
LOOSENING OF HER CLOTHES
NOT SEXUALLY ACTIVE SINCE 9 MO
DIARRHOEA FOR COUPLE OF DAYS
20 YO
DIARRHOEA NO BLOOD
PAIN IN RIGHT LOWER ABDOMEN
NO BURNING URINATION
APPETITE HAS DECREASED
LMP WAS 2 WEEK AGO
8-10 HRS
F
Patient Note: 20 year old female comes to the ED for worsening RLQ abdominal pain.  The pain began 8-10 hours ago while she was sleeping and she describes it as a constant 5/10 dull ache in the RLQ.  It does not radiate.  The pain is worse while walking and is dimished by ibuprofen.  She also notes having a few episodes of diarrhea over the past 2 days which is described as loose and brown, no blood.  She has had no nausea, no vomiting, no fever/chills, and no changes in urinary habits.  She was last sexually active 9 months ago with a condom.  Her LMP was 2 weeks ago.  She has never had an STI and STD and denies vaginal bleeding and discharge.

ROS:  negative except as above
Allergies:  None
PMH, Meds, PSH, FH: None
SH:  Student, no alcohol, recreational drugs, or tobacco.

Keywords and phrases relevant to diagnosis:
denies vaginal discharge
last sexually active 9 months ago
diarrhea
20 year
diarrhea no blood
RLQ abdominal pain, pain RLQ
no changes in urinary habits
LMP was 2 weeks ago
pain began 8-10 hours ago
female
Patient Note: Ms Powelton 20 yo F college student, c/o of RLQ abdominal pain of 8-10 hours duration, constant, getting worse, dull aching, no radiation , associated with watery brown diarrhea for the past few days,, increased by walking, slightly decreased by Ibuprofen, 5/10 in severity. She has had decreased apetite since yesterday, and thinks she might have lost some weighty recently. Patient denies any fever, N/V, chest pain, urinary changes, recent travel or infection. No hx of STD or STIs. LMP was 2 weeks ago, usually regular every 28 days, changes 4 tampons and bleeding for 4 daysn no intermenstrual spotting.
ROS: negative other than per HPI
PMH: none
PSH: None
FH: both parents healthy
Meds: as per HPI
SH: non smoker, occasionaly wine 2 per month, no illicit drug use, sexually active with partner, last sexual activity 9 months ago, always uses condoms.

Keywords and phrases relevant to diagnosis:
lost some weighty
last sexual activity 9 months ago
diarrhea
20 yo
RLQ abdominal pain
denies urinary changes
decreased apetite
LMP was 2 weeks ago
8-10 hours duration
F
Patient Note: This patient is a 20 year old female presenting to the ED with complaints of RLQ pain. Pt reports she was awoken from sleep with RLQ pain that seems to be getting progressively worse, constant rating 5/10 in severity and described as a dull aching pain. She notes associated diarrhea that has occured the last 2-3 days 4-5 times per day with loose, watery stool. Denies any blood in her stool. No other ill symptoms or urinary symptoms preceding this illness. LMP was 2 weeks ago and was normal. She was last sexually active 9 months ago with her partner. She had no history of pregnancy or previous STI.
PMH: None
NKDA
Surgical Hx: None
Social: Student studying pre-med biology, does not smoke, drinks alcohol about 2 times per month, denies recreational drug use

Keywords and phrases relevant to diagnosis:
last sexually active 9 months ago
diarrhea, loose, watery stool
20 year
Denies any blood in her stool
RLQ pain, RLQ pain
No urinary symptoms
LMP was 2 weeks ago
awoken from sleep
female