bhatthars/nbme_qna huggingface dataset:
Patient Note: 20yo otherwise healthy F presents to ED with RLQ pain x10 hrs. Woke her up from sleep this morning. Dull achy pain, 5/10 in severity. Ibuprofen helped a little. Worse with walking. She has had 4 similar episodes over the past 6 mo, each resolved with in 2 hours. She has had no appetite this morning but ate yesterday. No vomiting. Has had diarrhea x 2 days, watery, no blood, no melena. Good PO intake of water. Has had several episodes of diarrhea over past 6 months that lasted 2 days and resolved spontaneously. Last was sexually active 9 months ago. Sexually active with men. Always uses condoms. No h/o STI. LMP 2 weeks ago.
ROS: denies f/c, CP, SOB, back pain, HA, hematuria, dysuria
No PMH, PSH, FHx
SH: Lives alone, biology premed student, EtOH 2x/mo, no other drug use

Keywords and phrases relevant to diagnosis:
Last was sexually active 9 months ago
diarrhea x 2 days
20yo
diarrhea no blood, no melena
similar episodes over the past 6 mo, several episodes of diarrhea over past 6 months
RLQ pain
denies hematuria, denies dysuria
no appetite
LMP 2 weeks ago
pain 10 hrs
F
Patient Note: Ms Powelton is an otherwise healthy 20 yo F presenting with an 8-10 hour history of right lower quadrant abdominal pain. The pain woke her up from sleep. She states that it is constant dull, aching cramps that is a 5/10 pain. She has had 3-4 similar episodes in the past, which only lasted for a couple hours. She has also noted 4-5 days of watery diarrhea, which does not contain blood. Her LMP was 2 weeks ago and she has not been sexually active for 9 months. She believes she has lost some weight, because her clothes are fitting looser. She denies any other symptoms.

Keywords and phrases relevant to diagnosis:
lost some weight, clothes are fitting looser
has not been sexually active for 9 months
diarrhea
20 yo
diarrhea, which does not contain blood
3-4 similar episodes in the past
right lower quadrant abdominal pain
LMP was 2 weeks ago
8-10 hour history
F
Patient Note: Suzanne Powelton is a 20yo f with no pmhx who presents to the ED with abdominal pain. She states that the pain started 8-10 hours ago. She has a dull aching, like a bad cramp. It does not radiate. It is constant. She has had 3-4 siminlar episodes over the past 6 months. She has had diarrhea without blood for the last couple of days. She has 5-6 stools per day. Ibuprofen helped a bit but is not helping anymore. She does not feel hungry but has no nausea or vomiting. She denies fevers or chills, but states that her clothes "fit looser". She has no other meds than ibuprofen. She has no known allergies. She has no known family history. No past surgical or medical history. She denies smoking or illict drugs. She drinks 2 beers twice a month. She last had sex 9months ago with condoms. She is worried that she does not have her family close by, and would like us to contact her friends nearby.

ROS negative unless noted above

Keywords and phrases relevant to diagnosis:
clothes "fit looser"
last had sex 9months ago
diarrhea
20yo
diarrhea without blood
3-4 siminlar episodes over the past 6 months
does not feel hungry
started 8-10 hours ago
f
Patient Note: Patient is a 20yo female without PMH who presents to ED with abdominal pain. Pain is in the RLQ, 5/10, achey/crampy, no radiation. Pain began ~8-10 hrs ago. Patient was sleeping and awoke with pain. No N/V. some appetite loss. Pain is better but not releived with ibuprofen. worse with walking. Patient still has her appendix. Denies hx of inflammatory bowel disease, irritible bowel syndrome.  Patient was last sexually active approximately 9 months previously. Used condoms for protection. Denies any vaginal discharge or bleeding. Patient is concerned because she has no family close by. Does have good friends that are close. Has not eaten since last night.
PMH: still has appendix. no medical conditions. no meds. no surgeries. NKA
FHx: parents alive and healthy
SHx: no tobacco use, social drinker, no illicit drug use. full-time student studying biology.


Keywords and phrases relevant to diagnosis:
Denies any vaginal discharge
last sexually active approximately 9 months previously
20yo
Pain is in the RLQ
some appetite loss
Pain began ~8-10 hrs ago
female
Patient Note: HPI: 20 yo F compains of abdominal pain for 8-10 hrs. She had abdomonal pain in her RLQ and it is getting worse. It is not raleated to any food and she has no vomitting or nausea, no cough and chest pain,palpitation,denies fevers and chills. She has no change in her urinary habits. she had a diarrhea for 2 days, watery stool , brown and no blood in it, without any odors.  
PMH: None.
PSH: None.
Alergies: NDKA.
Meds: None.
OB/GN: LAP 2 weeks ago, no spotting during periods.
SH: student, sexually active with boyfriend, use condoms rugularily.


Keywords and phrases relevant to diagnosis:
diarrhea
20 yo
stool no blood
abdomonal pain in her RLQ
no change in her urinary habits
LAP 2 weeks ago
pain for 8-10 hrs
F
Patient Note: S.P. is a 20 y/o female who px to clinic w/ abdominal pain. pt states pain is in RLQ & started 8-10hrs ago when she woke up from sleep. [ain is dull & achy. pt has had few sim eps in past but not as severe.  ibuprofen has heloed pain & walking makes it worse.  pt has had some recent wt loss & no appetite for 1 day. pt has had diarrhea for 2-3 ds w/ no blood/mucous. pain not relived by BM. no recent travel, or illbness, no trauma. no fatigue. pain does not radiate but ibuprofen improved it slightly. 
ROS; no dyspnea, no urinary changes, no numbness or tingling, no wt loss. no vomitting
PMH: healthy. NKDA. no meds/hosp/surgeris. family healthy. 
soc: student who lives alone. no smoking or durgs. ETOH 2x/wk. exercises & healthy diet
sex/gyn: sexually acitve last 9 mnths ago.  w/ 1 male partner in past yr. uses protection. STI negative few mnths ago. Menacrh @ 13, regular periods lasting 4 ds w/ normal flow

Keywords and phrases relevant to diagnosis:
recent wt loss, no wt loss
sexually acitve last 9 mnths ago
diarrhea
20 y/o
diarrhea no blood
pain is in RLQ
no urinary changes
no appetite
started 8-10hrs ago
female
Patient Note: 20 year old female presents to the clinic with acute pain in her rlq quadrant. The pain is constant, "dull an achy" and a 5/10 in intenstity that does not improve with ibuprofen. The patient endorses similiar symptosm in the past (2-3x in last 6 months), and has had diarrhea for the last 2 days as well. Nothing improves or worsens the pain. The patients LMP was 2 weeks ago, and has had no recent irregularities. She denies nausea and vomiting. Endorses no appetie, last meal was dinner last night. 

ROS - as above 
PMH/PSH - none
Allergies - none
Medications - none
hosptializations - none
Family - parents and 2 siblings healthy
OBgyn- no children, LMP 2 weeks ago, 3-4/28 day cycles. no history of pap smears 
Social - Denies smoking, drinks approximately 2x per month, studying biology pre-med, sexual active with male 9 months ago

Keywords and phrases relevant to diagnosis:
sexual active with male 9 months ago
diarrhea
20 year
similiar symptosm in the past (2-3x in last 6 months
rlq quadrant
no appetie
LMP was 2 weeks ago, LMP 2 weeks ago
female
Patient Note: 20 yo F previously healthy with no pass medical history presents with worsening abdominal pain. It began 8-10 hrs prior to presentation while she was sleeping. Describes the pain as dull, achy, crampy and mainly localize in the right lower quadrant. Does not radiate. She also reports of recent diarrhea. No skin changes or heat/cold intolerance. No drug use. No fever. She took ibuprofen but it did not help and became concerned.

Meds: ibuprofen
SHx: sexually active. Last sexual activity 9 months ago. Use contraceptive all the time.

Keywords and phrases relevant to diagnosis:
Last sexual activity 9 months ago
recent diarrhea
20 yo
pain right lower quadrant
abdominal pain began 8-10 hrs
F
Patient Note: cc: abdominal pain 
hpi: Suzanne Powelton, a 20-year-old female, has come to the emergency department today because of abdominal pain.  Pain began 8-10 hours ago woke her up from sleep, she says the pain is achy and crampy and has been constant through, alleviated by ibuprophen only and aggravated by walking.  She also complaints of diarrhea and loose watery bowel movments for the last couple days, denies any blood, mucus. She denies any nasuea, vomit , changes to her diet, recent infections, pain with urination, or painful defecation. She denies hisotry of sted, or past similar symtpoms.
allergies: nkda
pmh: none 
meds: ibuprophen
sh: drinks ocacionally , no smoke
obgy: crampy periods,  regular. lmp 2 weeks ago, uses 4-5 pads daily , not sexually active for 9 months since she broke up

Keywords and phrases relevant to diagnosis:
not sexually active
loose watery bowel movments, diarrhea
20-year
bowel movments denies any blood
denies pain with urination
lmp 2 weeks ago
Pain began 8-10 hours ago
female
Patient Note: 20 YR O  F WITH RLQ PAIN - 10 hrs acute on radiating  cramping intensity  5/10 aggrevated by walking nreliieve by ibuprofen hx of fever ,h no heatburns or related to food x of diarrhoe  watery / loose non blooody no nausea or vomuting no headache no  LMP- 2 WEEK AGO NO MISCURIAGES no child 
pmh- none
meds ibuprofen
fh- no contributary
social- 1-2 /month

Keywords and phrases relevant to diagnosis:
diarrhoe
20 YR
diarrhoe   non blooody
RLQ PAIN
LMP- 2 WEEK AGO
PAIN - 10 hrs acute
F
Patient Note: CC: 20yoF c/o ABD pain
HPI:  20yoF c/o ABD pain, RLQ pain began 8-10 hours ago, woke from sleep, worsening, 5/10, dull/achy, ibuprofen does not alleviate, walking exacerbates. Pt endorses lose fitting clothes. Pt also endorses diarrhea for 2 day, 4-5x, denies blood, constipationj. Denies fever, chills, nausea, vomiting, headache, SOB, chest pain, urinary habit changes,
PMH: denies
Meds; denies
All: NKDA
Imm: UTD
Soc: student, does pilates 2x/wk, run/walks 2-3x/wk, balanced diet, denies toxic habits
Sex: last 9m ago with male partner, used condoms
OBGYN: LMP 2wk, cycle 28d for 4 days, menarche at 13

Keywords and phrases relevant to diagnosis:
lose fitting clothes
Sex: last 9m ago
diarrhea
20yo, 20yo
diarrhea denies blood
RLQ pain
Denies urinary habit changes
LMP 2wk
began 8-10 hours ago
F, F
Patient Note: HPI: 20 yo F c/o abdominal pain.
-Location: RLQ. No radiation.
-Onset 6 months ago, episodic (3-4X last 6 months, current episode worst ever), rates 5/10, getting worse, constant, walking aggrivates, ibuprofen minimally relieved.
-Associated Sx: diarrhea 4-5X per day for last 2-3 days, decreased appetite.
ROS: denies fevers, chills, n/v, back pain, numbness, parasthsias, chest pain, SOB.
PMHx: None. Meds: ibupfrofen 200 mg 3 tablets prn for pain. Allergies: NKDA. No prior hospitalizations, trauma, surgeries. FMHx: None.
Sexual Hx: last sexual encounter 9 months ago, men only, uses barrier protection, 1 partner over last year, no h/o STIs.
Obstetrics: No prior pregnancies. LMP 2 weeks ago (normal). Moderate flow every 30 days for 4-5 days.
SHx: never smoked, no other tobacco or recreational drugs. Drinks 1-2 beers with friends a few times a month (CAGE 0/4).

Keywords and phrases relevant to diagnosis:
last sexual encounter 9 months ago
diarrhea or last 2-3 days
20 yo
episodic 3-4X last 6 months
abdominal pain RLQ
decreased appetite
LMP 2 weeks ago
F
Patient Note: 20 YO F C/O PAIN RLQ SINCE 10 YRS, WORSENING. 5/10 INTENSE, DULL, ACHING PAIN, ALLEV ON IBUPROFEN AND AGGRV ON WALKING, H/O SIMILAR 2-3 EPISODES SINCE 3 MONTHS.ASSO WITH DIARRHEA COUPLE OF DAYS, 3-4 /DAY, LIGHTBROWN , WATERY, NO BLOOD OR MUCPS. ASSO WITH REDUCED APPETITE AND LOOSENING OF CLOTHERS
DENIES FEVER, CHILLS, FATIGUE, LAD, YELLOWISH DISCOLORATION OF URINE, VAGINAL DISCHARGE
ROS NEGATIVE
PMH NONE, MEDS IBUPROFEN, NKDA
PSH NONE, TRAUMA/ TRAVEL/ ILL CONTACT NONE
FH NON CONTRIBUTORY
SH STUDENT, DRINKS ALCOHOL OCNL, SEUXUAL ACTVITY 9 MONTH BACK,
OBG LMP 2 WEEKS BACK, REGULAR, MODERATE FLOW WITH CRAMPY PAIN

Keywords and phrases relevant to diagnosis:
DENIES VAGINAL DISCHARGE
LOOSENING OF CLOTHERS
SEUXUAL ACTVITY 9 MONTH BACK
DIARRHEA COUPLE OF DAYS
20 YO
DIARRHEA NO BLOOD
SIMILAR 2-3 EPISODES SINCE 3 MONTHS
PAIN RLQ
REDUCED APPETITE
LMP 2 WEEKS BACK
F
Patient Note: Ms. Powelton is a 20 y/o female with history of diarrhea and recurrent abdominal pain who presents for 5/10 dull pain in the right lower quadrant. The pain started 8-10 hours ago and is worst with walking. Ibuprofen has not been very helpful. She says that she has had 3-4 similar episodes of RLQ pain and diarrhea (4-5 times daily) that have occurrd over the last 6 months. The diarrhea is normal in color. She has not had intermittent constipation.  She denies any lightheadedness, nausea or vomiting, trauma, or recent infections. She does not smoke cigarettes, does not drink alcohol, anddrinks alcohol twice monthly at parties. Her last menstrual period was 2 weeks ago, and they are regular, moderate flow. She has not been sexually active for 9 months. She has never had a pap smear. She denies dysuria. She is concerned that her family does not live nearby and would like access to support resources if needed. She is a premed student.

Keywords and phrases relevant to diagnosis:
has not been sexually active for 9 months, has not been sexually active
diarrhea, diarrhea, diarrhea
20 y/o
3-4 similar episodes of RLQ pain, diarrhea (4-5 times daily) that have occurrd over the last 6 months
abdominal pain right lower quadrant
denies dysuria
last menstrual period was 2 weeks ago
pain started 8-10 hours ago
female
Patient Note: Pt is a 20yo F w/ no PMH c/o crampy dull RLQ pain for the past 8-10 hrs. Pt states ibuprofen 200mg relieves the pain somewhat while walking exacerbates pain. Pain is 5/10 in severity and pt also c/o dec appetite and diarrhea x2 days. Pt hasn't been sexually active in 9 months and denies recent travel hx or fevers.
ROSS: denies fevers, HA, cp, SOB, changes in urination, or weight loss

PMH: none
A: NKDA
meds: ibuprofen 200mg 2x daily
FH: none
OB: G0 menarche at 12yo, LMP 2 wks ago, periods regular lasting 4 days and 28 day cycles
SH: social drinker, denies tobacco use or illicit drug use, not sexually active in 9 months; biology student
denies surgical hx of hospitalizations

Keywords and phrases relevant to diagnosis:
"hasnt been sexually active in 9 months", not sexually active in 9 months
diarrhea x2 days
20yo
RLQ pain
denies changes in urination
dec appetite
LMP 2 wks ago
past 8-10 hrs
F
Patient Note: 20 yF presenting with RLQ pain. Pain started 8-10 hours ago, waking her up from sleep. Described as dull/achy/crampy pain. Constant, progressively worsened from 4/10 to 5/10 currently. Moving seems to make pain worse. Tried ibuprofen for pain (600 mg) without improvement, and nothing else seems to make pain better. 2-3 days ago also had onset of diarrhea. Having 4-5 watery BMs/day. No blood or mucous in stool. Has had episodes of similar pain and diarrhea 3-4 times in last 6 months, no always occuring together. Has noticed some weight change, clothes fitting looser. 
PMH: none
Meds: none
PSH: none
FH: no hx of IBD, parents healthy 
SH: non-smoker, infrequent alcohol use (1-2 beers 1-2x month), no drug, last sexual encounter 9 months ago with known partner, wears condoms consistently, LMP 2 weeks ago
ROS: no nausea, vomiting, arthralagias, rash, mouth sores, fever/chills,urinary symptoms, vaginal discharge/bleeding

Keywords and phrases relevant to diagnosis:
no v discharge
weight change, clothes fitting looser
last sexual encounter 9 months ago
2-3 days ago diarrhea, episodes of similar diarrhea in last 6 months
20 y
No blood in stool
episodes of similar pain in last 6 months
RLQ pain
no urinary symptoms
LMP 2 weeks ago
8-10 hours ago
F
Patient Note: 20 yo F with h/o LRQ abdominal pain for the past 8-10 hours, 5/10 serverity, dull-achy cramp, worsened by walking, progressive. Reduced appetite, watery diarrhea past 2 days, clothes fitting looser. No nausea, vomiting, fevers, chills, night sweats, travel history, hematochezia, light stools, urinary changes. LMP 2 weeks ago, no pap smears, G0P0, menses 28 day cycle, last 4 days, changes 4 tampons/day.

PMHx, surgeries, hospitalization: none
Allergies: NKDA
Meds: advil for abd pain
FHx: noncontributory
SH:
Student at northwestern, lives off campus
Sexual activity with men, last 9 months ago, uses condoms always, no illicit drugs, tobacco, EtOH 2 times/month
exercise with pilates 2 times/week, regular diet

Keywords and phrases relevant to diagnosis:
clothes fitting looser
Sexual activity last 9 months ago
diarrhea past 2 days
20 yo
LRQ abdominal pain
No urinary changes
Reduced appetite
LMP 2 weeks ago
past 8-10 hours
F
Patient Note: Ms. Suzanne is an otherwise healthy 20 yo female coming in with 5/10 dull and achy RLQ pain that started 8-10 hours ago. Suzanne has had a similar pain 3-4 times over the last 6 months.
-Positive symptoms include anorexia, fever, episodic diarrhea, and clothes fitting more loosely 
-Denies constipation and fatigue
GYN Hx: last menstrual period 2 weeks ago; normally regular
PMH/PSH: none
Meds/allergies: none
FH: denies FH of autoimmune conditions
SH: student stuyding pre-med; EtOH use 2x monthly, denies tobacco or other illicit drug use; last sexually active 9 months ago and always uses condoms
ROS: positive for looser fitting clothing, diarrhea, anorexia and RLQ pain; denied N/V, fevers, change in bowel habits or blood in stool

Keywords and phrases relevant to diagnosis:
clothes fitting more loosely, looser fitting clothing
last sexually active 9 months ago
diarrhea, diarrhea
20 yo
denied blood in stool
similar pain 3-4 times over the last 6 months
RLQ pain, RLQ pain
anorexia, anorexia
last menstrual period 2 weeks ago
started 8-10 hours ago
female
Patient Note: Ms. Powelton is a 20 yo F coming in with abdominal pain. It is located in the RLQ of her abdomen and started about 8-10 hours ago. She describes it as a dull/achy pain, would rate it a 5/10, and says that it has been worsening. Walking makes it worse. Ibuprofen hasn't helped significantly. No nausea, vomiting, fever, urinary changes, chest pain, SOB, sore throat or chills. Reports some diarrhea and a decreased appetite. Has had 3-6 episodes of similar pain in the past that has resolved on their own.
ROS: negative except where stated in HPI.
PMH: none
PSH: none
Meds: none
Allergies: NKDA
Family Hx: non-contributory
Social Hx: drinks 1-2 beers a few times per month, no cigarettes or other drug use. Eats a balanced diet and exercises regularly. Last sexually active 9 months ago. No h/o STIs. LMP was 2 weeks ago. They are regularly 28 days with 4 days of flow.

Keywords and phrases relevant to diagnosis:
Last sexually active 9 months ago
diarrhea
20 yo
3-6 episodes of similar pain
abdominal pain RLQ
No urinary changes
decreased appetite
LMP was 2 weeks ago
started about 8-10 hours ag
F
Patient Note: This is a 20 yo female with no significant past medical history presenting to the emergency department for abdominal pain. The pain began 8-10 hours ago and is located in the RLQ. She describes it as dull and achy. She rates it as a 5/10. The pain is constant and worsening. The pain is associted with decreased appetitie. She also notes 2-3 days of loose watery stools. She took motrin with mild relief. The patient says she has had several episodes of abd pain and diarrhea over the past 6 months but this episode is more severe. No blood in stool. The patient denies urinary symptoms.
medical and surgical history: none
Medications: motrin
NKDA
ROS per HPI
Family history: none
Social history: lives alone. premed student. away from family but has friends in the area. Denies tobacoo or drug use. drinks 1-2 beers twice a month
Sexual activity: last intercourse 9 months ago. uses condoms. no pregnancies. No prior STDs

Keywords and phrases relevant to diagnosis:
last intercourse 9 months ago
2-3 days of loose watery stools, diarrhea over the past 6 months
20 yo
No blood in stool
episodes of abd pain over the past 6 months
abdominal pain RLQ
denies urinary symptoms
decreased appetitie
pain began 8-10 hours ago
female
Patient Note: HPI: Suzanne Powelton is a 20 year old female with dull, achy, abdominal pain for the past 8-10 hours.  The pain is constant, but increases with walking or bumps in car ride.  She rates the pain as 5/10.  The pain improves slightly with ibuprofen and worsens with walking. She had diarrhea for the past 2 days, the stool has been brown, loose and watery without blood.  There has been no nausea or vomiting, no fever, no fatigue.  Her appetite has been decreased since last night.  She has no sick contatcts and has no exposure to high risk food.   
PMH:  As above
Medications:  Ibuprofen
PSH: None
Allergies:  NKDA
FH:  None
SH:  Patient does not smoke, drinks occassionally (2x/month), last drank 3 weeks ago, does not use illicit drugs
Menstraul:  LMP 2 weeks.  Regular cycle, 4 days, 4 pads per day.  Every 28 days.  No pregnancy.  Last sex 9 months ago

Keywords and phrases relevant to diagnosis:
Last sex 9 months ago
diarrhea for the past 2 days
20 year old
stool without blood
appetite has been decreased
LMP 2 weeks
pain for the past 8-10 hours
female
Patient Note: 20 Y O F C/O RLQ PAIN X 8-10 HRS SUDDEN ONSET,PROGRESSIVE,CONSTANT,5/10 IN INTENSITY,DULL CRAMPY IN QUALITY,AGGRAVATED BY WALKING ,NO ALLEVIATING FACTORS AND ASSOCIATED W NON BLOODY WATERY DIARRHEA (3-4 EPISODE /DAY) X 3-4 DAYS . SHE REPORTS HX OF ABD PAIN AND DIARRHEA ON AND OFF X 6MONTHS AND HAVE TO RUSH TO REST ROOM TO PASS STOOL . SHE REPORTS SHE NOTICED SOME WEIGHT LOSS AND DECREASE IN APPETITE X FEW MONTHS
SHE DENIES FEVER,RASH,N/V,SOB,HEADACHE,FLU,BLADDER CHANGES .
ROS: NEG EXCEPT AS ABOVE
ALL: NKA
PMH/MED: N/C
PSH/HOSP: N/C
FH: N/.C
GYN/OBS: LMP 4/29,REGULAR
SH: NON SMOKER,OCC EtOH/ILLICT DRUG

Keywords and phrases relevant to diagnosis:
WEIGHT LOSS
DIARRHEA X 3-4 DAYS, DIARRHEA X 6MONTHS
20 Y O
NON BLOODY DIARRHEA
HX OF ABD PAIN X 6MONTHS
RLQ PAIN
DENIES BLADDER CHANGES
DECREASE IN APPETITE
PAIN X 8-10 HRS SUDDEN ONSET
F
Patient Note: Ms. Powelton is a 20yo f with no PMH, presenting w right lower quadrant abdominal pain that started 8-10 hours ago. The pain is a dull ache that feels like a "bad cramp". She has had 3-4 similar episodes over the past 6mo. Ibuprophen makes the pain a little better, walking makes the pain worse. It does not radiate and is 5/10. LMP was 2wk ago. Last sexually active with male partner 9mo ago, regularly uses condoms. No previous pregnancies. Cycle is regular, 28 day intervals, 4 days of bleeding, uses 4 tampons first day, then decrease. ROS: + dec appitite, diarrhea (no blood - brown and watery, not associated with food). Neg: fever, chills, nausea, vomiting, constiptation. No pain/blood w urination. no blood in stool. No surgeries. EtOH socially, no smoking/illicit drugs. Family is healthy. Meds: ibuprophen PRN pain. NKDA

Keywords and phrases relevant to diagnosis:
Last sexually active 9mo ago
diarrhea
20yo
diarrhea no blood, no blood in stool
3-4 similar episodes over the past 6mo
right lower quadrant abdominal pain
No pain w urination, No blood w urination
+ dec appitite
LMP was 2wk ago
pain that started 8-10 hours ago
f