bhatthars/nbme_qna huggingface dataset:
Patient Note: HPI: 35 year old patient complaining of irregular and heavy periods for the past 6 months, use 7 tampons first day of period. her LMP 2 months ago. additional 10 pound ogf weight gain, and fatigued. she is sexually active, monogamous, doesnt use barrier or oral contraceptives. she had a past husband and they never had kids although they tried, never check out the reason of infertility. 
ROS: no change in apettie, no vision changes, no fever, no vaginal discharge
PMH: none, PsHX: none, medications: none, allergies: none, FH: aunt died f breast cancer, grandmother died of cervical cancer, SH: no acohol, no smoking, no drug use, no excersise, normal diet.
OBGYN: menache: 12 year, periods now irregular 2 periods in the past 2 months, lmp 2 months ago, current monogamous relationship with her boyfriend, no contraceptive use. last pap smear 6 months ago normal.occupation in scheduling in social worker office.


Keywords and phrases relevant to diagnosis:
weight gain
irregular periods, heavy periods, 7 tampons first day, periods now irregular
LMP 2 months ago, lmp 2 months ago
doesnt use barrier or oral contraceptives, no contraceptive use
fatigued
never had kids although they tried, infertility
35 year old
6 months
Patient Note: 35 F G0P0 woman comes in with 6 months history of heavier periods lasting 7 days and using tampons every 4 hours.  Previously this was 3 days and 4 tampons per day. There is no dysparunia or vaginal discharges.  She does not experience any abdominnal pain during or after menstrual cycles. NO history of other bleeding.  History of 15 lb weight again in past 6 months.  No fevers or systemic symptoms.  NO breakthrough bleeding between periods.  NO OTC meds. No hormone supplementation or OCPs. NO hx of STI in past. 
ROS: negative. NO constitutional symtpoms. 
FMHX: Grandmother has cervical Ca. Aunt had breast Ca and passed at age of 50.
PsHX: none.
Meds: None
Allergies: none
Social Hx: divorced with new partner.  Sexually active with only 1 partner.  No contraception.  2 adopted DTRs. works in a social work setting.  Moderate alcohol intake. No history of abuse.

Keywords and phrases relevant to diagnosis:
woman
weight again
heavier periods, using tampons every 4 hours
No contraception
35 F
6 months
Patient Note: 35 YO F complains of polymenorrhea x 6 months. She reports periods are irregular, every other month lasting for 7 days, previously was every 30-35 days for 3 days.  Uses tampons every couple hours on the first few days of her cycle, but previously was using 4 tampons on the first day of her cycle. No pain, or cramping. No cold intolerance, dry skin, constipation. No deeping of her voice, or facial hair growth. Reports unintentional weight gain, 10 pounds x 6 months. Per patient she can not get pregnant. No fever, chills, headache, breast tenderness, breast discharge, or abdominal pain.
ROS: none except as above. 
Allergies: None
Medications: None
PMH: None
PSH: None
FH: Parents healthy. Aunt breast cancer. Grandmother cervical cancer.
SH: Sexually active with partner. 2 adopted kids. Employed. No tobbaco, or drugs. Is a social drinker.


Keywords and phrases relevant to diagnosis:
F
weight gain
polymenorrhea, periods are irregular, 7 days, tampons every couple hours
can not get pregnant
35 YO
6 months
Patient Note: HPI: 35 YO F C/O MENSTRUAL ABNORMALITIES FOR 6 MONTHS. HAS HEAVY PERIODS, USES MORE TAMPONS THAN BEFORE, BUT HAD ONLY 2 PERIODS IN THE LAST 6 MONTHS. LMP; 2 MONTHS AGO. MENARCHE: AT 12 YO. PATIENT DENIES DYPARUNIA OR DYSMENORREA, OR SPOTTING. PATIENT GAINED 10LBS IN LAST 6 MONTHS. PATIENT HAS SKIN RASH ON HANDS AND NECK FOR 1 YR, BUT DENIES ANY JOINT PAIN, STIFFNESS, FEVER, CHANGES IN URINARY OR BOWELS HABITS. PT HAS NO COLD INTOLERANCE, PALPITATIONS OR SOB. PT HAS NO HAIR CHANGES. NO MISCARRIAGES OR ABORTION
ROS: NEGATIVE EXCEPT AS ABOVE
PMH: NEGATIVE, EXCEPT INABILITY TO GET PREGNANT IN THE LAST 10 YRS.
SH: SEXUALLY ACTIVE WITH BOYFRIEND OF MORE THAN YR, NO PROTECTION

Keywords and phrases relevant to diagnosis:
F
GAINED 10LBS
MENSTRUAL ABNORMALITIES, HEAVY PERIODS, USES MORE TAMPONS, ONLY 2 PERIODS IN THE LAST 6 MONTHS
LMP; 2 MONTHS AGO
NO PROTECTION
INABILITY TO GET PREGNANT
35 YO
6 MONTHS
Patient Note: A 35 Y O F C/O HEAVY BLEDING X 6 MO, USING TAMPONS FOR EVERY 1 HR. ALSO NOTICE CRAMING PAIN DURING HER MENSES.SHE IS NOT TAKING ANY MEDICATIONS.
SHE REPORTS SHE IS GETTING ALL THE TIME.AND SHE GAINED 10 - 15 LBS WEIGHT IN THE PAST COUPLE OF MONTHS.
SHE DENIES ANY CHANGES IN HER HAIR, ANY RACING OF HEART OR SWEATING.SLEEP AND APETITE ARE GOOD.
SHE ADOPTED 2 KIDS.
ROS- NEG EXCEPT ABOVE
FH- MOTHER ATTAINED MENOPAUSE AT THE AGE OF 51.
PMH $ PSH- NONE
SH- NON SMOKER, DRINKS ALCOHOL OCCASSIONALLY.
NO ILLICIT DRUG UASAGE
LAST PAP SMEAR WAS 6 MONTHS AGO AND IT WAS NL.

Keywords and phrases relevant to diagnosis:
F
GAINED 10 - 15 LBS
HEAVY BLEDING, TAMPONS FOR EVERY 1 HR
35 Y O
6 MO
Patient Note: A 35  YO C/O HEAVY PERIOD * 6 MONTHS THAT LASTS FOR 7 DAYS AND IRREGULAR AND CHANGING PADS EVERY 2 HRS. NO ABD PAIN NO PAIN WITH SEX NO PAIN WITH MENSRUATION , NO SPOTTING BETWEEN PERIODS , NO HEAIR GROWTH CHANGES, NO FEVER, AND THE PT MENTIONED  GAINING WT 10- 15 IBS * 6 MONTHS 
SHE HAS 2 ADOPTED CHILDEREN WITH NP PREGNANCIES, DID PAP SMEAR 6 MONTHS AGO AND WAS NORMAL.
ROS -VE EXCEPT ABOVE
PMH, PSH , DRUGS NONE , NKDA
FH AUNT HAD BREST CASNCER AT AGE 51 AND GRAND MOM HAD CERVICAL CANCER AT AGE 62 
SHE HAS A BBOYFRIEND SINC 1 YR AND DRINL ETOH 2 TIMES AMONTH

Keywords and phrases relevant to diagnosis:
GAINING WT, GAINING 10- 15 IBS
HEAVY PERIOD, PERIOD IRREGULAR, CHANGING PADS EVERY 2 HRS
35  YO
6 MONTHS, 6 MONTHS
Patient Note: Ms. Tompkins is a 35 yo female who presents with 6 months of heavy periods. Her periods are now 7 days duration from originaly 3 days duration, and she is now using tampons every couple of hours. Her periods are now every other month. She does not have any pain or any other associated sx. Last PAP was 6 months ago and reportedly normal. She has felt more tired than normal. She has gained 10-15lbs in 6 months but attributes that to eating out more often. First menses was at 12 years old, was placed on OCPs at age 13 due to irregular periods and was on these meds for 11 yrs. She has never been pregnant and has been told she was unable to get pregnant.
PMH. Meds. Surg. Allerg-none
ROS neg
Soc-no tobacco, alcohol, drugs. Has 2 adopted daughters. One male sexual partner, no condom use for 1 yr. Works as a social work scheduler from home.

Keywords and phrases relevant to diagnosis:
female
gained 10-15lbs
heavy periods, tampons every couple of hours
no condom use
tired
unable to get pregnant
35 yo
6 months, 6 months
Patient Note: 35yo f complains of HAVING HEAVY MENSTRUAL PERIODS. HER LAST MP WAS 6M AGO. BEFORE MP WAS FOR 3-4DAYS EVERY 5W, PT USED 4 PADS FOR THE FIRST DAY AND 1-2 PADS FOR THE REST OF THE DAYS. NOW MP LAST 7DAYS, PT CHANGES PADS EVERY 2 HOURS. PT REPORTS HAVING CRAMPY PAIN DURING THE PERIODS, 2/10. PT IS SEXUALLY ACTIVE WITH BF FOR THE LAST YEAR, NO CONTRACEPTION. PT ALSO NOTICED SKIN DISCOLORATION IN THE NECK AND HANDS. PT GAINED 10-15 LBS FOR THE LAST 6M. PT HAS NEVER BEEN PREGNANT. PT DENIES ANY BOWEL MOVEMENT CHANGES, MOOD CHANGES, HIRSUTISM OR COLD OR HOT INTOLERANCE.
ROS - NEG EXCEPT AS ABOVE
ALLERGIES - NKDA
PMH, PSH - NONE
MEDICATIONS - NONE
FH - AUNT HAS BREAST CANCER, GRANDMOTHER CERVICAL CANCER 
SH - DRINKS 1-2 BEERS ON THE WEEKENDS, NO ILLICIT DRUGS, NO SMOKING

Keywords and phrases relevant to diagnosis:
f
GAINED 10-15 LBS
HEAVY MENSTRUAL PERIODS, CHANGES PADS EVERY 2 HOURS, NOW MP LAST 7DAYS
NO CONTRACEPTION
35yo
Patient Note: 35 y/o woman presents with period concerns. States that 6 months ago her periods became irregular and now also has increased bleeding. Last period was two months ago and before that one 4 months ago. Periods now last for 7 days at a time and require very frequent changing of tampons. Has a minimal amount of cramping during periods and cramping is overall unchanged. Reports weight gain during this time. No changes in facial or pubic hair growth. No breast tenderness or nipple discharge. No nausea or vomiting or vision changes. Describes a history of infertility with prior husband.
PMH and PSH none
Meds and allergies none
SH - works as an administrator; divorced; lives with two adopted children; sexually active with boyfriend and does not use barrier contraception; no tobacco products, no recreational drug use; rare alcohol use 
FH none


Keywords and phrases relevant to diagnosis:
woman
weight gain, history of infertility
period concerns, periods became irregular, increased bleeding, Periods now last for 7 days, now very frequent changing of tampons
Last period was two months ago
does not use barrier contraception
35 y/o
6 months
Patient Note: angela tompikins is a 35 y/o F with 6 months of irregular periods.  she had normal periods prior to 6 months ago.  her LMP6 onths ago 7 days of bleeding changing her pad every hour, menarche ar 12yrs old.  G0P0 w/ 2 adoptoded daughters.  She reports feeling fatigued, and weight gain of 10 ponds in ths last 6 months without trying.  she is sexually active with her boyfriiebds and stopped using condoms 6 months ago. she reports no cold intolderence or constipation.
ROS negative excepyt as above
PMh: none
PSH:none
FMH: aunt with breast cancer, grandmother with cervical cancer parents are healthy
SH: lives with boyfriend and 2 adopted children, clerk at a social work agency. drinks socially, no etoh or drug use. diet is mixed without eating vegetables or fruits often. Gained 10 pounds despite skipping meals, does not exercise, but is more tired than usual;

Keywords and phrases relevant to diagnosis:
F
weight gain, Gained 10 pounds
irregular periods, 7 days of bleeding, changing her pad every hour
stopped using condoms
fatigued, tired
35 y/o
6 months
Patient Note: - 35 yo F presents with problems with her menstrual flow
- Her usual periods are regular every 4-5 weeks, normal flow using 4-5 pads/ day
- Over the past 5 months she had only two mestrrual periods, but heavy and changing pads every 1-2 hours
- She has mild cramp, but no abnormal vaginal discharge
- She noticed darkening of her  nuckles and neck, and gained 10 lbs over the past 5 months
- Denies headache, change in her vision, cold intolerance, skin change, nipple discharge, constipation.
- she is not taking any meds; no allergies
- PMH/ PSH: none
- Sexually active with boy friend, no condom use. social drinker, no tabacco or illicit drug use

Keywords and phrases relevant to diagnosis:
F
gained 10 lbs
past 5 months she had only two mestrrual periods, periods heavy, changing pads every 1-2 hours, problems with her menstrual flow
no condom use
35 yo
Patient Note: Mrs. Tompkins is a 35 y/o G0P0 presenting with mennorhagia for past 6 months. She states the flow has been heavy and she goes thru 7 rampons/day. She has had 2 periods in the last 6 months. The last one was 2 months ago. She does not have pain with menstruation. Her last pap smear was 6 months ago and was normal. She denies abdominal pain, pain with intercourse. Prior to the past 6 months, she had periods every 4 weeks lasting several days and would go thru 4 tampons a day. She states she could not get pregnant for 9 years with her ex boyfriend. She currently does not use contraceptives. She has gained 15 lbs in the past few months. She denies fever, chills, fatigue, changes in vision or hearing, chest pain, SOB, abdomen pain. 
ROS otherwise (-)
PMH: Not significant. Meds: None. Surgery: None. Meds: None
FH: Aunt with breast CA. Grandma had cervical CA
SH: Denies smoking or illicit drugs use. Drinks 1-2 beers/month. No STD history.

Keywords and phrases relevant to diagnosis:
gained 15 lbs
mennorhagia, flow has been heavy, 7 rampons/day, 2 periods in the last 6 months
last one was 2 months ago
does not use contraceptives
could not get pregnant
35 y/o
6 months
Patient Note: Angela Tompkins is a 35 yo female presenting w/ abnormal menstraul cycles for the past 6 months. LMP was 2 months ago and she has only had 2 cycles in the past 5 months. She has had heavy flow during recent cycles and will last about 7 days. They used to only last 3-4 days and had regular intervals. She has hardly had any pain w/ her cycles. She used to take oral contraceptives but stopped eleven years ago to try and get pregnant. She has been unsuccessful and not been able to get pregnant despite having sexual intercourse with her boyfriend and trying "for years". She denies trying to become pregnant now and in the recent past. She has not restarted contraception since trying to become pregnant. She had her first pap smear 6 months ago that did not have any abnormal findings. She has regular obgyn follow up. Her aunt has breast cancer and her grandmother had cervical cancer. Family has not done any genetic testing.

Keywords and phrases relevant to diagnosis:
female
only had 2 cycles in the past 5 months, heavy flow, will last about 7 days, abnormal menstraul cycles
LMP was 2 months ago
has not restarted contraception
not been able to get pregnant
35 yo
6 months
Patient Note: Loraine Wicks is a 67 y.o. woman here for difficulty sleeping past 3 weeks. Difficulty falling asleep, waking up early, and tossing and turning at the night. Notably, her son past away at the end of June. Her trouble sleeping started just after. Ambient at night has not helped. She notes that 4 days ago she saw her son Leonard sitting at the table, but knows it was not real. She also notes feeling tired and less interested in her hobbies such as scrapbooking. Her appetite has increased and she is eating more, but notes no changes in weight. She denies decreased concentration, feeling restless, or any suicidal ideation. She has good support at home from her husband and other family. Does not snore. Drink 1 cup of coffee in the morning. 
ROS: negative except as above
Medications: HCTZ, ambient last 5 days
PMHx: breast cancer 10 years ago
PSHx: lumpectomy, appendectomy 
Social: retired, no tobacco use. Liv

Keywords and phrases relevant to diagnosis:
appetite has increased, eating more
son past away at the end of June
woman
tossing and turning
67 y.o
Difficulty falling asleep
past 3 weeks
Ambient has not helped
feeling tired
less interested
saw her son knows it was not real
waking up early
denies suicidal ideation
difficulty sleeping, trouble sleeping
Patient Note: 67yo F presents with trouble sleeping. She reports trouble falling asleep, trouble staying asleep, and early morning awakening. Her trouble sleeping began 3 weeks ago. At that time, her son passed away and she has been very upset about that. She lives with her husband and say they rely on each other for support. Before 3 weeks ago, she slept well, going to bed at 10:45pm and sleeping 8 hours through the night. Good sleep hygeine, with no TV or screens before bed. Received Ambien from friend past 5 nights, did not help, has had hallucinations. 

PMH: HTN, Breast cancer (dx 10 yrs ago; in remission now)
PSH: Lumpectomy 10 yrs ago
Meds: HCTZ, Lisinopril, and for past 5 nights has tried Ambien.
Allergies: none
Fam Hx: Father died of stroke age 75; mother living with long hx Depression
Social: retired receptionist, drinks in moderation (2-3 glasses couple times/week), no tobacco, no drugs
Psych: Endorses signs of depression, deny SI

Keywords and phrases relevant to diagnosis:
At that time, her son passed away
F
67yo
trouble falling asleep
began 3 weeks ago, 3 weeks ago
Ambien did not help
with long hx Depression mother
early morning awakening
deny SI
trouble sleeping, trouble staying asleep, trouble sleeping
Patient Note: Pt is a 67 yo F presenting with insomnia x 3 weeks since the death of her son. Pt has difficulty falling asleep, tosses and turns while sleeping, wakes up early. Sleeps 4-5 hours/day. Nothing worsens/alleviates sx. Tried Ambien for 5 days but did noto feel like it helped and has stopped taking it. Patient reports feeling drained and tired from lack of sleep and eating more than usual. She reports seeing her son in the kitchen one day and also thinking she heard a party next door when there was none. she feels sad and has a loss of normal interests and low neergy, but does not feel any guilt, psychomotor agitation/slowing down, or any suicidal ideation. No fevers, cold sx, wt loss or wt gain, changes to elimination.
PMHx: high BP; remission from breast cancer. PSHx: lumpectomy with breast cancer 10 years ago, laparoscopic appendectomy in her 20s. Meds: HCTZ, lisinopril, ambien. FHx: high BP, depression. SHx: no smoking, alcohol, drugs.

Keywords and phrases relevant to diagnosis:
eating more than usual
x 3 weeks since the death of her son
F
reports thinking she heard a party next door when there was none
tosses and turns
67 yo
difficulty falling asleep
x 3 weeks
Tried Ambien did noto feel like it helped
feeling drained, tired, low neergy
loss of normal interests
reports seeing her son in the kitchen one day
FHx depression
wakes up early
does not feel any suicidal ideation
insomnia, Sleeps 4-5 hours/day
Patient Note: Mrs Loraine Wicks a 67 Y old F pt presenting to the office with Insomnia. The condition started 3 Wks ago following the death of her son James. Pt also reports Auditory hallucinations of her son on two different occasions. There is also Loss of interest, Increased appetite and feeling of fatigue. Patient treid ambien but it didnt help.  Patient denies Feeling of Guilt, Suicidal Ideations ,Excessive caffeine intake. 
ROS Negative except as above 
PMH: HTN.
Meds: HCTZ, Lisinopril and Ambien, NKDA 
PSH: None, Hospitalizations: Non-significant 
Family H: Father had HTN, Mother Has Depression. 
Social H: Lives with her husband, Denies Smoking/Drugs. Etoh Occasionally
Sexual H: Monogamous with Husband 


Keywords and phrases relevant to diagnosis:
Increased appetite
3 Wks ago death of her son
Mrs, F
Auditory hallucinations
67 Y old
started 3 Wks ago
treid ambien but it didnt help
fatigue
Loss of interest
Mother Has Depression
denies Suicidal Ideations
Insomnia
Patient Note: Pt is a 67 year old female with PMH of high blood pressure and breast cancer who comes in with difficulty sleeping. Problems began 3 weeks ago after her son passed away. She reports difficulty falling asleep, staying asleep and going back to sleep. She endorses multiples symptoms of depression including decreased sleep, energry, interest and appetite. Denies suicidal ideation or lack of will to live. PAtient reports good sleep hygeine with no tv, caffeine, excessive water or computer time before bed. Sh denies symptoms consistent with thyroid disease inclouding weight gain, skin changes hair changes or palpitations. Patient reports getting suport from family and friends and does not want to see a counselor. Pt also reports seeing her son once after he passed and hearing unexplained noises before falling asleep one night. Patient denies snoring


Keywords and phrases relevant to diagnosis:
3 weeks ago son passed away
female
hearing unexplained noises before falling asleep one night
67 year old
difficulty falling asleep
began 3 weeks ago
decreased energry
decreased interest
reports seeing her son once after he passed
Denies suicidal ideation
difficulty sleeping, difficulty staying asleep, difficulty going back to sleep, decreased sleep
Patient Note: Ms. Wicks is a 67 yo F h/o HTN and breast ca in remission 10 y who p/w difficulty sleeping.  She states that she has been having difficulty falling asleep and staying asleep for the past three weeks with associated early awakenings, correlated with the tragic passing of her son in an MVA.  She has attempted 5 nights of ambien use without changes in her symptoms.  Denies snoring, weight gain/loss, other sx besides difficulty sleeping. She has been having some difficulty coping with this loss, but has a good support system in her family and husband.  No desire for additional counseling at this time. Denies depression, SI, guilt, psychomotor sx. Endorses increased appetite, difficulty sleeping, decreased energy, anhedonia.
PMH: htn, breast ca (10 yr remission)
PSH: lumpectomy, lap appy
MED: hctz, lisinopril
all: nkda
SH: no drug/tobacco use, no recent ETOH use but otherwise 2 drinsk 2-3nights/wk
FH: father (CVA), mother (MDD)

Keywords and phrases relevant to diagnosis:
increased appetite
passing of her son
Ms., F
67 yo
difficulty falling asleep
past three weeks
ambien use without changes in her symptoms
decreased energy
anhedonia
mother (MDD)
early awakenings
Denies SI
difficulty sleeping, difficulty staying asleep, difficulty sleeping, difficulty sleeping
Patient Note: 67 yo woman comes due to 3 weeks sleep disturbances, accompanied by loss of interest, changes in apettite, fatigue
she has problems falling asleep, and wakes up a lot of times at night
she ahs had visual and hearing hallucinations
her son died 3 weeks ago
ROS: no wieaght changes, skin probles, contipation urinary problems, weakness in limbs
PMH: htn
SH: none
alllergies: none
Meds: ACEI, HCTZ
FH: mother: depression, father: HTC, stroke
S:" wine 2-3 glasses a week

Keywords and phrases relevant to diagnosis:
son died 3 weeks ago
woman
hearing hallucinations
67 yo
problems falling asleep
3 weeks
fatigue
loss of interest
visual hallucinations
mother: depression
sleep disturbances, wakes up a lot of times at night
Patient Note: 67 yo F presenting with 3 weeks of insomnia. Pt reports difficulty falling asleep, waking up early, and daytime somulance. Pt states her son passed away on Aug 31st of this year. She state feeling sad and missing him. She alos reports seeing him sitting at the breakfast table 3 days ago. She is aware that this was not really happening. She also mentioned hearing distant music and talking at neighbors house, but no one was there. Denies command voieces. 

Denies snoring, suicidal/homicidal thoughts, constipation, dry brittle skin, recent medication changes

PMH: HTN, breast cancer s/p lumectomy, radiation, and chemo. remission for past 10 years
PSH: lumectomy, lap appy
Meds: HCTZ, lisinopril
Allergies: NKDA
FH: father with HLD, HTN died from storke. Mother with h/o depression
Social: drinks 2-3 glasses of wine a week. Denies smoking, recreational drug use

Keywords and phrases relevant to diagnosis:
son passed away on Aug 31st
F
hearing distant music and talking at neighbors house, but no one was there
67 yo
difficulty falling asleep
with 3 weeks
daytime somulance
reports seeing him sitting at the breakfast table 3 days ago aware that this was not really happening
Mother with h/o depression
waking up early
Denies suicidal/homicidal thoughts
insomnia
Patient Note: 67 yo F presents with difficulty falling aslep and multiple night time awakenings for the last few weeks. This began after the death of her son a few weeks ago. She has been feeling depressed, fatigued, has increased appetite, and has decreased interest in daily activities. Denies guilt suicidal thoughts. Has a good support system of husband and friends. Has had one episode of seeing her son in the kitchen and has had one epidose of hearing noises. They did not send her any messages and she could not understand them. 
ROS - Denies nocturia, snoring, SOB at night, chest pain, changes to weight, heat or cold intolerance, changes to hair or skin, hoarseness, dizziness. 
PMH - Hypertension. Remission from breast cancer 10 yrs ago. 
PSH - Laparotomy for Appendectomy, 
Meds - HCTZ Lisinopril Sleeping meds. 
Allergies - None
Menstrual Hx - menopause at 50 years
Fhx - none
Shx - Retired. Denies alcohol drug and tobacco use,

Keywords and phrases relevant to diagnosis:
increased appetite
death of her son a few weeks ago
F
one epidose of hearing noises
67 yo
difficulty falling aslep
for the last few weeks
fatigued
decreased interest
one episode of seeing her son in the kitchen
Denies suicidal thoughts
night time awakenings