bhatthars/nbme_qna huggingface dataset:
Patient Note: 20 y/o F presenting with lower RUQ pain. Pain started 8-10 hours ago, in bed, 5/10, dull, achy, was sleeping, worse with walking, better with ibuprofen. Reports watery diarrhea for past 3 days, brown, no blood in stool. Can drink water, cannot eat since pain started last night. No fever, chills, leg pain, N/V, vaginal discharge, constipation.
PMHx - none, NKDA, takes ibuprofen for pain, no other meds, No surgeries, trauma, accidents, hospitaliations, FHx - noncontributory,
OB/GYN - LMP 2 weeks ago, 28 between, 4 days.
Sexual - sexually active 1 partner, male, last 9 mos ago, use condoms, no STI, HIV history
Social - uses alcohol 2x/mo - 1 beer socially, no tobacco, rec drug use

Keywords and phrases relevant to diagnosis:
No vaginal discharge
sexually active last 9 mos ago
diarrhea
20 y/o
no blood in stool
cannot eat
LMP 2 weeks ago
started 8-10 hours ago
F
Patient Note: HPI: Patient is a 20 yo female who presents with constant, achy, 5/10 right lower quadrant pain of 8 hours duration. This pain woke her from sleep and she does not define a clear trigger.The patient has also been having diarrhea and anorexia associated with this episode of pain. Ibuprofen has helped alleviate the pain. Walking exacerbates the pain. She has had 3-4 similar episodes in the past 6 months that have not been as painful. She denies nausea, vomiting, fevers, and chills.

ROS: Negative except for above
Allergies: None
Medications: Occasionally ibuprofen for pain.
PMH: None
FHx: None, parents are both healthy
Surgical history: None
Social history: Never smoked. Drinkings about 2 beers twice a month. No other drugs. Reports last being sexually active 9 months ago.

Keywords and phrases relevant to diagnosis:
last being sexually active 9 months ago
diarrhea
20 yo
3-4 similar episodes in the past 6 months
right lower quadrant pain
anorexia
pain of 8 hours duration
female
Patient Note: Suzanne Powelton is 20 yo F w/ chief complain of "Abdominal pain." Pain is located in RLQ. Started 8-10 hrs ago while she was sleeping. Describes pain as "dull, achy, like bad cramp." Pain is constant and does not radiate. Describes as low-moderate pain 5/10. Ibuprofen helps with pain a little but not enough. Walking makes the pain worse. Her menstraul periods are normal, last one was 2 weeks ago. She describes menstrual pain as moderate and denies having heavy menstrual cycles. She has had pain similar to this 3-4 times over last 6 months and pain usually last a couple hours and goes away. Denies irregular bleeding. Denies N/V or fever. 

Denies any allergies, meds, PMH, PSH, and PFH. 
Social: Student studing biology and pre-med. Likes going for coffee and movies.
Sexual Hx: Not sexually active in 9 months. Last STD test was 1 year ago and was negative.
Alcohol: drinks socially a 'couple' times/month
Tobacco and Drug use: denies

Keywords and phrases relevant to diagnosis:
Not sexually active in 9 months
20 yo
has had pain similar to this 3-4 times over last 6 months
Pain is located in RLQ
menstraul periods 2 weeks ago
Started 8-10 hrs ago
F
Patient Note: CC: RLQ pain for 8-10 hours
HPI: patient is a 20 year old female who presents with right lower quadrant abdominal pain for the last 10 hours. She states it is dull and achy and does not radiate. This pain has occurred 3 to 4 times in the past 6 months and resolved iwthout intervention. Ibuprofen helps a little, while walking makes it worse. She also notes watery diarrhea without blood occuring 4-5 times in the last couple of days, as well as a loss of appetite and loose-fitting clothing. She denies any recent trauma, fever or constipation.
ROS: negative except as above
PMH: no medical conditions
Medications: ibuprofen
Allergies: none
Surgeries: none
OB/GYN: G0P0, first period age 13, last period 2 weeks ago, periods regular
SH: works as a student, drinks a beer 2x/month, no tobacco or recreational drug use, last sexually active 9 months ago, uses condoms every time
FH: no medical conditions run in family, mom and dad healthy

Keywords and phrases relevant to diagnosis:
loose-fitting clothing
last sexually active 9 months ago
diarrhea in the last couple of days
20 year old
diarrhea without blood
occurred 3 to 4 times in the past 6 months
RLQ pain, right lower quadrant abdominal pain
loss of appetite
last period 2 weeks ago
8-10 hours, for the last 10 hours
female
Patient Note: 20YO F WITH ACUTE ONSET OF RLQ ABDOMINAL PAIN STARTED 8-10HOURS AGO.
*PAIN IS DESCRIBES AS DULL, ACHE, CONSTANT, NO RADIATION, WORSENING, AND 5/10 INENSITY.
* RECENT ONSET OF WATERY BROWN DIARRHEA, 4-5 BM/DAY, AND URGENCY.
*SHE REPORTS SHE HAD SIMILAR PAIN 3-4 EPISODES IN THE PAST 06 MONTHS.
*UNINTENTIONAL SUBJECTIVE WT LOSS, POOR APPETITE.
DENIES: CHILLS, SWOLLEN GLANDS, N/V, PRIOR CONSTIPATION, BLOOD IN DIARRHEA, TENESMUS, TREMORS.
ROS: NEG EXCEPT AS ABOVE.
ALL: NKDA, MED: IBUPROFEN
PMh: AS PER HPI
PSH: NONE
FH: NC.
SH: DENIES TOXIC HABITS BESIDE OCCASIONAL ETOH, SEXUALLY ACTIVE, REGULAR USE OF CONDOMS.
LMP: 2WK, REGULAR.

Keywords and phrases relevant to diagnosis:
WT LOSS
DIARRHEA
20YO
DENIES BLOOD IN DIARRHEA
SIMILAR PAIN 3-4 EPISODES IN THE PAST 06 MONTHS
RLQ ABDOMINAL PAIN
POOR APPETITE
LMP: 2WK, REGULAR
STARTED 8-10HOURS AGO
F
Patient Note: 20 yo female presents with acute crampy RLQ abdominal pain that began 8-10 hours ago. Endorses history of similar pain in the past however, this time pain is more severe and is lasting longer. Previously pain would subside in 2-3 hours. Described as a constant crampy pain of 5/10. Endorses 2 episodes of diarrhea today. Denies changes in urination, recent sexual partners, nausea, vomitting, mouth ulcers, night sweats, chills, fever. 

ObGyn: LMP 2 weeks ago. Started mensis at age 13. Cycles are regular 28 days for 4 days with mild cramping requiring at max 4 tampons. Not currently sexually active. Last partner was 9 months ago. Had negative STI testing since. 
PMHx and PSurgHx: none
Meds: none
Allergies: NKA
FH: healthy
SH: currently a full time student studying biology. Denies tobacco or recreational drug use. EtOH 1-2 x/month socially.

Keywords and phrases relevant to diagnosis:
Denies recent sexual partners, Not currently sexually active, Last partner was 9 months ago
diarrhea today
20 yo
similar pain in the past
RLQ abdominal pain
Denies changes in urination
LMP 2 weeks ago
pain that began 8-10 hours ago
female
Patient Note: 20 yo female presents with RLQ abdominal pain. Nonradiating. Dull and constant pain for the past 8-10 hours. Ibuprofen does not help. Walking makes the pain worse. 3-4 previous peisodes in the past 6 months that resolved spontaneously. Associated with watery diarrhea without blood or mucus. Decrease in appetite. Potential weight loss with clothes fitting looser. No recent travel, sick contacts, or eating bad food.
ROS: denies fever, chills, SOB, nausea, vomiting, chest pain, numbness, tingling, changes in urinary habits, back pain
PMHx: none
Surg hx: none
Meds: ibuprofen
Allergies: none
Ob/gyn: LMP 2 weeks ago, 28 day cycle, lasts 4 days, uses 4 tampons
FH: none
SH: Family lives far away, denies tobacco and recreational drug use, drinks 2x per month
Sex hx: sexual active, last time was 9 months ago, uses condoms consistently

Keywords and phrases relevant to diagnosis:
Potential weight loss, clothes fitting looser
sexual active, last time was 9 months ago
diarrhea
20 yo
diarrhea without blood
3-4 previous peisodes in the past 6 months
RLQ abdominal pain
denies changes in urinary habits
Decrease in appetite
LMP 2 weeks ago
pain for the past 8-10 hours
female
Patient Note: 20 yo F came the the ED c/o RLQ abdominal pain for 8 hours today. The pain was sudden, dull and achy in nature, and 5/10. Pain does not radiate, she took Ibuprofen with minimal relief and nothing makes it worse. She has had similar episodes in the past but this time it is the worst. Reports diarrhea since yesterday, brown watery without blood. Also reports decresed appetitie and some weight loss. Denies any nausea, vomiting, or changes in urinary habits. LMP 2 weeks ago, normal flow and menstrual cycles, 4 weeks / 4 days. 
ROS as per HPI
PMH none, Meds: Ibuprofen, NKDA
PSH none
FH noncontributory
SH: Pre-med college student, sexually active no histroy of STDs. No smoking, occasional EtOH. No illicit drug use.

Keywords and phrases relevant to diagnosis:
weight loss
diarrhea since yesterday
20 yo
diarrhea without blood
similar episodes in the past
RLQ abdominal pain
Denies changes in urinary habits
decresed appetitie
LMP 2 weeks ago
for 8 hours pain was sudden
F
Patient Note: 20yo F is complaining of an achy bad crampy pain in the lower right quadrent. The pain is constant, does not radiate and began suddenly. The worsening pain is 5/10 and started 8-10hrs ago. 5/10 pain. She was asleep when it happened and the pain woke her up. This pain has occurred 3-4x in the past month. She does not feel better with Ibprofen use (3 tablets/day 200mg), and she feels worse with walking. She noticed some weight loss with clothes feeling looser. She reports loose, watery, brown diarrhea a couple days ago. She hasn't felt hungry today and her last meal was last night. LMP 2 weeks ago, regular, no discharge. Denies changes in urination, redness, swelling, rashes, constipation. SHx: Studies biology in college, drinking EtOH 2x/mo, no tobacco, under stress with exams coming, and drinks 4-5cups/day of coffee. No rec drugs. SexHx: Last sexually active 9mo ago but broke up with boyfriend. No Hx of STI
PMH, FHx non contributory

Keywords and phrases relevant to diagnosis:
weight loss, clothes feeling looser
Last sexually active 9mo ago
diarrhea
20yo
pain has occurred 3-4x in the past month
pain in the lower right quadrent
"hasnt felt hungry"
LMP 2 weeks ago
started 8-10hrs ago
F
Patient Note: Suzanne Powelton is an otherwise healthy 20 y.o. female presenting to the ED with RLQ abdominal pain. The pain awoke her from sleep 8-10 hours ago. It is a 5/10, dull and achey, nonradiating pain. The pain has progressed since onset and was not relieved with ibuprofen. She has had diarrhea for 2 days and anorexia since last night. She has not eaten since last night. She has had episodes of similar but less severe pain 3-4 times in the last 6 months, lasting about 2 hours and then self-resolving. She has also had intermittent nonbloody diarrhea in the last 6 months, sometimes with the pain. She denies nausea, vomiting, dysuria, urinary frequency, vaginal discharge, vaginal bleeding. LMP was 2 weeks ago. 
Past medical history: none
Meds: ibuprofen
NKDA
Social: Never smoker. Drinks 1-2 beers socially twice per month. No drug use. Last sexual activity 9 months ago with male partner. No history of STI. 
Family history: none significant

Keywords and phrases relevant to diagnosis:
denies vaginal discharge
Last sexual activity 9 months ago
diarrhea, diarrhea
20 y.o
nonbloody diarrhea
pain 3-4 times in the last 6 months
RLQ abdominal pain
denies dysuria, denies urinary frequency
anorexia
LMP was 2 weeks ago
8-10 hours ago
female
Patient Note: 20 YO F, C/O RLQ PAIN, PAIN IS ACUTE AND PROGRESSIVE STARTED 8-10 H AGO, DULL AND ACHING IN CHARACTER WAS 4/10 AND PROGRESSED TO 5/10 IN INTENSITY. PAIN IS INCREASED WITH WALKING AND PARTIALLY RELIVED WITH IBUPROFEN. PATIENT ALSO COMPLAINS OF DIARRHEA STARTED 2 DAYS AGO, 4-5 BOWEL MOVEMENTS/DAY (VS PREVIOUS 2-3/DAY) DIARRHEA IS MODERATE IN AMOUNT, NONBLOUDY, NO MUCOID, WATERY BROWN DIARRHEA. PATIENT DENIES ANY FEVER, CHILLS, NAUSEA OR VOMITING BUT METIONS A POOR APPETITE SINCE YESTERDA (LAST MEAL WAS DINNER).DENIES ANY VAGINAL DISCHARGE, DISURA, OR HX OF KIDNEY STONES
ROS (-) EXCEPT AS ABOVE
OBGYN: MENARCH 13 Y, REGULAR MENSES 4 DAYS/28 MODERATE FLOW(4 TAMPONS/DAY), NO STD HX 
PMH/PSH: NEGATIVE
MEDICATIONS: IBUPROFEN 
FH: BOTH PARENTS ARE HEALTHY
SEXUAL: ACTIVE LAST INTERCOURSE WAS 9 MONTHS AGO WITH BOYFIRNED, ACTIVE WITH MEN ONLY, CONSISTENT USE OF CONDOMNS
SOCIAL: STUDENT, NONSMOKER, ETOH 2 S/MONTH, NO RECREATIONAL DRUG USE

Keywords and phrases relevant to diagnosis:
DENIES ANY VAGINAL DISCHARGE
LAST INTERCOURSE WAS 9 MONTHS AGO
DIARRHEA STARTED 2 DAYS AGO
20 YO
DIARRHEA NONBLOUDY
RLQ PAIN
DENIES DISURA
POOR APPETITE
PAIN IS ACUTE STARTED 8-10 H AGO
F
Patient Note: 20 yo F without significant PMH presenting with RLQ abdominal pain, which started 8-10 hours ago. First noticed it when she was sleeping. Rated at 5/10 for pain. No radiation. Pain has been localized at RLQ and has noted it has gotten worse overnight. Walking makes it worse. Ibuprofen with minor help. Has had 3-4 similar episodes in the past 6 months. Some of which have had diarrhea (4-5x/day). No association with foods. Does report decreased appetite since last night. Denies blood or tarry black stools.
ROS: denies headaches, n/v, vision changes, recent illnesses
PMH: none or in HPI
Surgical: none
Meds: ibuprofen for pain
All: none
FH: noncontributory; healthy family
Social: student, lives alone; non-smoker, 2 drinks of alcohol/month. Not sexually active; last partner 9 mo ago. consistent condom use; no hx of STDs

Keywords and phrases relevant to diagnosis:
Not sexually active
diarrhea
20 yo
Denies black stools, Denies blood stools
3-4 similar episodes in the past 6 months
RLQ abdominal pain, Pain RLQ
decreased appetite
started 8-10 hours ago
F
Patient Note: 20 year old female complains of a dull, achy pain in the RLQ. Onset of 8-10 hours ago which woke her up from sleep. She rates it a 5/10 in intensity, and has progressively gotten worse since the pain began. No radiation of the pain, ibuprofen tends to alleviate the pain, while walking makes it worse. Denies vomiting, but states that she has had diarrhea without blood for the last 3 days. Patient has had similar episodes to this over the last 6 months, but has progressively gotten worse every time. Last sexual encounter was 9 months ago, and has never had a pap smear

Ob/Gyn: LMP 2 weeks ago, 28 day cycles, 4 days each. Menarche at age 13.
ROS: Negative except as above
Allergoes: None
Meds: ibuprofen
PMH: None
PSH: None
SH: Student in school, drinks alcohol socially, denies illicit drug use and tobacco use
FH: Noncontributory

Keywords and phrases relevant to diagnosis:
Last sexual encounter was 9 months ago
diarrhea for the last 3 days
20 year old
diarrhea without blood
similar episodes to this over the last 6 months
pain in the RLQ
LMP 2 weeks ago
pain Onset of 8-10 hours ago
female
Patient Note: Suzanne Powelton is a 20 year old female who presents with RLQ abdominal pain. This has been bothering her for the past 8-10 hours. She has had 3-4 similar episodes in the last 6 months that remitted on their own. She describes a dull aching pain in the right lower quadrant that does not move. She also has had several bouts of watery, non-bloody diarrhea lasting a few days in the past 6 months, not associated with her abdominal pain. Bowel movements do not relieve the pain. Menarche was at age 13 and she has regular menstrual cycles, the last being 2 weeks ago. It was not abnormal for her, and the abdominal pain is not associated with menses. No recent travel or hiking. No unual foods eaten. Vaccines up to date.

Med Hx: none
Surg Hx: none
Meds: none
Fam Hx: Parents in good health
Allergies: NKA
Soc Hx: Last sexual activity 9 months ago. NO smoking. Occassional alcohol. No illicit drug use.

Keywords and phrases relevant to diagnosis:
Last sexual activity 9 months ago
diarrhea lasting a few days in the past 6 months
20 year old
non-bloody diarrhea
3-4 similar episodes in the last 6 months
RLQ abdominal pain, pain right lower quadrant
menstrual cycles 2 weeks ago not abnormal
past 8-10 hours
female
Patient Note: HOPI: A 20 yo F c/o constant right lower quadrant pain, started 8-10 hours ago while sleeping , dull,achy and crampy in quality, 5/10 in intensity, non radiating, tried ibuprufe, not very relieved, walking exacerbates the pain. She also complains of being nauseated, but denies vomiting. She has been having diarrhoea for the past 4-5 days, with 4-5 stools/day, watery brown, no blood or pus or peculiar odor to it. She has been noticing unintenttional weight loss for past coupkle of months, no change in appetite. She denies any ill ciontacts, recent travel, or food association to diarrhoea. She denies LOC, fever, dizziness, cold/heat intolerance.
ROS:negative except as above
PMH/PSH:none
ALLERGY: NKDA
MEDS:Ibuprufen
OBS/GYN: LMP 2 weeks ago, Menarche 13 yrs. Regular cycles, no dysmenorrhoea.
FH:Noncontributory
SH: Sjhe is a student, occasional alcohol 2/month. Denies smoking or illicit drug use. ! sexual partner last year, usues con

Keywords and phrases relevant to diagnosis:
weight loss
sexual partner last year
diarrhoea for the past 4-5 days
20 yo
diarrhoea f no blood
right lower quadrant pain
LMP 2 weeks ago
pain, started 8-10 hours ago
F
Patient Note: 20 y/o f c/o RLQ PAIN X8-10 HOURS AGO. STARTED SUDDENLY WHEN THE PATIENT WAS SLEEPING(WOKE HER UP), IS DULL ACHY IN NATURE, 5/10 IN INTENSITY, NON RADIATING, AGGRAVATED BY MOVEMENT AND NO RELIEVING FACTORS. SHE ALSO HAS HAD DIARRHEA FOR FEW DAYS WHICH IS WATERY SHE HAD 4-5 BOEWL MOVEMENTS IN A DAY USUALLY HAD 1-2 PER DAY, NO BLOOD OR FOUL ODOR IN STOOLS. SHE ALSO FEELS LIKE SHE HAS LOST WEIGHT THOUGH DIDN'T DOCUMENT IT. SHE HAS DECREASED APPETITE SINCE YESTERDAY NIGHT.
PATIENT DENIES ANY NAUSEA/VOMITING, PREVIOUS STI'S, URINARY CHANGES, BURNING MICTURITION, PALPITATIONS, COUGH, SOB, CHEST PAIN, TRAUMA TO ABDOMEN.
ROS-NEGATIVE EXCEPT ABOVE
PMH/PSH/MEDS/ALLERGIES-NONE
FH-N/C
SH-DRINKS ALCOHOL OCCASIONALLY, NO TOBACCO/ILLICIT DRUG USE, LAST TIME SEXUALLY ACTIVE WAS WITH PARTNER 9 MONTHS AGO/NO PREVIOUS STI'S

Keywords and phrases relevant to diagnosis:
LOST WEIGHT
9 MONTHS AGO LAST TIME SEXUALLY ACTIVE
DIARRHEA FOR FEW DAYS
20 y/o
NO BLOOD IN STOOLS
RLQ PAIN
DENIES URINARY CHANGES, DENIES BURNING MICTURITION
DECREASED APPETITE
8-10 HOURS AGO STARTED SUDDENLY
f
Patient Note: The patient is Suzanne Powelton, 20 yo female coming in for abdominal pain. The patient has right lower quadrant pain described as dull, aching, 5/10 in severity, non-radiating that started 8-10 hours ago and has prgressively worsened. Pain is associated with anorexia and is partially relieved by ibuprofen and aggravated by walking. She has also been having diarrhea in the past 2 days with soft, watery, non-bloody stools. No fever.
ROS: No headache, cough, nausea, vomiting, dysuria, bloody urine, urinary changes, menstrual changes, DOB, chest pain
PMH: none
Allergies: none
Medications: none
FMH: none
PSH: Patient does not smoke, drinks alcohol occasionally 2x/month, does not use illicit drugs; She does pilates and walking 2x/week. She is a student.
Gyne: LMP 2 weeks ago, occuring every 28 days, lasting 4 days, 4ppd. No Pap smear in the past, no STI.

Keywords and phrases relevant to diagnosis:
diarrhea in the past 2 days, soft, watery stools
20 yo
non-bloody stools
right lower quadrant pain
No dysuria, No bloody urine, No urinary changes
anorexia
LMP 2 weeks ago
started 8-10 hours ago
female
Patient Note: HPI: 20 yo F c/o RLQ pain for past 10 hrs. 5/10, constant, no radiation, progressively woresening, dull and achy in nature. Similar sx for 3-4 episodes in the past 6 months. Allev. with ibuprofen, aggrav. with walking. Pos for diarrhea for past couple of days. No mucus in diarrhea. Abd pain not alleviated with defecation. Pos for weight loss (recently pants feel loose) and loss of appetite. Neg for fever, chills, nausea, vomiting, jaundice, constipation. LMP was 2 wks ago. last sexual intercourse was 9 months ago.
PMH: None
NKDA.
Meds: ibuprofen 
no h/o hospitalizations, injuries, and surgery.
FH: parents both alive and well. non-contributory.
OBGYN: LMP 2wks ago. 0G0P
Sexually active with only men. last sexual intercourse was 9 months ago. 
SH: student. EtOH+  (2 times/month), Tobacco -, recreational drugs -

Keywords and phrases relevant to diagnosis:
weight loss, pants feel loose
last sexual intercourse was 9 months ago, last sexual intercourse was 9 months ago
diarrhea for past couple of days
20 yo
Similar sx past 6 months
RLQ pain
loss of appetite
LMP was 2 wks ago, LMP 2wks ago
10 hrs
F
Patient Note: CC: 44 yo female c/o irregular periods
HPI: x 3 years has had irregular periods they vary in the amount of blodd each time. Her LMP was 2 months ago and was regular. She first began to notice periods at age 14. She had flu like symptoms one week ago with nausea and vomiting. No clots during her periods. She has to use 2-3 pads when they are light and 5-6 when they are heavy. Nothing makes it better or worse. She has been experiencing hot flashes, sweating and vaginal dryness which she uses lubricant for. She also complains of dyspareunia. No fever or chills. No abdominal pain, diarrhea, constipation or urinary symptoms. 
PMH: HTN on HCTZ, No PSHx, No allergies,  Two vaginal births without complications. 
FH: Mother has osteoarthritis and HTN
Social: Does not smoke or use drugs drinks occasionally

Keywords and phrases relevant to diagnosis:
vaginal dryness, dryness which she uses lubricant for
irregular periods, irregular periods
one week ago with nausea and vomiting, flu like symptoms one week ago
female
LMP was 2 months ago
hot flashes
vary in the amount of blodd each time, has to use 2-3 pads when they are light and 5-6 when they are heavy
x 3 years
sweating
44 yo
Patient Note: HPI: 44 F in office c/o irregular periods x 3 yrs. Started suddenly. LMP was 2 mo's ago, menarche was 14 yo, periods last from 2-6 days, are irregular, uses 2-6 pads/tampons per day depending on flow rate, no N/V, spotting, cramping, light-headedness. 2 pregnancies resulting in 2 SVD's at term with no complications. A/w hot flashes, vaginal dryness and extra sweating. No h/o STD's or abortions or h/o dilation and curretage. Denies emotional lability, HA, CP, burning when urinating, frequency, vaginal discharge, weight gain, changes in bowel or urinary habits.
ROS: negative exc as above
PMH: HTN, Meds: HCTZ, NKDA
PSH /Hosp / Travel / Trauma: none
FH: NC
SH: works as office manager, lives with husband and 2 sons, feels safe in relationship, no smoking, rare EtOH, no drugs, sexually active w/husband, no protection, no h/o STD's or abortions or dilation and curretage
OB: 2 pregnancies, 2 SVD's at term, no complications

Keywords and phrases relevant to diagnosis:
sexually active
vaginal dryness
irregular periods, periods are irregular
F
"LMP was 2 mos ago"
hot flashes
uses 2-6 pads/tampons per day, last from 2-6 days
x 3 yrs
sweating
44
Patient Note: 44 yo F, G2P2A0, c/o irregular periods. Last menstrual period was 2 months ago. Menarche at age 14. Patient states that she has night sweats. Last pap smear was a year ago and it was normal. Patient denies any headaches, fatigue, visual changes, joint pain, abdominal pain, or SOB. Patient took a pregnancy test and it was negative.
ROS- negative except for above
Allergies- NKDA
Meds- HCTZ
PMH- HTN
PSH- none
SH- 1 glass of wine socially, no tobacco, no illicit drugs
FH- mother with osteoarthritits and over-weight

Keywords and phrases relevant to diagnosis:
pap smear a year ago
irregular periods
F
Last menstrual period was 2 months ago
night sweats
44 yo
Patient Note: Ms Dolores Montgmery, 44 yo F c/o Irregular menstruation that has been occuring since 3 yrs ago. Last mentruation was 2 months and was irregualar and associated with night sweats, hotflashes, and heavy flow. Pt denies cramping and clotting. On ROS - pt denies heat/cold intolerance, weight gain/loss, chest pain, headache, blurry vision or gait dysfunction.
Phmx - HTN tx with HCTZ
Allergy  none
Fhx - Mother OA and sister HTN
Surg/Hosp - none
Obgyn - P2G2A0, Irregular menses no defined start dates, uses 2 to 6 pads at the heaviest flow, no cramping or clots or foul discharges
Shx - Office manager, No tabbacco, sociall drinker, healthy diet, and no rec drug

Keywords and phrases relevant to diagnosis:
Irregular menstruation
F
Last mentruation was 2 months
hotflashes
2 to 6 pads at the heaviest flow, menses no defined start dates
occuring since 3 yrs ago
night sweats
44