idx int64 | note string | full_note string | conversation string | summary string | tagged_diseases string | disease_count int64 | has_disease int64 | disease_label string | label_id int64 |
|---|---|---|---|---|---|---|---|---|---|
155,216 | A a sixteen year-old girl, presented to our Outpatient department with the complaints of discomfort in the neck and lower back as well as restriction of body movements. She was not able to maintain an erect posture and would tend to fall on either side while standing up from a sitting position. She would keep her head ... | A a sixteen year-old girl, presented to our Outpatient department with the complaints of discomfort in the neck and lower back as well as restriction of body movements. She was not able to maintain an erect posture and would tend to fall on either side while standing up from a sitting position. She would keep her head ... | Doctor: Good morning, what brings you to the Outpatient department today?
Patient: Good morning doctor, I have some discomfort in my neck and lower back, and I'm not able to maintain an erect posture.
Doctor: Hmm, okay. Can you tell me more about the discomfort?
Patient: Yes, I tend to fall on either side when I stand ... | {
"visit motivation": "Discomfort in the neck and lower back, restriction of body movements, inability to maintain an erect posture, and requiring assistance in standing and walking.",
"admission": [
{
"reason": "None",
"date": "None",
"duration": "None",
"care center details": "None"
}
],
"patient information": {
"age... | [] | 0 | 0 | no_disease | 0 |
77,465 | This is the case of a 56-year-old man that was complaining of a dump pain on the right back and a swelling right in this place for several weeks. The patient was in good state and very active. There was not any health problem in the past except a thoracic trauma at work one year ago. In that time the patient was diagno... | This is the case of a 56-year-old man that was complaining of a dump pain on the right back and a swelling right in this place for several weeks. The patient was in good state and very active. There was not any health problem in the past except a thoracic trauma at work one year ago. In that time the patient was diagno... | Doctor: Hi, how are you feeling today?
Patient: Hi doctor, I have this dump pain on my right back and a swelling right there for several weeks.
Doctor: Hmm, I see. Can you describe the pain a little more?
Patient: It's like a dull ache and it hurts more when I move.
Doctor: Okay. I understand. And you said you're in go... | {
"visit motivation": "Complaints of a dull pain on the right back and a swelling in the same area",
"admission": [
{
"reason": "None",
"date": "None",
"duration": "None",
"care center details": "None"
}
],
"patient information": {
"age": "56",
"sex": "Male",
"ethnicity": "None",
"weight": "None",
"height": "None",
"fa... | ['cancer'] | 1 | 1 | cancer | 12 |
133,948 | A 36-year old female patient visited our hospital with a chief complaint of pain and restricted range of motion (ROM) in the left hip joint persisting for two months. Physical examination of the patient revealed severe gait disturbance secondary to hip pain aggravated by hip joint flexion or rotation. The patient had n... | A 36-year old female patient visited our hospital with a chief complaint of pain and restricted range of motion (ROM) in the left hip joint persisting for two months. Physical examination of the patient revealed severe gait disturbance secondary to hip pain aggravated by hip joint flexion or rotation. The patient had n... | Doctor: Hello, what brings you to the hospital today?
Patient: Hi, I have been experiencing pain and restricted range of motion in my left hip joint for two months now. I also have a gait disturbance.
Doctor: I see. Can you tell me more about your chief complaint?
Patient: Sure. I have been having severe pain in my lef... | {
"visit motivation": "Pain and restricted range of motion in the left hip joint",
"admission": [
{
"reason": "Idiopathic osteonecrosis of the femoral head",
"date": "None",
"duration": "Three weeks",
"care center details": "None"
},
{
"reason": "Pain and limited ROM in the contralateral hip joint and gait disturbance"... | ['obesity', 'arthritis', 'cancer'] | 3 | 1 | obesity | 8 |
80,176 | A 49-year-old male presented with a complaint of pain in the left proximal forearm after a fall. The patient had a history of left elbow arthrodesis performed for posttraumatic arthritis at the age of 18. On physical examination he was tender at the proximal ulna. He had no active flexion or extension at his elbow, whi... | A 49-year-old male presented with a complaint of pain in the left proximal forearm after a fall. The patient had a history of left elbow arthrodesis performed for posttraumatic arthritis at the age of 18. On physical examination he was tender at the proximal ulna. He had no active flexion or extension at his elbow, whi... | Doctor: Good morning, Mr. [Patient's Name]. I'm Dr. [Doctor's Name]. What brings you in today?
Patient: Good morning, doctor. I have a pain in my left arm after a fall.
Doctor: I see. Can you tell me more about the fall and the pain you're experiencing?
Patient: I fell and hit my left arm about three months ago. The pa... | {
"visit motivation": "Pain in the left proximal forearm after a fall",
"admission": [
{
"reason": "None",
"date": "None",
"duration": "None",
"care center details": "None"
}
],
"patient information": {
"age": "49",
"sex": "male",
"ethnicity": "None",
"weight": "None",
"height": "None",
"family medical history": "None"... | ['arthritis'] | 1 | 1 | arthritis | 10 |
72,232 | A 47-year-old male patient was referred to the rheumatology clinic because of recurrent attacks of pain in both knees over 1 year.
In September 2016, the patient presented with severe pain over the medial aspect of the left knee for a two-week duration which prevented him from ambulation. The pain increased with weight... | A 47-year-old male patient was referred to the rheumatology clinic because of recurrent attacks of pain in both knees over 1 year.\nIn September 2016, the patient presented with severe pain over the medial aspect of the left knee for a two-week duration which prevented him from ambulation. The pain increased with weigh... | Doctor: Good morning, how are you feeling today?
Patient: Hi doctor, I'm not feeling great. I have been experiencing pain in my knees for over a year now.
Doctor: I see. You were referred to our clinic for recurrent attacks of pain in both knees, correct?
Patient: Yes, that's correct.
Doctor: Can you tell me more about... | {
"visit motivation": "Recurrent attacks of pain in both knees over 1 year",
"admission": [
{
"reason": "None",
"date": "None",
"duration": "None",
"care center details": "Rheumatology clinic"
}
],
"patient information": {
"age": "47",
"sex": "Male",
"ethnicity": "None",
"weight": "None",
"height": "None",
"family medi... | [] | 0 | 0 | no_disease | 0 |
31,864 | A 24-year-old Yemeni female presented to the endocrinology clinic in April 2017 because of inability to walk and a long history of osteomalacia. She was unable to walk for the last 4 years with severe weakness and bone pain. She reported that for the last 2 years she was so weak that she could not turn over in bed and ... | A 24-year-old Yemeni female presented to the endocrinology clinic in April 2017 because of inability to walk and a long history of osteomalacia. She was unable to walk for the last 4 years with severe weakness and bone pain. She reported that for the last 2 years she was so weak that she could not turn over in bed and ... | Doctor: Good morning, how are you feeling today?
Patient: Not so good, doctor. I'm here because I can't walk.
Doctor: I understand. Can you tell me a little bit about your history?
Patient: Yes, I've had a long history of osteomalacia. I've been unable to walk for the last 4 years because of severe weakness and pain in... | {
"visit motivation": "Inability to walk and a long history of osteomalacia",
"admission": [
{
"reason": "None",
"date": "None",
"duration": "None",
"care center details": "Endocrinology clinic"
}
],
"patient information": {
"age": "24 years",
"sex": "Female",
"ethnicity": "Yemeni",
"weight": "49 kg",
"height": "144 cm... | ['stroke'] | 1 | 1 | stroke | 11 |
26,809 | We report a 24-day-old female baby who presented with dyspnea and fever. Examination showed decreased air entry on the left side and a subsequent chest radiograph showed what looked like a consolidation of that lung and air-filled bowel loops inside the chest and a further ultrasound examination also identified intrath... | We report a 24-day-old female baby who presented with dyspnea and fever. Examination showed decreased air entry on the left side and a subsequent chest radiograph showed what looked like a consolidation of that lung and air-filled bowel loops inside the chest and a further ultrasound examination also identified intrath... | Doctor: Hi there, I am Dr. Smith. How can I help you today?
Patient: Hi, my daughter was admitted to the hospital a few days ago.
Doctor: Okay, let me take a look at her report first. So, she's a 24-day-old female baby, right?
Patient: Yes, that's correct.
Doctor: And she presented with dyspnea and fever, is that right... | {
"visit motivation": "Presented with dyspnea and fever",
"admission": [
{
"reason": "Dyspnea and fever, and to perform surgical repair of diaphragmatic defect",
"date": "None",
"duration": "5 days postoperatively",
"care center details": "None"
}
],
"patient information": {
"age": "24-day-old",
"sex": "Female",
"ethni... | ['heart disease', 'asthma', 'cancer'] | 3 | 1 | heart disease | 3 |
149,866 | A 16 years old female patient presented to us with inability to walk on both lower limbs since last 3 months. Earlier the patient was able to walk with a limp and would sway to either side while walking. Three months back patient experienced sudden onset pain in her right groin region while walking and the patient was ... | A 16 years old female patient presented to us with inability to walk on both lower limbs since last 3 months. Earlier the patient was able to walk with a limp and would sway to either side while walking. Three months back patient experienced sudden onset pain in her right groin region while walking and the patient was ... | Doctor: Good morning, what brings you here today?
Patient: Good morning, doctor. I have been unable to walk on both my lower limbs for the past three months.
Doctor: Hmm, I see. Can you tell me more about this problem? When did it start and how did it progress?
Patient: About three months ago, I started having pain in ... | {
"visit motivation": "Inability to walk on both lower limbs",
"admission": [
{
"reason": "Sudden onset pain in right groin region while walking, inability to bear weight on right lower limb, and later similar pain in left groin with inability to bear weight on either lower limb",
"date": "None",
"duration": "3 months"... | ['stroke'] | 1 | 1 | stroke | 11 |
87,064 | We present a case of a seventy-three-year-old Saudi man who has started visiting the primary health care center in our institution twenty-five years ago. He has been concerned with having a cancer that would give him only few days to live. At the beginning, the patient was evaluated medically through detailed history a... | We present a case of a seventy-three-year-old Saudi man who has started visiting the primary health care center in our institution twenty-five years ago. He has been concerned with having a cancer that would give him only few days to live. At the beginning, the patient was evaluated medically through detailed history a... | Doctor: Good morning, sir. How can I help you today?
Patient: Good morning, doctor. I'm here because I have been concerned with having a cancer that would give me only a few days to live.
Doctor: Hmm, I see. Can you tell me a little more about your symptoms?
Patient: I've been feeling tired and weak, and I've been losi... | {
"visit motivation": "Concerned with having a cancer that would give him only a few days to live",
"admission": [
{
"reason": "To exclude cancer",
"date": "Twenty-five years ago",
"duration": "None",
"care center details": "Primary health care center at the institution"
}
],
"patient information": {
"age": "Seventy-th... | ['anxiety disorder', 'cancer'] | 2 | 1 | anxiety disorder | 7 |
123,006 | A 23-year-old female patient was admitted to a plastic surgery clinic because of an esthetic problem caused by swelling on the scalp, which started 1 year previously and gradually worsened in the most recent 6 months. She underwent surgery under local anesthesia without guidance using an imaging method. Bleeding starte... | A 23-year-old female patient was admitted to a plastic surgery clinic because of an esthetic problem caused by swelling on the scalp, which started 1 year previously and gradually worsened in the most recent 6 months. She underwent surgery under local anesthesia without guidance using an imaging method. Bleeding starte... | Doctor: Hi, how are you feeling today?
Patient: I'm okay, doctor.
Doctor: Can you tell me what happened that brought you here today?
Patient: Yes, I have a swelling on my scalp that started a year ago and has gradually gotten worse over the past six months. I had surgery to remove it, but the bleeding started at the be... | {
"visit motivation": "esthetic problem caused by swelling on the scalp",
"admission": [
{
"reason": "esthetic problem caused by swelling on the scalp",
"date": "None",
"duration": "None",
"care center details": "plastic surgery clinic"
}
],
"patient information": {
"age": "23",
"sex": "female",
"ethnicity": "None",
"w... | ['cancer'] | 1 | 1 | cancer | 12 |
119,317 | A 32-year-old healthy female presented to a clinic (LS). The main complaint was severe pain in right temporomandibular joint (TMJ) region, right ear, mouth opening limitation, and asymmetrical of the face. The patient reported that she was born at full term by spontaneous vaginal delivery and no perinatal problems and ... | A 32-year-old healthy female presented to a clinic (LS). The main complaint was severe pain in right temporomandibular joint (TMJ) region, right ear, mouth opening limitation, and asymmetrical of the face. The patient reported that she was born at full term by spontaneous vaginal delivery and no perinatal problems and ... | 1. Doctor: Good morning, what brings you here today?
2. Patient: Good morning, doctor. I am here because I have been experiencing severe pain in my right temporomandibular joint and right ear.
3. Doctor: I see. Can you tell me a little bit more about your complaint?
4. Patient: Yes, doctor. I have been having difficult... | {
"visit motivation": "Severe pain in right temporomandibular joint (TMJ) region, right ear, mouth opening limitation, and asymmetrical of the face",
"admission": [
{
"reason": "None",
"date": "None",
"duration": "None",
"care center details": "Clinic (LS)"
}
],
"patient information": {
"age": "32",
"sex": "Female",
"e... | [] | 0 | 0 | no_disease | 0 |
92,167 | A 64-year-old Caucasian man from Austria was referred to the urological department because of episodes of intermittent gross hematuria. The patient had a colorectal carcinoma treated by rectum and ileum segment resection, chemotherapy and radiotherapy four years before. After radiotherapy ureteric strictures developed ... | A 64-year-old Caucasian man from Austria was referred to the urological department because of episodes of intermittent gross hematuria. The patient had a colorectal carcinoma treated by rectum and ileum segment resection, chemotherapy and radiotherapy four years before. After radiotherapy ureteric strictures developed ... | Doctor: Good morning, Mr. [Patient's Name], I am Dr. [Doctor's Name]. I understand you were referred to our department for episodes of intermittent gross hematuria. Can you tell me more about your symptoms?
Patient: Yes, I have been experiencing episodes of gross hematuria for a while now.
Doctor: Hmm, I see. And I u... | {
"visit motivation": "Episodes of intermittent gross hematuria",
"admission": [
{
"reason": "Intermittent gross hematuria",
"date": "None",
"duration": "None",
"care center details": "Urological department"
}
],
"patient information": {
"age": "64",
"sex": "Male",
"ethnicity": "Caucasian",
"weight": "None",
"height": ... | ['heart disease', 'cancer'] | 2 | 1 | heart disease | 3 |
42,234 | The patient was a healthy 13-year-old female, who suddenly felt abdominal pain. She was taken to another hospital by ambulance, and the enhanced abdominal computed tomography (CT) revealed a 5 cm diameter cystic tumor in the pancreatic tail with fluid collection around it (). The CT results indicated her acute abdomina... | The patient was a healthy 13-year-old female, who suddenly felt abdominal pain. She was taken to another hospital by ambulance, and the enhanced abdominal computed tomography (CT) revealed a 5 cm diameter cystic tumor in the pancreatic tail with fluid collection around it (). The CT results indicated her acute abdomina... | Doctor: Hello, can you tell me what happened to you?
Patient: Hi, I suddenly felt abdominal pain and was taken to another hospital by ambulance.
Doctor: I see. Did they do any tests to find out what was causing the pain?
Patient: Yes, they did a computed tomography (CT) scan.
Doctor: Okay, and what did the CT results s... | {
"visit motivation": "Sudden abdominal pain",
"admission": [
{
"reason": "Acute abdominal pain due to hemoperitoneum caused by rupture of pancreatic tumor",
"date": "Three months after the rupture of the tumor",
"duration": "None",
"care center details": "Referred to hospital for surgical treatment"
}
],
"patient info... | ['stroke', 'cancer'] | 2 | 1 | stroke | 11 |
92,105 | A 60-year-old Kashmiri female presented to our department after having sustained a fracture of femur in the supracondylar region. After initial management, the fracture was fixed with a dynamic condylar screw assembly. After an uneventful postoperative period, the patient was discharged with advice to undergo supervise... | A 60-year-old Kashmiri female presented to our department after having sustained a fracture of femur in the supracondylar region. After initial management, the fracture was fixed with a dynamic condylar screw assembly. After an uneventful postoperative period, the patient was discharged with advice to undergo supervise... | Doctor: Hello, how are you feeling today?
Patient: Not good, doctor. I have been experiencing pain in my thigh for the past few days.
Doctor: I see. Can you tell me about your medical history?
Patient: Yes, I presented to your department 3 months ago after having sustained a fracture of femur in the supracondylar regio... | {
"visit motivation": "Pain in the thigh",
"admission": [
{
"reason": "Fracture above the dynamic condylar screw at the plate bone interface",
"date": "None",
"duration": "None",
"care center details": "None"
},
{
"reason": "Fracture of the femur at the new peri implant region",
"date": "None",
"duration": "None",
"car... | [] | 0 | 0 | no_disease | 0 |
89,665 | A 47 year old gentleman presented to his general practitioner with acute onset lower back pain. The pain had commenced during coitus and radiated down the right leg. The initial diagnosis was of acute disc prolapse and he was referred for an urgent neurosurgical opinion. The neurosurgeon concurred that the pain may wel... | A 47 year old gentleman presented to his general practitioner with acute onset lower back pain. The pain had commenced during coitus and radiated down the right leg. The initial diagnosis was of acute disc prolapse and he was referred for an urgent neurosurgical opinion. The neurosurgeon concurred that the pain may wel... | Doctor: Good morning, how can I help you today?
Patient: Good morning doctor, I have been experiencing severe lower back pain for the past few weeks.
Doctor: I see. Can you tell me more about the pain? When did it start?
Patient: It started during coitus and it radiates down my right leg.
Doctor: Hmm, I understand. Did... | {
"visit motivation": "Acute onset lower back pain during coitus, radiating down the right leg",
"admission": [
{
"reason": "Acute disc prolapse initially suspected, later vascular surgical opinion for absent right leg pulses and claudication",
"date": "None",
"duration": "None",
"care center details": "None"
}
],
"pat... | ['hypertension', 'heart disease'] | 2 | 1 | hypertension | 2 |
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