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abdominal aortic aneurysm | 0 | aug_15 | Age: 55
Sex: Male
Chief complaints: Abdominal pain
Presentation: 2 days history of constant abdominal pain around the umbilicus. The pain has been steadily worsening in intensity. It radiates to his lower back and both groins at times. There is a palpable pulsatile mass just left of midline above the umbilicus
During transfer to the regional vascular service, he vomited twice and became hypotensive and unresponsive.
He is heavy smoker for 30 years
Absent findings: No diarrhea or constipation, No fever, No melena, No urinary symptoms, No abdominal tenderness, No recent weight loss, No jaundice, No alcohol consumption
Physical examination: -
Physical history: Hypertension (well controlled with medication)
Family history: -
Differential diagnosis: 1- Abdominal aortic aneurysm
2- Acute mesenteric ischemia | C0162871 | null | null | null | null | 55 Years | M | 0 |
abruptio placenta | 1 | aug_107 | Age: 37
Sex: Female
Chief complaints: Vaginal Bleeding Not from Menstruation
Presentation: She is 32-weeks pregnant.
She is complaining of vaginal bleeding, lower abdominal pain, lower back pain and uterine contractions out of a sudden onset starting from early morning.
She mentioned that her baby's movements are decreased.
She also complains of fatigue as well as worsening of her symptoms.
Absent findings: No vaginal discharge, No previous surgeries, No itching in the genital area, No fever, No flank pain, No urinary symptoms, No changes in bowel habits, No bruises on her abdomen, No recent trauma to any body part.
Physical examination: Tender rigid uterus.
Lower abdominal tenderness.
Tachycardia.
Physical history: Hypertension.
Smoker for 15 years.
Family history: -
Differential diagnosis: 1- Abruptio Placenta
2- Preterm labor
3- Placenta Previa | C0000832 | O45.90 | T046 | Pathologic Function | Premature separation of placenta, unspecified, unspecified trimester | 37 Years | F | 1 |
abruptio placenta | 2 | aug_400 | Age: 42
Sex: Female
Chief complaints: Vaginal bleeding not from menstruation
Abdominal pain
Presentation: She presented at 28 weeks of gestation with worsening abdominal pain of a few hours' duration coupled with vaginal bleeding within the past hour.
She claimed that her abdominal pain feels like uterine contractions to her.
Absent findings: No fever or chills, No nausea or vomiting, No urinary symptoms, No chest pain or dyspnea, No cough or nasal congestion, No diarrhea or constipation, No vaginal itching, No groin pain or legs pain, No extremities swelling or coldness, No bleeding disorder, No new medication use, No pallor or dizziness.
Physical examination: Normal vitals
Her uterus was tender and firm to palpation.
Physical history: Hypertension, on medication
Smoker
Family history: -
Differential diagnosis: 1- Abruptio placenta
2- Preterm labor
3- Placenta previa | C0000832 | O45.90 | T046 | Pathologic Function | Premature separation of placenta, unspecified, unspecified trimester | 42 Years | F | 2 |
acanthosis nigricans | 3 | aug_20 | Age: 25
Sex: Female
Chief complaints: Skin darkening
Presentation: Asymptomatic dark skin accompanied by skin tags on her posterior neck and axilla.
She admits recent 13.5-kg (30-pound) weight gain.
Absent findings: No pruritus, No skin erythema or rash, No pumps or vesicles, No menstrual related symptoms, No extra hair growing, No steroids use.
Physical examination: Normal vitals. Markedly obese woman
Hyperpigmented plaques bilaterally in her axillae, extending onto her back and posterior and lateral neck.
Blood tests show increased fasting blood glucose levels
Physical history: None
Family history: A positive family history of diabetes.
Differential diagnosis: 1- Acanthosis nigricans
2- Diabetes Mellitus
3- PCOS
4- Tinea versicolor | C0000889 | L83 | T047 | Disease or Syndrome | Acanthosis nigricans | 25 Years | F | 3 |
achalasia | 4 | aug_183 | Age: 50
Sex: Male
Chief complaints: Difficulty swallowing
Presentation: Presents with a progressively worsening difficulty of swallowing that started 1 month ago.
He also mentions a burning sensation in his chest and that he went from 80kgs to 75kg in the last few months.
Absent findings: No fever, No loss of apatite, No sore throat, No cough, No dyspnea, No runny nose, No headache, No chest pain, No abdominal pain or tenderness, No abdominal swelling or distention, No bloating, No changes in bowel habits, No blood in stool, No urinary symptoms, No dizziness, No numbness or tingling in his limbs, No medication use, No polyuria or polydipsia, No recent trauma to the chest or throat, No pain on swallowing, No nausea or vomiting.
Physical examination: -
Physical history: Heavy smoker.
Family history: -
Differential diagnosis: 1- Achalasia
2- Gastroesophageal Reflux
3- Esophageal Cancer | C0014848 | K22.0 | T047 | Disease or Syndrome | Achalasia of cardia | 50 Years | M | 4 |
achilles tendonitis | 5 | aug_293 | Age: 40
Sex: Female
Chief complaints: Heel pain
Presentation: Presents with a 3-day history of activity-related pain in her right heel.
She also mentions swelling and redness in the back of her heel.
She feels a sensation of fullness in her leg.
Absent findings: No fever, No sweating, No numbness or paresthesia in the affected limb, No wounds or ulcers on the affected limb, No skin rashes, No problems with other joints, No muscle weakness, No nail changes, No hair loss, No calf swelling or tenderness, No abdominal pain or tenderness, No back pain, No change in bowel habits, No urinary symptoms, No chest pain or tenderness, No shoulder or arm pain/weakness, No cough, No sore throat, No weight loss, No headache, No visual changes, No hearing problem, No recent trauma or injury to the area, No bruises.
Physical examination: Warmth, swelling, and diffuse tenderness localized 4cm proximal to the tendon's insertion.
Physical history: -
Family history: -
Differential diagnosis: 1- Achilles Tendonitis
2- Achilles Tendon Rupture | C0149846 | M76.6 | T047 | Disease or Syndrome | Achilles bursitis | 40 Years | F | 5 |
acromegaly | 6 | aug_40 | Age: 47
Sex: Male
Chief complaints: Joint pain
Presentation: He reports arthritic pain of knees and hips, and soft-tissue swelling. He also noticed progressive enlargement of the hands and feet. He has been taking antihypertensive medicine for the past 3 years.
He got excessive sweating, headache , snoring.
He states that his rings and hats don't fit anymore.
Absent findings: No fever, No rash, No uveitis, No oral ulcers, No trauma, No weight loss.
Physical examination: Coarse facial features, prominent supra-orbital ridges, enlarged tongue, thickened fingers
Physical history: None
Family history: -
Differential diagnosis: 1- Acromegaly | C0001206 | null | null | null | null | 47 Years | M | 6 |
acromegaly | 7 | aug_204 | Age: 25
Sex: Male
Chief complaints: Enlarged facial features
Progressive growth of hands and feet
Presentation: Comes to your office with his wife.
He is very concerned about some “bizarre symptoms” he has been experiencing.
He is the chief executive officer of a family-owned manufacturing company and is “really embarrassed to go out in public any longer.” He tells you that, approximately 6 months ago, he began to experience the following symptoms:
headaches, visual spots or defects, weight gain, an appearance of his forehead growing, enlarging hands and feet (he could no longer get his gloves and shoes on), and increased sweating.
Absent findings: No joint deformities, No joint swelling, No chest pain or discomfort, No fever, No chills, No allergies, No cough, No nasal blockage, No rhinorrhea, No lacrimation, No photophobia, No trauma, No personality changes, No lower leg edema, No generalized edema in the body, No skin rash or lesions, No dysphagia, No vomiting, No nausea, No anorexia, No upper gastrointestinal bleeding.
Physical examination: His blood pressure is 170/105 mm Hg.
He does have a protruding brow. His tongue appears enlarged, and he is sweating profusely.
Physical history: -
Family history: -
Differential diagnosis: 1- Acromegaly
2- Pituitary Adenoma | C0001206 | null | null | null | null | 25 Years | M | 7 |
acute angle closure glaucoma | 8 | aug_177 | Age: 30
Sex: Female
Chief complaints: Eye pain
Presentation: Presented with sudden onset of severe unilateral eye pain, redness, blurry vision, severe headache, nausea and vomiting that started when she was in the cinema today.
Absent findings: No problems in the other eye, No recent injury to the eye, No discharge or excessive lacrimation, No lid swelling, No photophobia, No neck stiffness, No runny nose, No sore throat, No cough, No fever, No ear pain or discharge, No chest pain, No dyspnea, No abdominal pain, No change in bowel habits, No urinary symptoms, No dizziness or vertigo, No tinnitus, No myalgia or arthralgia, No skin rashes, No itching.
Physical examination: -
Physical history: -
Family history: -
Differential diagnosis: 1- Acute angle closure glaucoma
2- Cluster headache
3- Migraine headache | C0154946 | H40.21 | T047 | Disease or Syndrome | Acute angle-closure glaucoma | 30 Years | F | 8 |
acute angle closure glaucoma | 9 | aug_496 | Age: 62
Sex: Male
Chief complaints: Eye Pain
Presentation: Comes to the physician due to sudden onset of pain and redness in the left eye. He also has photophobia, nausea, and a severe headache that has not responded to ibuprofen.
On review of systems, the patient has had "a mild cold" for which he used an over-the-counter oral decongestant.
Absent findings: No recent trauma, No problems in the other eye, No lid swelling, No neck stiffness, No runny nose, No sore throat, No cough, No fever, No ear pain or discharge, No chest pain, No dyspnea, No abdominal pain, No change in bowel habits, No urinary symptoms, No dizziness or vertigo, No tinnitus, No myalgia or arthralgia, No skin rashes, No itching.
Physical examination: The eye appears red with conjunctival flushing.
Physical history: -
Family history: -
Differential diagnosis: 1- Acute angle closure glaucoma
2- Cluster headache
3- Migraine headache | C0154946 | H40.21 | T047 | Disease or Syndrome | Acute angle-closure glaucoma | 62 Years | M | 9 |
acute appendicitis | 10 | aug_10 | Age: 22
Sex: Male
Chief complaints: Abdominal pain
Presentation: Pain started in the mid-abdominal region 6 hours ago and is now in the right lower quadrant of the abdomen. The pain is steady in nature and aggravated by coughing, pain severity is 7 out of 10. The patient feels nauseated but no episodes of vomiting. He has anorexia as well.
Absent findings: No diarrhea or constipation, No melena, No recent unintentional weight loss, No urinary symptoms or change in urine color, No jaundice, No fever
Not a smoker, No alcohol consumption
Physical examination: Abdominal tenderness at RLQ
Physical history: None
Family history: -
Differential diagnosis: 1- Acute appendicitis
2- Renal colic | C0003615 | K37 | T047 | Disease or Syndrome | Unspecified appendicitis | 22 Years | M | 10 |
acute bacterial gastroenteritis | 11 | aug_327 | Age: 20
Sex: Male
Chief complaints: Diarrhea
Presentation: Presents with generalized colicky abdominal pain and watery diarrhea that started a few days ago coupled with nausea and vomiting.
Today, he noticed that the diarrhea has turned bloody.
Absent findings: No pallor, No fatigue, No melena, No mucus in the stool, No urinary symptoms, No anal or peri-anal pain, No pain on defecation, No headache, No myalgia or arthralgia, No recent antibiotic use or hospital stay, No changes in apatite, No weight changes, No back pain, No bloating, No chest pain, No cough, No sore throat, No pain or difficulty swallowing, No visual changes, No hearing problems, No dizziness or vertigo.
Physical examination: Fever of 38.5C.
Physical history: -
Family history: -
Differential diagnosis: 1- Acute bacterial gastroenteritis (shigella)
2- Acute viral gastroenteritis | null | null | null | null | null | 20 Years | M | 11 |
acute bronchitis | 12 | aug_1 | Age: 34
Sex: Female
Chief complaints: Cough
Presentation: She is complaining of persistent cough since 12 days. It was dry at first and became productive in nature recently. She couldn't remember if it is triggered by anything as It exists throughout the day.
Her cough was preceded by headache, nasal congestion and sore throat.
Her COVID 19 PCR test was negative.
Absent findings: No fever, No recent contact with sick people, No smoking, No chest pain or tenderness, No cold extremities, No known allergies, No pets at home, No recent travel history, No heartburn, No abdominal pain or tenderness, No dyspnea, No peripheral edema, No orthopnea, No generalized body swelling, No ear pain, No nasal rhinorrhea, No facial tenderness, No new medications intake, No hemoptysis, No weight loss, No changes in bowel habits, No urinary symptoms, No fatigue.
Physical examination: Normal vitals.
Mild wheezes were heard by lung auscultation.
Physical history: -
Family history: -
Differential diagnosis: 1- Acute Bronchitis
2- Common Cold
3- Influenza
4- Asthma | C0149514 | J20.9 | T047 | Disease or Syndrome | Acute bronchitis, unspecified | 34 Years | F | 12 |
acute cholangitis | 13 | aug_11 | Age: 65
Sex: Female
Chief complaints: Abdominal pain
Presentation: Progressive RUQ abdominal pain started two days ago with severity of 9 out of 10. She is nauseated and lost her appetite. Her pain is not relieved by bowel movement and is not related to food.
She experienced multiple episodes of vomiting as well.
Absent findings: No blood in stools, No diarrhea or constipation, No irregular menstruation or dysmenorrhea, No vaginal discharge, No urinary symptoms, No melena, No recent weight loss.
No recent drug use, No NSAIDs use, No alcohol consumption, No smoking history.
Physical examination: 39.4 C temperature, tachycardia, normal respiratory rate and O2 saturation.
RUQ pain with no rebound, and involuntary guarding on the right side.
Scleral and sublingual icterus were noticed.
Physical history: None
Family history: -
Differential diagnosis: 1- Acute cholangitis
2- Acute cholecystitis
3- Hepatitis
4- Acute pancreatitis
5- Cholelithiasis | C0267917 | null | null | null | null | 65 Years | F | 13 |
acute cholecystitis | 14 | aug_12 | Age: 20
Sex: Female
Chief complaints: Abdominal pain
Presentation: Presented with constant severe RUQ pain, nausea, and vomiting after eating fried chicken for dinner.
Three months ago she developed intermittent, sharp RUQ pains but did not seek medical help.
She has lost her appetite.
Alcohol consumption history is present
Absent findings: No blood in stools, No diarrhea or constipation, No irregular menstruation or dysmenorrhea or menorrhagia, No vaginal discharge, No urinary symptoms, No melena, No recent weight loss, No recent drug use, No NSAIDs, No smoking history.
Physical examination: Temperature of 38, moderate RUQ tenderness on palpation, but no evidence of jaundice.
Physical history: History of gallstones.
Family history: -
Differential diagnosis: 1- Acute cholecystitis
2- Acute cholangitis
3- Acute pancreatitis
4- Cholelithiasis
5- Hepatitis | C0149520 | K81.0 | T047 | Disease or Syndrome | Acute cholecystitis | 20 Years | F | 14 |
acute interstitial nephritis | 15 | aug_176 | Age: 67
Sex: Male
Chief complaints: Skin rash
Mild fever
Fatigue
Presentation: He was taking amoxicillin treatment for bronchitis for 2 weeks when he develops a macular rash on his neck, torso, and back.
The amoxicillin is therefore changed to Cefalexin for an additional 7 days. The rash resolves, but he returns complaining of fatigue and a low-grade temperature that has persisted despite the resolution of his bronchitis.
He reported that his urine amount becomes less.
Absent findings: He has no previous history of allergy, No history of contact with infected individual, No headache, No Loss of consciousness, No sore throat, No cough, No Dyspnea, No chest pain, No palpitation, No abdominal pain, No nausea, No vomiting, No loss of appetite, No weight loss, No change in bowel habits, No dysuria, No hematuria, No history of renal disease.
Physical examination: Normal vital except Blood pressure of 140/85 mmHg and Temperature 37.8°C (100°F).
Physical history: -
Family history: -
Differential diagnosis: 1- Acute Interstitial Nephritis
2- Acute Renal Failure | C1843274 | N10 | T047 | Disease or Syndrome | Acute tubulo-interstitial nephritis | 67 Years | M | 15 |
acute interstitial nephritis | 16 | aug_383 | Age: 57
Sex: Male
Chief complaints: Fatigue
Skin erythema
Presentation: He presented to hospital with a 2-weeks history of progressive malaise, myalgia, nausea, vomiting, and some urinary complaints. He stated that his urine is becoming less in amount as well as slightly darker.
On further questioning, his only significant history was GERD that didn't respond to Ranitidine.
Three weeks ago, his primary physician switched him to start using Omeprazole, a drug under proton pump inhibitors classification.
After initiation of Omeprazole, he developed a low grade fever and skin rash that he thought they will go on their own, but once his symptoms exacerbated and increased, he decided to seek medical help.
Absent findings: No itching, No previous history of allergies, No sick contacts, No cough or chest pain, No dyspnea or syncope, No dysuria, No urinary urgency or hesitancy, No abdominal pain or tenderness, No hematemesis or melena, No pallor or jaundice, No focal weakness, Normal sensation, No history of trauma, No nasal congestion, No edema.
Physical examination: Normal vitals except for fever of 38.
Generalized maculopapular rash without any vesicles or pimples.
Physical history: Coronary Artery Disease.
Family history: -
Differential diagnosis: 1- Acute Interstitial Nephritis
2- Acute Renal Failure | C1843274 | N10 | T047 | Disease or Syndrome | Acute tubulo-interstitial nephritis | 57 Years | M | 16 |
acute laryngitis | 17 | aug_81 | Age: 37
Sex: Female
Chief complaints: Cough
Hoarseness
Presentation: She presented with a history of dry cough for 1 week and a gradual onset of hoarseness that
began 2 days before the visit.
These symptoms progressed to aphonia for 3 days and a sensation of throat swelling.
Absent findings: No dysphagia, No otalgia, No dyspepsia, No direct trauma, No fever or chills, No weight loss,
No motor weakness, No dyspnea, No chest pain, No wheezing, No nasal congestion or rhinorrhea
Physical examination: Normal vitals
Physical history: None
Family history: -
Differential diagnosis: 1- Acute Laryngitis
2- Reflux Laryngitis | C0001327 | J04.0 | T047 | Disease or Syndrome | Laryngitis (acute) NOS | 37 Years | F | 17 |
acute laryngitis | 18 | aug_426 | Age: 44
Sex: Male
Chief complaints: Hoarseness of voice
Presentation: This man presented to the clinic for evaluation of hoarseness of voice that started 3 weeks ago.
This was slowly progressive and occurs more in the morning and associated with cough that sometimes can be productive and dry on other times.
He reported frequent throat clearing as well as heartburn.
Before his symptoms occurred, he had a respiratory infection that resolved on its own in a week.
Absent findings: No history of allergy, No fever or chills, No dyspnea, No palpitation, No loss of weight, No loss of appetite, No change in bowel habits, No history of surgical procedures, No history of trauma, No loss of consciousness or headache, Normal power and tone, No urinary symptoms.
Physical examination: Normal vitals.
Physical history: GERD since 5 years.
Smoker since 20 years.
Works as a teacher in a primary school for children.
Family history: -
Differential diagnosis: 1- Acute Laryngitis
2- Reflux Laryngitis | C0001327 | J04.0 | T047 | Disease or Syndrome | Laryngitis (acute) NOS | 44 Years | M | 18 |
acute liver failure | 19 | aug_463 | Age: 48
Sex: Female
Chief complaints: Confusion
Presentation: She presents with altered mental status over the last several hours. She was found by her husband earlier today to be acutely disorientated and increasingly somnolent.
She recently took multiple paracetamol-containing preparations for back pain and migraine headache. She feels fatigue, weak, nauseous and vomited twice.
She has localized right upper abdominal pain.
Absent findings: No hematemesis or melena, No diarrhea or constipation, No chest pain or cough, No dyspnea or palpitation, No JVD or extremities edema, No urinary symptoms, Normal power and Sensation , No fever or excessive sweating, No visual disturbances , No skin rashes.
Physical examination: Normal vitals.
Mild right upper quadrant tenderness.
Physical history: Migraine.
Family history: -
Differential diagnosis: 1- Acute Liver Failure
2- Acute Hepatitis | C0162557 | null | null | null | null | 48 Years | F | 19 |
acute pancreatitis | 20 | aug_16 | Age: 53
Sex: Male
Chief complaints: Abdominal pain
Presentation: He presented with severe mid-epigastric abdominal pain that radiates to the back for three days. The pain improves when the patient leans forwards or assumes the fetal position, and worsens with deep inspiration and movement.
He also complains of nausea, vomiting, and anorexia, and gives a history of heavy alcoholic intake this past week.
He is slightly agitated and confused. He is diaphoretic.
Absent findings: No acid reflux, No diarrhea or constipation, No chest pain or discomfort, No abdominal tenderness, No urinary symptoms, No melena, No recent weight loss, No smoking history.
Physical examination: He is tachypneic, tachycardic and febrile.
Physical history: None
Family history: -
Differential diagnosis: 1- Acute pancreatitis
2- Acute cholecystitis
3- Gastritis
4- Peptic ulcer disease
5- Chronic pancreatitis | C0001339 | K85.9 | T047 | Disease or Syndrome | Acute pancreatitis, unspecified | 53 Years | M | 20 |
acute pancreatitis | 21 | aug_145 | Age: 42
Sex: Male
Chief complaints: Abdominal Pain
Vomiting
Presentation: He describes abdominal pain that is constant and nagging, localized in upper abdomen and right upper quadrant and radiates to the back .
Patient admitted drinking large amount of alcohol.
Absent findings: No fever, No urinary symptoms, No flank pain, No headache, No diarrhea, No constipation, No medications intake, No periodic vomiting, No trauma, No lower GI bleeding, No melena, No hematochezia, No chest pain, No sweating, No cough, No dysphagia.
Physical examination: Normal Vitals
normal JVP
Abdomen is mildly distended with epigastric tenderness.
Physical history: -
Family history: -
Differential diagnosis: 1- Acute Pancreatitis
2- Acute Cholecystitis
3- Peptic Ulcer Disease | C0001339 | K85.9 | T047 | Disease or Syndrome | Acute pancreatitis, unspecified | 42 Years | M | 21 |
acute prostatitis | 22 | aug_101 | Age: 68
Sex: Male
Chief complaints: Dysuria
Presentation: Presented with a 3-day history of fever, chills, rigors, dysuria, lower back pain, suprapubic abdominal pain, painful ejaculations, and arthralgia.
He also mentioned urinary symptoms such as: frequency, urgency, nocturia, hesitancy, and intermittency.
Absent findings: No change in urine color or smell, No change in bowel habits, No headache, No recent unprotected sexual intercourse, No urethral discharge, No erectile dysfunction, No flank pain, No nausea, No vomiting.
Physical examination: Suprapubic abdominal tenderness.
Fever, Tachycardia.
Physical history: -
Family history: -
Differential diagnosis: 1- Acute Bacterial Prostatitis
2- Acute Non Bacterial Prostatitis
3- Pyelonephritis
4- Cystitis | C0149524 | N41.0 | T047 | Disease or Syndrome | Acute prostatitis | 68 Years | M | 22 |
acute prostatitis | 23 | aug_442 | Age: 26
Sex: Male
Chief complaints: Dysuria
Fever
Presentation: The patient presented with a 3-day history of dysuria, fever, perineal pain, malaise and myalgia.
He noticed his urine becomes kind of cloudy but no urethral discharge observed.
Absent findings: No hesitancy or frequency or intermittency or urgency, No change in bowel habits, No headache, No recent unprotected sexual intercourse, No erectile dysfunction, No flank pain, No nausea, No vomiting, No chills or rigors, No dizziness, No fatigue, No scrotal pain or swelling, No pruritus.
Physical examination: Low grade fever.
Physical history: Previous prostatitis episode last year preceded by urinary tract infection.
Family history: -
Differential diagnosis: 1- Acute Prostatitis
2- Cystitis
3- Pyelonephritis
4- Urethritis | C0149524 | N41.0 | T047 | Disease or Syndrome | Acute prostatitis | 26 Years | M | 23 |
acute renal failure | 24 | aug_433 | Age: 62
Sex: Female
Chief complaints: Oliguria
Presentation: She had been admitted 10 days ago to have a right hemicolectomy performed for a caecal carcinoma. This was discovered on colonoscopy, which was performed to investigate iron-deficiency anemia and change in bowel habit.
The initial surgery was uneventful, and she was given cefuroxime and metronidazole as routine antibiotic prophylaxis. However, the patient developed a prolonged ileus associated with abdominal pain.
On postoperative day 5, the patient started to spike fevers up to 38.5°C and was commenced on intravenous gentamicin for 5 days.
In the last 24 hours, she has also become relatively hypotensive despite fluids intake and her urine is significantly decreasing in amount.
Absent findings: No sweating, No history of allergies, No cough or chest pain, No dyspnea or syncope, No dysuria or hematuria, No urinary urgency or hesitancy, No Abdominal pain or tenderness, No hematemesis or melena, No pallor or jaundice, No focal weakness, Normal sensation, No history of trauma, No nasal congestion, No Constipation or diarrhea, No edema, No skin rash, No weight loss
Physical examination: She is unwell, febrile and sweating profusely.
Her pulse rate is 110/min and regular, blood pressure is 95/60 mmHg, and jugular venous pressure is not raised.
Physical history: She is a retired teacher. She neither smokes nor drinks alcohol.
Diabetes Mullites 2, Hypertension and Dyslipidemia , on medications.
Family history: -
Differential diagnosis: 1- Acute Renal Failure (intrinsic)
2- Sepsis | C0022660 | N17.9 | T047 | Disease or Syndrome | Acute kidney failure, unspecified | 62 Years | F | 24 |
acute renal failure | 25 | aug_470 | Age: 66
Sex: Male
Chief complaints: Nausea
Vomiting
Oliguria
Presentation: He presents with 5 days history of nausea and vomiting of moderate amount. He Complains of lethargy and has decreased urine output.
He occasionally has right severe flank pain that radiates to the groin and 2 reported episodes of hematuria in the last 6 months. Now he became anuric for the last 15 Hrs.
He likes salty food a lot.
Absent findings: No fever or sweating, No history of allergies, No cough or chest pain, No SOB or syncope, No dysuria, No hematemsis or melena, No pallor or jaundice, No focal weakness, Normal sensation, No history of trauma, No nasal congestion, No constipation or diarrhea, No edema, No skin rash, No weight loss, No history of bleeding disorder, No urethral discharge or pain.
Physical examination: Normal vitals except for high BP.
Physical history: Benign Prostatic Hypertrophy.
Family history: -
Differential diagnosis: 1- Acute renal failure (post-renal)
2- Nephrolithiasis | C0022660 | N17.9 | T047 | Disease or Syndrome | Acute kidney failure, unspecified | 66 Years | M | 25 |
adenomyosis | 26 | aug_276 | Age: 43
Sex: Female
Chief complaints: Dysmenorrhea
Presentation: She says that her periods have always been quite heavy and painful but that in the last 2–3 years they have become almost unbearable.
She bleeds every 24 days and the period lasts for 7–9 days with very heavy flow from day 2 to day 6. The pain starts approximately 36 h before the onset of the bleeding and lasts until about day 5. The pain is constant, dull and severe, such that she cannot do any housework or any social activities during this time.
She has 6 children.
Absent findings: No fever, No history of intermenstrual or post coital discharge, No abnormal vaginal discharge, No changes in bowel habits, No chest pain or tenderness, No breast tenderness or discharge or enlargement, No cough, No dyspnea, No headache, No visual problems, No skin rashes or erythema.
Physical examination: The abdomen is soft and there is vague tenderness and enlargement in the suprapubic area.
Physical history: Her PAP smear was normal 18 months ago.
Family history: -
Differential diagnosis: 1- Adenomyosis
2- Uterine Fibroids
3- Endometriosis | C0341858 | N80.0 | T047 | Disease or Syndrome | Endometriosis of uterus | 43 Years | F | 26 |
adenomyosis | 27 | aug_425 | Age: 35
Sex: Female
Chief complaints: Menorrhagia
Presentation: Para 4
She presented to emergency department after a week of profuse vaginal bleeding with large blood clots, nausea, lightheadedness, diffuse lower abdominal pain and a syncopal episode.
Her menstrual history was significant for menarche at age of 13 and regular monthly cycles.
She denied recent hormonal contraceptive use and her last sexual activity was 1 year ago as her husband is abroad for work.
Recently, she is more constipated and fatigued.
Absent findings: No fever, No chills, No dysphagia, No skin rash, No history of allergy, No easy bruises, No history of trauma, No history of regular medication use , No Lymphadenopathy, No bleeding disorder, No arthralgia, No nasal congestion, No facial pain, No cough, No otalgia.
Physical examination: Ill looking and pale.
Tachycardic and Hypotesive.
Uterus was found to be enlarged regularly and diffusely as well as tender on pelvic examination.
Physical history: -
Family history: -
Differential diagnosis: 1- Adenomyosis
2- Uterine Fibroids
3- Hypothyroidism | C0341858 | N80.0 | T047 | Disease or Syndrome | Endometriosis of uterus | 35 Years | F | 27 |
adrenal insufficiency | 28 | aug_105 | Age: 16
Sex: Female
Chief complaints: Skin hyperpigmentation
Weight loss
Presentation: She lost 5 kilograms in last 3 months.
She constantly feels weak and tired with mild abdominal pain.
She is doing well in high school.
She eats well although her appetite has decreased.
Her LMP was 3 months ago and she is not sexually active.
Absent findings: No smoking, No headache, No visual loss, No focal sensory loss, No fever, No nausea, No vomiting, No increased sun exposure, No moon face, No head trauma, No previous infections, No itching, No steatorrhea, No hyperglycemia, No social stressors, No anhedonia, No chest pain, No dyspnea, No early satiety.
Physical examination: Multiple brown freckles.
The patient has a decreased amount of axillary and pubic hair for her age.
Patchy brown spots are seen on her lips and buccal mucosa.
Mild generalized muscular tenderness is present.
Physical history: -
Family history: -
Differential diagnosis: 1- Adrenal insufficiency
2- Hemochromatosis
3- Hyperthyroidism | C0001623 | null | null | null | null | 16 Years | F | 28 |
adrenal insufficiency | 29 | aug_165 | Age: 24
Sex: Male
Chief complaints: Skin Hyperpigmentation
Fatigue
Presentation: Comes to your office with the following symptoms:
an extreme feeling of weakness, a 20-pound weight loss, a change in the color of his skin (his skin has become hyperpigmented), lightheadedness, and dizziness.
Absent findings: No smoking, No headache, No visual loss, No focal sensory loss, No fever, No nausea, No vomiting, No increased sun exposure, No moon face, No head trauma, No previous infections, No pruritis, No steatorrhea, No hyperglycemia, No social stressors, No anhedonia, No chest pain, No dyspnea, No early satiety, No pallor, No palpitations, No abdominal pain or discomfort.
Physical examination: The patient has definite skin hyperpigmentation since you last saw him 9 months ago.
His blood pressure is 90/70 mm Hg.
He looks acutely ill.
Physical history: -
Family history: -
Differential diagnosis: 1- Adrenal insufficiency
2- Hemochromatosis | C0001623 | null | null | null | null | 24 Years | M | 29 |
allergic conjunctivitis | 30 | aug_82 | Age: 26
Sex: Male
Chief complaints: Red eye
Presentation: He presents with sudden onset of eye redness, watery discharge, and itching of both eyes.
His vision is slightly distorted from excess tearing but didn't get blurred.
He has got runny nose as well.
He otherwise feels fine.
Absent findings: No ophthalmoplegia, No photophobia, No adenopathy, No visual defects, No ocular damage, No trauma, No tunnel vision, No contact lenses wear.
Physical examination: Red swollen injected eyes.
Physical history: Obesity
Asthma
Family history: -
Differential diagnosis: 1- Allergic conjunctivitis
2- Viral conjunctivitis
3- Allergic rhinitis | C0009766 | null | null | null | null | 26 Years | M | 30 |
allergic rhinitis | 31 | aug_328 | Age: 22
Sex: Male
Chief complaints: Nasal Congestion
Presentation: He Presents with a 5-year history of worsening nasal congestion, sneezing, and nasal Itching. Symptoms are year-round but worse during the spring season.
On further questioning it is revealed that he has significant eye itching, redness, and tearing as well as palatal and throat itching during the spring season.
Absent findings: No fever or chills, No dysphagia, No abdominal pain or distention, No change of bowel habits, No loss of appetite, No loss of weight, No loss of consciousness, No dizziness, No dysuria, No change In urine color.
Physical examination: Normal Vitals.
Dark circles around the eyes noticed.
Physical history: Eczema when he was a child.
Family history: -
Differential diagnosis: 1- Allergic Rhinitis
2- Non allergic Rhinitis | C2607914 | J30.9 | T047 | Disease or Syndrome | Allergic rhinitis, unspecified | 22 Years | M | 31 |
anal fissure | 32 | aug_48 | Age: 28
Sex: Male
Chief complaints: Anal pain
Presentation: He presents with a history of severe pain on defecation for the last 3 months. He has noticed a small amount of blood on the stool.
The pain is severe and lasts hours after defecation.
He is worried about if he will experience the pain with the next bowel motion.
Absent findings: No fever, No anal mass, No anal hotness, No anal passage of mucus, No diarrhea, No vomiting, No abdominal pain or mass, No weight loss.
Physical examination: Presence of skin tags in anal examination, Normal vitals.
Physical history: Prolonged history of constipation.
Family history: -
Differential diagnosis: 1- Anal fissure
2- Hemorrhoids | C0016167 | K60.2 | T047 | Disease or Syndrome | Anal fissure, unspecified | 28 Years | M | 32 |
angiodysplasia | 33 | aug_265 | Age: 70
Sex: Male
Chief complaints: Rectal Bleeding
Presentation: Presents with an 8 month history of painless intermittent self-limited hematochezia.
He found it increasingly difficult to walk longer distances, as he quickly becomes shortened of breath.
Relatives have told him he has been looking very pale and washed-out recently.
Absent findings: No fever or chills, No nausea or vomiting, No dysphagia, No weight loss, No loss of appetite, No cough or chest pain , No loss of consciousness , Normal power and tone, No dysuria or change in urine color , No constipation or history of straining to defecate, No abdominal pain or discomfort, No weight loss.
Physical examination: Pale.
Physical history: End stage renal disease
Family history: -
Differential diagnosis: 1- Angiodysplasia
2- Diverticulosis
3- Colonic Polyps | C0085411 | null | null | null | null | 70 Years | M | 33 |
ankylosing spondylitis | 34 | aug_114 | Age: 20
Sex: Male
Chief complaints: Back pain
Back stiffness
Presentation: Presents with low back pain and stiffness that has persisted for more than 3 months.
He is an avid sportsman.
His back symptoms are worse when he awakes in the morning, and the stiffness lasts
more than 1 hour.
His back symptoms improve with exercise.
He has a desk job and finds that sitting for long periods of time exacerbates his
symptoms. He has to get up regularly and move around.
His back symptoms also wake him in the second half of the night, after which he can
find it difficult to get comfortable.
He normally takes an anti-inflammatory drug during the day, and finds his stiffness is
worse when he misses a dose.
Absent findings: No bilateral leg weakness, No bladder dysfunction, No saddle paresthesia, No sensory loss, No previous infectious disease, No weight loss, No fever, No nausea, No vomiting, No abdominal pain, No chills, No decreased anal sphincter, No lower leg skin changes, No paraspinal tenderness, No dysuria, No nocturia, No frequency, No urgency, No ejaculatory symptoms, No melena, No bleeding per rectum, No chest
discomfort.
Physical examination: Decreased range of motion of the spine.
Physical history: He has had 2 bouts of iritis in the past.
Family history: -
Differential diagnosis: 1- Ankylosing Spondylitis
2- Vertebral fracture | C0038013 | M45 | T047 | Disease or Syndrome | Rheumatoid arthritis of spine | 20 Years | M | 34 |
ankylosing spondylitis | 35 | aug_239 | Age: 24
Sex: Female
Chief complaints: Back pain
Hip pain
Presentation: Comes to the office with several months of slowly progressive low back and hip pain.
Her pain is most severe early in the morning and fades as the day progresses.
The pain is relieved with a warm shower or over-the-counter analgesics.
Associated symptoms include stiffness.
Absent findings: No fever, No change in bowel habit, No melena, No bleeding per rectum, No abdominal pain, No abdominal discomfort, No abdominal tenderness, No dysphagia, No nausea, No vomiting, No recent history of significant illness or trauma, No bilateral leg weakness, No bladder dysfunction, No saddle paresthesia, No sensory loss, No weight loss, No chills, No decreased anal sphincter, No lower leg skin changes, No paraspinal tenderness, No dysuria, No nocturia, No frequency, No urgency.
Physical examination: Vital signs are normal.
On examination, there is limited range of motion in the lumbar spine.
Muscle strength is normal and equal in all extremities.
Deep tendon reflexes are 2+ in the upper and lower extremities.
Physical history: -
Family history: -
Differential diagnosis: 1- Ankylosing Spondylitis
2- Osteoarthritis | C0038013 | M45 | T047 | Disease or Syndrome | Rheumatoid arthritis of spine | 24 Years | F | 35 |
aortic dissection | 36 | aug_3 | Age: 56
Sex: Male
Chief complaints: Chest pain
Presentation: 2 days of sudden onset excruciating chest pain, which he describes as tearing, it is very severe and located in middle of the chest and radiates to the back. This pain is accompanied by sudden onset of shortness of breath that increases with exertion. He reports also an episode of fainting in the last 12 hours.
Absent findings: No palpitations, No nausea or vomiting, No recent chest injury, No acid reflux, No dysphagia, No headache, No wheezing, No cough, No fever, No recent unexplained weight loss, No raised JVD
Physical examination: Hypertensive, Normal heart rate
Physical history: He is a heavy smoker for 30 years.
Hypertension.
Family history: None
Differential diagnosis: 1- Aortic dissection
2- Myocardial Infarction
3- Unstable Angina
4- Pulmonary Embolism
5- Pulmonary Edema | C0340643 | I71.00 | T047 | Disease or Syndrome | Dissection of unspecified site of aorta | 56 Years | M | 36 |
aortic dissection | 37 | aug_127 | Age: 53
Sex: Male
Chief complaints: Chest Pain
Presentation: Sudden severe middle chest pain not relieved by analgesia, radiating to the back.
The patient also has dyspnea and nausea without vomiting.
He is very anxious, sweating, and has premonitions of death.
Absent findings: No recent trauma to the chest, No bruises, No abdominal pain, No changes in bowel habits, No urinary symptoms, No jaundice, No headache, No runny nose, No visual changes, No back pain, No smoking, No itching, No fever, No rashes on the skin, No calf swelling or pain, No cyanosis, No vomiting.
Physical examination: Tachycardia, tachypnea, hypertensive, cold clammy hands.
Physical history: Hypertension.
Family history: -
Differential diagnosis: 1- Aortic Dissection
2- Myocardial Infarction
3- Pulmonary Embolism
4- Myocarditis
5- Unstable angina | C0340643 | I71.00 | T047 | Disease or Syndrome | Dissection of unspecified site of aorta | 53 Years | M | 37 |
aortic dissection | 38 | aug_428 | Age: 59
Sex: Male
Chief complaints: Chest pain
Presentation: Presents with a sudden onset of sharp excruciating central chest pain, which he describes as tearing, radiating to the back after being in a motor vehicle accident.
He is dyspneic, fatigued and dizzy.
Absent findings: No fever, No skin rashes, No abdominal pain or tenderness, No change in bowel habits, No urinary symptoms, No sweating, No tenderness on the chest, No recent weight changes, No pallor, No cyanosis, No headache, No cough, No sore throat, No calf swelling or tenderness.
Physical examination: Tachycardiac.
Physical history: Hypertension
Family history: -
Differential diagnosis: 1- Aortic dissection
2- Pneumothorax
3- Pulmonary Embolism | C0340643 | I71.00 | T047 | Disease or Syndrome | Dissection of unspecified site of aorta | 59 Years | M | 38 |
aortic stenosis | 39 | aug_118 | Age: 62
Sex: Male
Chief complaints: Syncope
Presentation: He presented with two episodes of "passing out "in the past month ,
The first one occurred whilst going upstairs . The second occurred last week whilst he was getting out of a swimming pool .
They were not preceded with warning sings .
The episode lasts for 15 seconds .
He reports feeling groggy for only a few seconds after the episode
Absent findings: No chest pain , No cough or hemoptysis , No palpitation , No fever or seizure , No chills or sweating , No nausea or vomiting , No lymphadenopathy , No nasal congestion, No sore throat , No headache , No dizziness , No diarrhea or constipation , No dehydration , No ear pain or discharge , No visual disturbance , No change in balance or gait, Normal power and sensation. No wheezing , No history of trauma or recent surgery .
Physical examination: Normal vitals
Physical history: Hypertension
Family history: -
Differential diagnosis: 1- Aortic Stenosis
2- Arrhythmias
3- Hypertrophic Obstructive Cardiomyopathy | C0003507 | null | null | null | null | 62 Years | M | 39 |
aortic stenosis | 40 | aug_342 | Age: 68
Sex: Male
Chief complaints: Dyspnea
Presentation: Presented with repeated episodes of lightheadedness and dyspnea occur after exertion.
6 weeks ago he felt lightheaded while climbing the stairs associated with chest pain. for that he was evaluated by his primary physician who prescribed Nitrates to be taken in future episodes.
Yesterday he felt lightheaded while jogging, he took the nitrates but then his condition got worse and he fainted.
He feels fatigue today.
Absent findings: No headache, No blurry vision, No abdominal pain, No diarrhea, No constipation, No fever, No bleeding disorder, No nausea, No vomiting, No nasal congestion, No sore throat, No wheezing, No JVD , No urinary symptoms, No radiation of chest pain to anywhere, No heartburn, No dysphagia, No arthralgia.
Physical examination: Normal vitals.
Physical history: He has a 20 pack smoking history and occasionally drink alcohol.
He was diagnosed with a congenital bicuspid aortic valve incidentally when he was a child.
Family history: -
Differential diagnosis: 1- Aortic Stenosis
2- Arrhythmias
3- Cardiomyopathy | C0003507 | null | null | null | null | 68 Years | M | 40 |
asthma | 41 | aug_4 | Age: 25
Sex: Female
Chief complaints: Shortness of breath
Presentation: She started to feel this more in the past one year, she reported that in secondary school, she occasionally had shortness of breath and would wheeze after running. She also experiences the same symptoms when she visits her friend who has a cat. Her symptoms have progressively worsened over the past year and are now a constant occurrence. She also finds herself wheezing when waking from sleep approximately twice a week. Her dyspnea got worse with exercise.
She occasionally feels chest discomfort and tachypnea.
Recently she started coughing, dry cough, it's now more than 5 weeks with constant coughing, which is dry.
Absent findings: No chest pain, No known history of allergy, No fever, No lower extremities swelling, No palpitations or diaphoresis, No nasal congestion, No sorethroat, No smoking history.
Physical examination: Normal vitals, No JVD
Physical history: None
Family history: -
Differential diagnosis: 1- Asthma
2- Emphysema
3- Chronic bronchitis | C0004096 | J45.90 | T047 | Disease or Syndrome | Unspecified asthma | 25 Years | F | 41 |
asthma | 42 | aug_171 | Age: 53
Sex: Male
Chief complaints: Cough
Presentation: He complains of 2 years history of seasonal dry cough and episodic shortness of breath on exertion.
Occasionally he would wheeze.
He has 30-pack-years smoking history. He also drinks alcohol occasionally.
Absent findings: No fever or sweating, No chest pain or discomfort, No hemoptysis, No palpitation, No syncope, No nausea or vomiting, No nasal congestion or sore throat, No heartburn, No diarrhea, No jugular venous distension, No constipation or melena , No urinary symptoms , No headache, No extremities edema, No loss of appetite or weight.
Physical examination: Diminished breath sound and bilateral scattered expiratory wheezes on respiratory auscultation.
Normal vitals
Physical history: -
Family history: His mother has asthma.
Differential diagnosis: 1- Asthma
2- Emphysema
3- Chronic bronchitis | C0004096 | J45.90 | T047 | Disease or Syndrome | Unspecified asthma | 53 Years | M | 42 |
atopic dermatitis | 43 | aug_29 | Age: 12
Sex: Female
Chief complaints: Itchy skin
Presentation: She presented with dry, itchy reddish skin that involves the flexures in front of her elbows, behind her knees and in front of her ankles.
Her cheeks also have patches of dry, scaly skin.
She has symptoms of hay fever (runny nose, itchy eyes, sneezing, sinus pressure)
Absent findings: No localized dermatitis, No autoimmune diseases, No vesicular rash, No recent infection reported, No medications used, No oral ulcers, No photosensitivity
Physical examination: Skin erythema on both elbows and knees flexures
Physical history: History of milk allergy
Family history: She has a brother with asthma
Differential diagnosis: 1- Atopic dermatitis
2- Contact irritant dermatitis
3- Psoriasis | C0011615 | L20.9 | T047 | Disease or Syndrome | Atopic dermatitis, unspecified | 12 Years | F | 43 |
atrophic urethritis | 44 | aug_455 | Age: 55
Sex: Female
Chief complaints: Dysuria
Presentation: She is a school teacher presented to the clinic complaining of dysuria for 1 week associated with urinary frequency and discomfort.
She reported that she had multiple visits to the clinic with the same complaint and she was treated as UTI without any improvement.
She was also complaining of night sweats and difficulty sleeping. She feels hot all the time no matter what she wears or what is the weather.
She reported decreased libido recently and she has some sort of discomfort or pain when she had sexual intercourse.
She noticed decreased vaginal discharge comparable to the past.
LMP was a 2 years ago.
Absent findings: No fever or chills, No loss of weight or loss of appetite, No cough or dyspnea, No chest pain or tenderness, No palpitations, No nausea or vomiting, No change in bowel habits, No neck masses, No vaginal bad smell, No vaginal masses, No vaginal pruritus.
Physical examination: Normal vitals.
Pale dry vagina.
Physical history: -
Family history: She stated that her mother had same symptoms in her 60s
Differential diagnosis: 1- Atrophic urethritis
2- Cystitis | C4062720 | null | null | null | null | 55 Years | F | 44 |
bacterial conjunctivitis | 45 | aug_70 | Age: 6
Sex: Female
Chief complaints: Red eye
Presentation: She presents 4 days after developing a red, irritated left eye.
Her mother states that she has been wiping thick whitish-yellow discharge from her eye, and the eye is matted shut in the morning, it's forming crusts.
She reports increased lacrimation as well.
Absent findings: No exposure to an infected person, No upper respiratory tract symptoms, No nasal congestion or rhinorrhea, No contact lens use, No ophthalmoplegia, No photophobia, No visual defects, No ocular damage, No trauma, No tunnel vision, No history of allergies, No lymphadenopathy.
Physical examination: Thick whitish discharge from her left eye.
Physical history: None
Family history: -
Differential diagnosis: 1- Bacterial conjunctivitis
2- Eyelid blepharitis
3- Viral conjunctivitis | C0009768 | H10.0 | T047 | Disease or Syndrome | Mucopurulent conjunctivitis | 6 Years | F | 45 |
bacterial conjunctivitis | 46 | aug_129 | Age: 24
Sex: Female
Chief complaints: Red Eye
Presentation: She complains of left eye redness and discharge for 3 days with crusting of eyelid.
She has difficulty opening her eye in the morning ,now her right eye became also red, her boyfriend was having similar symptoms.
Absent findings: No eye pain , No itching , No photophobia , No visual difficulty , No allergies , No cough, No chest pain , No dyspnea , No headache , No nasal congestion, No runny nose , No tender sinuses , No eye trauma.
Physical examination: Bilateral conjunctival erythema , there is thick , yellowish discharge at the corner of the eyes quickly reaccumulates after wiping.
Physical history: -
Family history: -
Differential diagnosis: 1- Bacterial Conjunctivitis
2- Viral Conjunctivitis | C0009768 | H10.0 | T047 | Disease or Syndrome | Mucopurulent conjunctivitis | 24 Years | F | 46 |
bacterial conjunctivitis | 47 | aug_238 | Age: 8
Sex: Male
Chief complaints: Eye redness and discharge
Presentation: Presented with 4-day history of low-grade fever, unilateral eye pain, redness in the eye, and thick-white discharge from the eye.
His eyelids are also usually stuck together in the morning.
Absent findings: No visual changes, No recent trauma to the eye, No itching in the eye, No eyelid swelling, No headache, No photophobia, No neck stiffness, No nausea, No vomiting, No ear pain or discharge, No nasal congestion, No runny nose, No sore throat, No cough, No chest pain, No dyspnea, No abdominal pain, No changes in bowel habits, No urinary symptoms, No skin rashes, No myalgia, No arthralgia.
Physical examination: -
Physical history: -
Family history: -
Differential diagnosis: 1- Bacterial Conjunctivitis
2- Viral Conjunctivitis | C0009768 | H10.0 | T047 | Disease or Syndrome | Mucopurulent conjunctivitis | 8 Years | M | 47 |
bacterial tonsilitis | 48 | aug_380 | Age: 13
Sex: Male
Chief complaints: Fever
Sore throat
Presentation: Previous healthy boy presents with acute onset of fever and severe throat pain that is exacerbated by swallowing, headache, and malaise
Absent findings: No chest pain, No palpitation, No abdominal pain or distention, No change In bowel habits, No loss of consciousness ,No loss of appetite, No weight loss, No dysuria, No change In urine color
Physical examination: Normal vitals except for high fever.
his tonsils are symmetrically enlarged and red with purulent exudate.
He has multiple enlarged, painful anterior neck lymph nodes.
Physical history: -
Family history: -
Differential diagnosis: 1- Bacterial Tonsilitis
2- Infectious Mononucleosis | null | null | null | null | null | 13 Years | M | 48 |
bacterial vaginosis | 49 | aug_73 | Age: 25
Sex: Female
Chief complaints: Vaginal discharge
Presentation: She comes to the office for evaluation of increasing amounts of malodorous vaginal discharge over the past 4 days.
Her last menstrual period was 3 weeks ago. She has been sexually active with a new partner for the past month and they use condoms intermittently.
She has mild itching sensation at her genitals.
Absent findings: No vulvar or vaginal erythema or lesions, No abdominal masses, No abdominal pain or tenderness, No current medications, No post coital spotting or intermenstrual bleeding, No fever, No urinary symptoms, No diarrhea or constipation, No fever, No history of smoking.
Physical examination: Vital signs are normal.
Whitish vaginal discharge was noticed in vaginal examination.
Physical history: History of chlamydia cervicitis at age 19
Family history: -
Differential diagnosis: 1- Bacterial vaginosis
2- Vaginal candidiasis | C0085166 | null | null | null | null | 25 Years | F | 49 |
bacterial vaginosis | 50 | aug_153 | Age: 29
Sex: Female
Chief complaints: Vaginal discharge
Presentation: Comes to your office with a 2-week history of a persistent, malodorous vaginal discharge.
The unpleasant “fishy” odor appears to worsen after sex.
She is in a long-standing monogamous relationship with her husband, who is asymptomatic.
She has been douching weekly for the past several months.
Absent findings: No vaginal itching, No dysuria, No frequency, No urgency, No frequency, No hematuria, No vaginal lesions, No vaginal swelling, No masses protruding from vagina, No abdominal masses, No abdominal pain or tenderness, No current medications, No post coital spotting or intermenstrual bleeding, No fever, No diarrhea or constipation, No history of smoking, No weight loss.
Physical examination: On examination, there is a thin, milky, off-white discharge present at the introitus without any evidence of vulvar irritation.
On speculum examination, the discharge is homogeneous and pooling in the posterior fornix of the vagina with no signs of vaginal or cervical inflammation.
Physical history: She has no history of sexually transmitted diseases (STDs) or abnormal Pap test results
Family history: -
Differential diagnosis: 1- Bacterial Vaginosis
2- Trichomoniasis | C0085166 | null | null | null | null | 29 Years | F | 50 |
bacterial vaginosis | 51 | aug_294 | Age: 19
Sex: Female
Chief complaints: Vaginal discharge
Presentation: She is currently 9 weeks pregnant in her first pregnancy.
The discharge started about 3 weeks ago and is non-itchy and creamy in color.
It is not profuse but she feels it has a strong fishy odor and is embarrassed about it.
She has been with her partner for 3 years and neither of them have had any other sexual partners.
Absent findings: No fever, No vaginal bleeding, No abdominal pain, No urinary symptoms, No change in bowel habits, No weight loss, No headache, No breast tenderness or discharge or enlargement, No chills or rigors, No skin rashes or erythema, No chest pain or tenderness, No dyspnea.
Physical examination: -
Physical history: -
Family history: -
Differential diagnosis: 1- Bacterial Vaginosis
2- Trichomoniasis | C0085166 | null | null | null | null | 19 Years | F | 51 |
bartholin gland abscess | 52 | aug_189 | Age: 22
Sex: Female
Chief complaints: Labial swelling
Presentation: She complains of painful right labial swelling that increases in size for 5 days.
She is sexually active with multiple partners, in the previous 2 days she experienced painful intercourse.
It also hurts while walking or sitting.
Absent findings: No fever, No vaginal discharge or itching , No vaginal bleeding, No weight loss, No appetite loss ,No urinary symptoms, No chest pain or dyspnea, No nausea or vomiting, No abdominal pain or tenderness, No excessive sweating , No diarrhea or constipation, No bleeding per rectum.
Physical examination: Severely tender fluctuant right labial mass with surrounding erythema and edema.
Physical history: -
Family history: -
Differential diagnosis: 1- Bartholin Gland Abscess
2- Bartholin Gland Cyst | C0004766 | N75.1 | T046 | Pathologic Function | Abscess of Bartholin's gland | 22 Years | F | 52 |
benign paroxysmal positional vertigo | 53 | aug_42 | Age: 65
Sex: Female
Chief complaints: Dizziness
Presentation: She describes dizziness as a sudden and severe spinning sensation precipitated by rolling over in bed onto her right side.
Symptoms typically last < 30 seconds.
They have occurred nightly over the last month and occasionally during the day when she tilts her head back to look upwards.
Absent findings: No otological symptoms, No associated hearing loss, No tinnitus, No aural fullness, No ear pain, No neurological symptoms, No diplopia, No dysphagia, No dysarthria, No ataxia
Physical examination: Normal vitals
Physical history: History of migraine
Family history: -
Differential diagnosis: 1- Benign Paroxysmal Positional Vertigo
2- Vestibular Neuritis | C0155502 | null | null | null | null | 65 Years | F | 53 |
benign paroxysmal positional vertigo | 54 | aug_231 | Age: 30
Sex: Male
Chief complaints: Dizziness (Vertigo)
Presentation: Comes to your office for assessment of dizziness.
The dizziness occurs when he rolls over from the lying position to either the left side or the
right side. It also occurs when he is looking up.
He describes a sensation of “the world spinning around” him. The episodes usually last 10 to 15 seconds.
They have been occurring for the past 6 months and occur on average one or two times per day.
Absent findings: No precipitating event prior to onset, No otological symptoms, No associated hearing loss, No tinnitus, No aural fullness, No ear pain, No neurological symptoms, No diplopia, No dysphagia, No dysarthria, No ataxia, No abdominal pain, No chest pain, No cough, No pallor, No fatigue, No trauma, No weight loss, No facial tenderness.
Physical examination: -
Physical history: -
Family history: -
Differential diagnosis: 1- Benign Paroxysmal Positional Vertigo
2- Vestibular Neuritis | C0155502 | null | null | null | null | 30 Years | M | 54 |
benign paroxysmal positional vertigo | 55 | aug_317 | Age: 33
Sex: Male
Chief complaints: Dizziness
Presentation: Presented with acute-onset dizziness while playing football specifically when he turns his head from side to side or looking up to catch the ball.
Symptoms included spinning vertigo lasting for 30 seconds, headache, visual disorientation as well as nausea and vomiting.
Absent findings: No symptoms were apparent at rest, No fever, No gait disturbances, No focal neurological symptoms, No runny nose, No ear pain, No recent infections, No chest pain or tenderness, No sore throat, No skin rashes or erythema, No abdominal pain or tenderness, No changes in bowel habits, No urinary symptoms.
Physical examination: -
Physical history: -
Family history: -
Differential diagnosis: 1- Benign Paroxysmal Positional Vertigo
2- Vestibular Neuritis
3- Labyrinthitis | C0155502 | null | null | null | null | 33 Years | M | 55 |
benign prostatic hyperplasia | 56 | aug_99 | Age: 67
Sex: Male
Chief complaints: Urinary frequency
Urinary urgency
Presentation: He comes to the office due to worsening urinary frequency, hesitancy, and nocturia for the past year. He wakes up 2 or 3 times a night to void. The patient also says that the force of his urinary stream is decreased and he feels that his bladder is not completely evacuated after voiding,
The patient has a 35-pack-year smoking history but stopped smoking 10 years ago.
Absent findings: No abdominal pain or tenderness, No hematuria, No dysuria, No fever, No heavy scrotum, No flank pain, No change in bowel habit, No sweating.
Physical examination: Normal vitals
Physical history: Hypertension and osteoarthritis
Family history: -
Differential diagnosis: 1- Benign prostatic hyperplasia
2- Overactive bladder
3- Prostate cancer | C1704272 | N40 | T046 | Pathologic Function | BPH | 67 Years | M | 56 |
benign prostatic hyperplasia | 57 | aug_322 | Age: 70
Sex: Male
Chief complaints: Urinary Frequency
Presentation: Presented with urinary frequency and nocturia.
He has hesitancy and describes his stream as intermittent; it is starting and stopping during micturition.
He also strains to void.
Absent findings: No fever, No dysuria, No urethral discharge, No abdominal pain or tenderness, No flank pain or tenderness, No changes in bowel habits, No bloating, No blood in stool, No change in the color of the urine, No headache, No sweating, No weight changes, No chest pain, No cough, No dyspnea, No sore throat, No runny nose, No calf swelling, No limb pain or swelling, No recent sexual activity, No recent trauma to the area, No testicular pain or swelling.
Physical examination: -
Physical history: 30 pack years smoking history.
Family history: -
Differential diagnosis: 1- Benign Prostatic Hyperplasia
2- Prostate Cancer | C1704272 | N40 | T046 | Pathologic Function | BPH | 70 Years | M | 57 |
bladder cancer | 58 | aug_218 | Age: 53
Sex: Male
Chief complaints: Hematuria
Presentation: Patient complains of red urine for the last 3 months without having any abdominal cramps. He states that his urine stream appears dark throughout micturition until the end of voiding.
He also noticed small clots in his urine.
He also stated that he quickly feels tired after any minimal physical effort as well as he lost significant weight in the past 3 months.
Absent findings: No fever, No edema, No flank pain, No abdominal pain , No diarrhea, No constipation, No alcohol consumption, No jaundice, No abdominal tenderness, No pain while voiding, No bleeding from other sites, No ejaculation abnormalities.
Physical examination: -
Physical history: Chronic back pain
he currently smokes a pack of cigarettes daily since 30 years.
Family history: -
Differential diagnosis: 1- Bladder cancer
2- Renal cell carcinoma | C0005684 | C67.9 | T191 | Neoplastic Process | Malignant neoplasm of bladder, unspecified | 53 Years | M | 58 |
bladder cancer | 59 | aug_290 | Age: 64
Sex: Male
Chief complaints: Hematuria
Presentation: He presents with painless hematuria. He had a similar episode 1 year ago and was given antibiotics for a presumed urinary infection and his bleeding resolved.
He has a weak urinary stream and nocturia twice a night. He has lost 10 Kgs in the last 2 months unintentionally.
He feels fatigue and that he lost his appetite.
Absent findings: No nausea or vomiting , No constipation or diarrhea , No history of allergies , No cough or chest pain , No shortness of breath or syncope , No dysuria , No hematemesis or melena, No pallor or jaundice, No focal weakness , Normal sensation , No history of trauma , No nasal congestion , No edema, No skin rash , No history of bleeding disorder , No urethral discharge or pain.
Physical examination: Normal vitals
Physical history: Type 2 DM on medications.
He has smoked a pack of cigarettes daily for 45 years.
Family history: -
Differential diagnosis: 1- Bladder Cancer
2- Renal Cell Carcinoma
3- Prostate Cancer | C0005684 | C67.9 | T191 | Neoplastic Process | Malignant neoplasm of bladder, unspecified | 64 Years | M | 59 |
bladder cancer | 60 | aug_325 | Age: 73
Sex: Male
Chief complaints: Hematuria
Presentation: Presents after noticing that his urine's color has turned into dark red.
He also mentions losing some weight in the last few months, but didn't measure exactly how much he lost.
Absent findings: No pain with the bloody urine, No dysuria, No frequency, No urgency, No straining, No hesitancy, No intermittency, No blood in stool, No change in bowel habits, No anal or peri-anal pain, No abdominal pain or tenderness, No flank pain, No fever, No scrotal swelling or pain, No painful erections, No calf swelling, No skin changes or rashes, No chest pain, No dyspnea, No cough, No sore throat, No runny nose or congestion, No headache, No ear pain or discharge, No visual changes, No hearing problems, No blood-thinning medications intake, No history of easy bruising.
Physical examination: Hypertension and Diabetes.
Physical history: He is a heavy smoker with 50 pack years of smoking, He also consumes alcohol on a daily basis.
Family history: -
Differential diagnosis: 1- Bladder cancer
2- Renal cell carcinoma | C0005684 | C67.9 | T191 | Neoplastic Process | Malignant neoplasm of bladder, unspecified | 73 Years | M | 60 |
blepharitis | 61 | aug_159 | Age: 64
Sex: Female
Chief complaints: Eyelids pain
Presentation: She presents with bilateral sore eyelids for 3 days, she also has eyes dryness.
Sometimes her eyes become sticky in the morning and there is some itching.
Minimal eye redness is present and she feels like a foreign body is in her eyes.
Absent findings: No history of ocular trauma, No visual difficulty, No eye discharge, No cough or nasal congestion, No fever, No sinuses tenderness, No headache, No fever, No nausea or vomiting, No chest pain, No abdominal pain.
Physical examination: Her eyelid margins are erythematous and a little bit swollen.
Normal vitals.
Physical history: -
Family history: -
Differential diagnosis: 1- Blepharitis
2- Viral Conjunctivitis
3- Allergic contact dermatitis
4- Dry eye syndrome | C0005741 | H01.00 | T047 | Disease or Syndrome | Unspecified blepharitis | 64 Years | F | 61 |
brain abscess | 62 | aug_154 | Age: 60
Sex: Male
Chief complaints: Fever
Headache
Presentation: His symptoms started within the last week and have been worsening ever since.
He has severe occipital headache which is not relieved by painkillers.
He also complains of nausea and vomiting, visual changes, chills and rigors.
His son has also reported that he seems confused in the past few days and has been acting differently.
Absent findings: No changes in bowel habits, No abdominal pain, No hallucinations, No sleep disturbances, No skin rash, No cough, No runny nose, He doesn't have any pets at home, No recent vaccinations, No excessive lacrimation.
Physical examination: Neck stiffness and meningeal signs are positive.
High-grade fever.
Tachycardia.
Physical history: Immunocompromised.
Smoker for 30 years.
He was treated for pneumonia 1 month before his symptoms started.
Family history: -
Differential diagnosis: 1- Brain Abscess
2- Acute Encephalitis
3- Bacterial Meningitis | C0006105 | null | null | null | null | 60 Years | M | 62 |
brain abscess | 63 | aug_277 | Age: 28
Sex: Male
Chief complaints: Headache
Presentation: He presents with one month history of headache and intermittent fever.
The headache worsened severely in the last 6 hours. He experiences nausea and vomiting.
Before the onset of his symptoms, he was having sinusitis and otitis media treated with antibiotic course.
He started being confused and irresponsive this morning.
Absent findings: No abdominal pain, No change in bowel habits, No chest pain or cough, No dyspnea, No runny nose, No urinary symptoms, No skin rashes, No newly used medication, No weight loss or excessive sweating.
Physical examination: Febrile of 39.3 c.
GCS is 10.
Nuchal rigidity is present.
Physical history: -
Family history: -
Differential diagnosis: 1- Brain Abscess
2- Encephalitis
3- Meningitis | C0006105 | null | null | null | null | 28 Years | M | 63 |
brain tumor | 64 | aug_450 | Age: 65
Sex: Male
Chief complaints: Ataxia
Presentation: This man came to the office due to unsteady gait and frequent falls over the past 2 weeks. His left side feels weak which makes it difficult to maintain balance when walking or standing.
He also has headache and nausea worse in the morning before having his coffee.
Absent findings: No fever, No cough or dyspnea, No chest pain or palpitation , No dysphagia , No abdominal pain or distention, No change in bowel habits , No history of allergy or skin rash , No urinary symptoms.
Physical examination: Normal vitals.
Physical history: Diabetes, Hypertension and Dyslipidemia.
Family history: -
Differential diagnosis: 1- Brain Tumor
2- Ischemic Stroke | C0006118 | null | null | null | null | 65 Years | M | 64 |
brain tumor | 65 | aug_494 | Age: 60
Sex: Male
Chief complaints: Seizures
Presentation: This man brought to the emergency department by the ambulance. His wife gave a history that , while standing at a bus stop, He fell to the ground, and she was unable to arouse him, He then developed jerking movement affecting his arms and legs, it lasted for 2 mins.
His wife recalls that he had frequent headaches accompanied with nausea particularly in the morning for the last 2 months.
He lost some weight and didn't crave for food like he used to be.
Absent findings: No fever or chills, No cough or dyspnea, No palpitation or chest pain, No dysphagia, No Abdominal pain, No change in bowel habits, No dysuria, No change in urine color, No previous similar attacks, No new drugs intake, No head trauma, No neck stiffness, No esophageal varices, No jaundice, No ascites.
Physical examination: Normal vitals.
Physical history: Smoker and alcoholic.
Family history: Brain Cancers
Differential diagnosis: 1- Brain Tumor
2- Ischemic Cerebral Stroke
3- TIA | C0006118 | null | null | null | null | 60 Years | M | 65 |
breast abscess | 66 | aug_228 | Age: 27
Sex: Female
Chief complaints: Breast swelling
Presentation: She presents with 2 days history of right breast swelling and pain.
There is redness of the area around and below the nipple. She also experienced purulent nipple discharge.
She has fever associated with chills and flu like symptoms.
She was lactating but she stopped due to pain.
Absent findings: No bloody nipple discharge, No nausea or vomiting, No lymphadenopathy, No Weight loss or appetite loss , No abdominal pain or tenderness, No urinary symptoms, No headache or dizziness, No sore throat or chest pain, No ear pain or discharge, No Vaginal discharge or menstrual related symptoms, No use of new medication, No history of allergies, No skin rashes.
Physical examination: Normal vitals except for fever of 38.9 c .
Right breast is tender and warm with purulent discharge seen while squeezing the nipple.
Physical history: -
Family history: -
Differential diagnosis: 1- Breast Abscess
2- Lactational Mastitis | C0151463 | null | null | null | null | 27 Years | F | 66 |
breast cancer | 67 | aug_74 | Age: 42
Sex: Female
Chief complaints: Breast swelling
Presentation: She comes to the office due to left breast swelling that has worsened over the past month, it is associated with pain.
She feels solid immobile mass on her left breast
Absent findings: No active breastfeeding, No nipple discharge, No fever, No menstrual related symptoms, Not on medications, No chest pain, No dyspnea
Physical examination: Physical examination reveals a morbidly obese woman in no apparent distress.
Breast examination shows a left breast that is diffusely warm and erythematous with some dimpling.
The right breast appears normal. There is enlarged lymph nodes on the left axilla.
Physical history: None
Family history: -
Differential diagnosis: 1- Breast cancer
2- Fibrocystic breast disease
3- Fat necrosis | C0006142 | C50-C50 | T191 | Neoplastic Process | Malignant neoplasms of breast (C50) | 42 Years | F | 67 |
breast cancer | 68 | aug_120 | Age: 46
Sex: Female
Chief complaints: Breast mass
Presentation: She noticed a mass in the upper part of her left breast, gowning for 3 months.
There is no pain.
She is nulligravida and drinks alcohol occasionally.
Absent findings: No nipple discharge or pain , Normal right breast , No fever or sweating , No loss of appetite or weight ,No chest pain or cough , No menstrual related symptoms , No use of new medication , No palpitation or dizziness No nausea or vomiting , No abdominal pain , No change in bowel habits , No urinary symptoms , No abnormal vaginal discharge or pain.
Physical examination: Hard , immobile ,solitary mass with irregular margin found in the upper inner part of the left breast.
Normal vitals.
Physical history: Type 2 Diabetes Mellitus on medications.
Family history: Her Mom diagnosed with breast cancer at age 66
Differential diagnosis: 1- Breast Cancer
2- Fibrocystic Breast Disease
3- Fat Necrosis | C0006142 | C50-C50 | T191 | Neoplastic Process | Malignant neoplasms of breast (C50) | 46 Years | F | 68 |
breast engorgement | 69 | aug_167 | Age: 31
Sex: Female
Chief complaints: Breast fullness
Breast Pain
Presentation: G2P2
Presents with new onset bilateral breast pain and heaviness feeling on postpartum day 6.
The pain began early this morning and is described by the patient as dull, achy, and a 7/10 on the pain scale.
She does not have any nipple pain until she attempts to breastfeed, when she experiences a pain of 9/10 and has to stop breastfeeding.
She breastfed her son successfully within the first hour of life. Until yesterday she was breastfeeding him on demand for about 15-45 minutes at a time.
Starting last night he became increasingly fussy and since this morning he is refusing to breastfeed.
She has been bottle-feeding him frozen breast milk.
She does not recall experiencing this level of pain with her first baby.
Absent findings: No breast skin changes, No abnormal nipples discharge, No fever, No chills, No headache, No chest pain or discomfort, No abdominal pain or discomfort, No diarrhea, No constipation, No mood changes, No suicidal thoughts, No liver diseases, No jaundice, No generalized pruritis, No recent medication use, No smoking, No alcohol intake, No pets at home, No recent travel history, No ticks or mosquitoes exposure.
Physical examination: Firm breasts that are both tender to light palpation.
Both nipples are slightly fissured, but no pus or blood are visible.
The areolae surrounding the nipples are edematous, causing the nipples to appear flattened.
Physical history: -
Family history: -
Differential diagnosis: 1- Breast Engorgement
2- Lactational Mastitis
3- Breast infection | C0085688 | null | null | null | null | 31 Years | F | 69 |
breast fat necrosis | 70 | aug_378 | Age: 35
Sex: Female
Chief complaints: Breast Pain
Presentation: This lady presented to the clinic with right breast pain, redness and swelling for 1 week. Her symptoms increased gradually.
Absent findings: No history of nipple discharge , No loss of weight or loss of appetite, No dysphagia, No abdominal pain or distension, No nausea or vomiting, No change in bowel habits, No loss of consciousness, No headache, No dizziness, No cough or dyspnea, No chest pain or palpitation, No urinary symptoms.
Physical examination: Normal vitals.
Firm ill-define mass with skin retraction.
Physical history: Breast trauma from vehicle accident one month ago.
Family history: -
Differential diagnosis: 1- Breast Fat necrosis
2- Breast Cancer | C0156321 | N64.1 | T047 | Disease or Syndrome | Fat necrosis of breast | 35 Years | F | 70 |
bronchiectasis | 71 | aug_251 | Age: 55
Sex: Female
Chief complaints: Cough
Presentation: She presented with a chronic productive cough of thick yellow sputum that sometimes becomes blood-tinged.
She has experienced recurrent episodes of fever associated with pleuritic chest pain.
She states that she is embarrassed by the persistent, intractable nature of her cough and has been prescribed multiple courses of antibiotics.
Over the last 5 years, she has developed shortness of breath with exertion.
Absent findings: The chest pain not radiating to anywhere, No palpitations, No jugular venous distension, No loss of consciousness, No history of allergy, No new medication use, No nausea or vomiting , No abdominal pain or tenderness , No diarrhea or constipation , No urinary symptoms , No dizziness or visual disturbance , No lymphadenopathy , No excessive sweating ,No cold extremities, No ear pain or discharge , No loss of appetite, No extremities swelling.
Physical examination: Thin women.
Finger clubbing is present .
Normal vitals except of fever 38.5 c.
Physical history: Pneumonia as a child and sinus polyps during adulthood for which she has had surgery.
Family history: -
Differential diagnosis: 1- Bronchiectasis
2- COPD
3- Tuberculosis
4- Lung Cancer | C0006267 | J47.9 | T047 | Disease or Syndrome | Bronchiectasis NOS | 55 Years | F | 71 |
bronchiectasis | 72 | aug_461 | Age: 55
Sex: Female
Chief complaints: Cough
Presentation: Comes to the office due to 2 years of episodic cough productive of yellow sputum. Her first episode lasted nearly 3 weeks with chest congestion, cough productive of purulent sputum, and shortness of breath.
The patient saw her primary care physician at that time and was diagnosed with bronchitis; her condition improved after the administration of antibiotics. She has since had 6 more episodes, each with cough productive of large amounts of yellow sputum (sometimes tinged with blood), shortness of breath, and sinus congestion. Her condition improved each time with antibiotics.
However, she continues to have a persistent cough that has worsened in the past 2 weeks.
Absent findings: No fever, No sore throat, No headache, No runny nose, No recent contact with sick individuals, No sweating, No chills or rigors, No weight loss, No abdominal pain or tenderness, No change in bowel habits, No urinary symptoms, No skin rashes or erythema, No ear pain or discharge, No calf swelling or tenderness, No dyspnoea on rest, No orthopnoea, No trauma or injury to the chest, No bruises on the skin, No masses or lumps anywhere on the body, No pets at home, No recent travel, No heartburn, No chronic medications use.
Physical examination: Normal vitals.
The patient's neck is supple without lymphadenopathy.
Lung examination reveals diffuse rhonchi and wheezes with coarse crackles bilaterally in the bases.
Physical history: She smoked for 2 years and then stopped.
Recurrent chest infections.
Family history: -
Differential diagnosis: 1- Bronchiectasis
2- COPD | C0006267 | J47.9 | T047 | Disease or Syndrome | Bronchiectasis NOS | 55 Years | F | 72 |
bronchiolitis | 73 | aug_311 | Age: 1
Sex: Male
Chief complaints: Fever
Shortness of breath
Presentation: Presents to his family doctor because his mother feels his breathing is labored.
He developed rhinitis and a tactile fever 3 days prior to presentation. Over the next few days he developed increasing cough, increased work of breathing, and decreased oral Intake.
Absent findings: No oral lesions or ulcers, No abdominal pain or distention, no change in bowel habits, No crying with urination, No change in urine color, No skin rashes or erythema, No bulging in fontanelle.
Physical examination: His temperature is 38.0°C (100.4°F), his respiratory rate is 42 breaths per minute, and His oxyhemoglobin saturation measured by pulse oximetry, is 93% while breathing room air.
He has a wet cough. His chest examination reveals mild intercostal and Subcostal retractions, scattered crackles bilaterally, and expiratory wheezes bilaterally.
Physical history: The mother's pregnancy and delivery were uncomplicated.
His mother smoked during pregnancy and continues to do so.
Family history: -
Differential diagnosis: 1- Bronchiolitis
2- Sepsis
3- Pneumonia | C0006271 | null | null | null | null | 1 Year | M | 73 |
brucellosis | 74 | aug_52 | Age: 30
Sex: Male
Chief complaints: Fever
Presentation: Presents with a 5-week history of fever, anorexia, headache and arthralgia.
He reports some episodes of vomiting as well.
He emigrated from Turkey 2 months ago. He has no significant past medical history.
Review of his history shows he had worked extensively with animals in Turkey and had been exposed to their products of conception on several occasions.
Absent findings: No diarrhea or constipation, No abdominal pain or tenderness, No cough, No change in urine color, No urinary symptoms, No melena, No neck stiffness, No photophobia, No seizures, No personality changes, No hallucinations, No visual or auditory symptoms.
Physical examination: Febrile, Tachycardiac, Normotensive.
His abdomen is soft and non-tender.
Physical history: None
Family history: -
Differential diagnosis: 1- Brucellosis
2- Cat scratch disease | C0006309 | A23.9 | T047 | Disease or Syndrome | Brucellosis, unspecified | 30 Years | M | 74 |
brucellosis | 75 | aug_111 | Age: 25
Sex: Male
Chief complaints: Fever
Presentation: He works in a farm where he milks cows and goats.
He comes with high grade fever, chills and sweating.
He also complains of arthralgia, fatigue and generalized headaches as well as nausea and vomiting for 2 weeks.
He noticed that his appetite is less during that period.
Absent findings: No cough, No sore throat, No visual changes, No rashes, No abdominal pain, No diarrhea or constipation, No dyspnea, No jaundice, No neck stiffness, No urinary symptoms, No melena.
Physical examination: Hepatosplenomegaly
Physical history: -
Family history: -
Differential diagnosis: 1- Brucellosis
2- Liver Abscess
3- Cat Scratch Disease | C0006309 | A23.9 | T047 | Disease or Syndrome | Brucellosis, unspecified | 25 Years | M | 75 |
covid 19 | 76 | aug_14 | Age: 61
Sex: Male
Chief complaints: Fever
Cough
Difficulty breathing
Presentation: Four days ago he started feeling fatigued, and rapidly developed fever and started dry cough, two days later he found difficulty in breathing even at rest. He reports headache and dizziness, He recently lost smell sensation. he feels muscle ache as well.
He is a heavy smoker for 35 years.
Absent findings: No sorethroat, No nausea or vomiting, No nasal congestion or rhinorrhea, No wheezing, No palpitations, No hemoptysis, No ear pain reported, No known allergies, No chest pain or discomfort, No lower extremities swelling
Physical examination: Tachycardia
Physical history: Hypertension controlled on medications.
Family history: -
Differential diagnosis: 1- COVID 19
2- Influenza
3- Pneumonia
4- Acute bronchitis
5- Common cold | C5203670 | U07.1 | T047 | Disease or Syndrome | COVID-19 | 61 Years | M | 76 |
covid 19 | 77 | aug_24 | Age: 30
Sex: Female
Chief complaints: Fever
Cough
Presentation: She got fever of 38.7 for two days. Her cough is dry and annoying. She was in her usual state of health before an abrupt onset of these symptoms.
It is associated also with shortness of breath, nasal congestion and rhinorrhea, fatigue and muscle pain.
A few viral illnesses have affected her during the current winter, but not to this severity.
She says she has been in contact with her sick co-workers.
Absent findings: No sore throat, No nausea or vomiting, No wheezing, No palpitations, No hemoptysis, No ear pain reported, No known allergies, No chest pain or discomfort, No lower extremities swelling, No lymphadenopathy, No smoking history.
Physical examination: Tachypnea
Physical history: None
Family history: -
Differential diagnosis: 1- COVID 19
2- Pneumonia
3- Influenza
4- Common cold
5- Acute bronchitis | C5203670 | U07.1 | T047 | Disease or Syndrome | COVID-19 | 30 Years | F | 77 |
covid 19 | 78 | aug_319 | Age: 18
Sex: Male
Chief complaints: Cough
Presentation: Presents with a 2-day history of dry cough, low-grade fever (up to 38.2), sore throat, and fatigue.
He mentions decreased sense of smell. One of his friends at school had similar symptoms a few days ago who turned out to be COVID positive.
Absent findings: No dyspnea, No chest pain, No headache, No headache, No runny nose or nasal congestion, No sneezing, No visual changes, No skin rashes, No abdominal pain or tenderness, No change in bowel habits, No urinary symptoms, No calf swelling or tenderness, No arthralgia or myalgia, No change in apatite, No weight changes.
Physical examination: Red throat without pus.
Chest is clear on auscultation
No lymph node enlargement.
Clear ear examination.
Physical history: Not vaccinated for COVID 19
Family history: -
Differential diagnosis: 1- COVID 19
2- Common cold
3- Influenza infection
4- Acute pharyngitis | C5203670 | U07.1 | T047 | Disease or Syndrome | COVID-19 | 18 Years | M | 78 |
cardiac tamponade | 79 | aug_269 | Age: 24
Sex: Male
Chief complaints: Chest pain
Dizziness
Presentation: Presents after a road traffic accident with dizziness and reduced level of consciousness as well as severe central chest pain and dyspnea.
Absent findings: No fever, No cough, No sore throat, No abdominal pain, No sweating, No cyanosis, No changes in bowel habits, No urinary symptoms, No calf swelling or tenderness, No skin rashes, No visual changes, No nausea or vomiting, No blood in urine or stool.
Physical examination: Chest tenderness as well as bruises were noticed.
Elevated jugular venous pressure, hypotension, tachycardia and tachypnea.
Physical history: -
Family history: -
Differential diagnosis: 1- Cardiac tamponade
2- Pericardial Effusion
3- Tension Pneumothorax | C0007177 | I31.4 | T047 | Disease or Syndrome | Cardiac tamponade | 24 Years | M | 79 |
cardiomyopathy | 80 | aug_446 | Age: 70
Sex: Female
Chief complaints: Dyspnea
Presentation: This women came to the office with 2 months history of progressive lower limb edema as well as diffuse abdominal enlargement coupled by abdominal discomfort.
She became tired and dyspneic just by doing her simple daily activities.
She doesn't crave for food like before, that's why she is surprised by her getting more puffy.
Absent findings: No fever, No dysphagia, No change in bowel habits, No chest pain, No palpitations, No history of allergy, No history of drug use, No dysuria, No nocturia, No urgency, No cough, No ear pain, No abdominal pain or tenderness, No puffy eyes, No heartburn, No nasal congestion, No rhinorrhea, No headache, No visual changes.
Physical examination: Normal vitals.
Looks pale.
The abdomen is distended with flank dullness on percussion as well as bilateral edema seen. Furthermore, hepatosplenomegaly were palpated.
JVP specially while breathing.
Physical history: Hemochromatosis.
Family history: -
Differential diagnosis: 1- Cardiomyopathy (restrictive)
2- Pericarditis (constrictive) | C0878544 | I42 | T047 | Disease or Syndrome | myocardiopathy | 70 Years | F | 80 |
carpal tunnel syndrome | 81 | aug_320 | Age: 51
Sex: Female
Chief complaints: Hand pain
Presentation: Present with a 2-month history of unilateral hand pain, tingling, and numbness that extend into her fingers.
These symptoms are triggered by certain activities like driving or holding the phone, and they interfere with her life.
Her symptoms are especially bothersome at night.
Absent findings: No fever, No wrist pain, No joint swelling No pain or tenderness, No skin changes or rashes or erythema, No arthralgia or myalgia, No limitation of movement, No problems in the other hand, No recent infections, No cough, No chest pain or tenderness, No abdominal pain or tenderness, No change in bowel habits, No urinary symptoms, No visual changes, No headache, No sore throat, No recent trauma or injury to the area.
Physical examination: -
Physical history: -
Family history: -
Differential diagnosis: 1- Carpal Tunnel Syndrome
2- Herniated cervical disc | C0007286 | G56.00 | T047 | Disease or Syndrome | Carpal tunnel syndrome, unspecified upper limb | 51 Years | F | 81 |
cat scratch disease | 82 | aug_234 | Age: 18
Sex: Female
Chief complaints: Fever
Axillary lymphadenopathy
Presentation: Complaining of fever, headache with eye pain and right axillary mass since 1 week.
He stated that the mass is increasing in Size and associated with Pain.
He also felt more fatigue recently.
Upon further questioning, he reported presence of small painless Papules in his right hand 2 weeks earlier And It resolved by its own.
He has a cat that sometimes when he play with, It scratches him and leaves some marks.
Absent findings: No chills, No cough, No chest Pain, No palpitation, No dyspnea, No loss of consciousness, Normal tone and power, No blurred of vision , No dysphagia , No nausea or vomiting , No abdominal pain or distention ,No bloating , No change in the bowel habits, No history of allergy, No history of recent travel.
Physical examination: He is febrile and tachycardia.
Right Axillary Lymph Node Enlargement noticed that is red, tender and warm.
Physical history: -
Family history: -
Differential diagnosis: 1- Cat Scratch Disease
2- Lymphadenitis (Bacterial Adenitis) | C0007361 | A28.1 | T047 | Disease or Syndrome | Cat-scratch fever | 18 Years | F | 82 |
cat scratch disease | 83 | aug_495 | Age: 4
Sex: Female
Chief complaints: Fever
Lymphadenopathy
Presentation: Is brought to the clinic by her parents due to painful swelling in her left groin, which began 2 weeks ago and has gradually become red and tender. Cool compresses and over the counter analgesics have not improved her symptoms.
The patient attends preschool 3 times a week and returned from a family trip to China 2 months ago.
The family has 2 dogs, a cat, and a turtle.
Absent findings: No chills ,No cough , No chest Pain , No palpitation , No dyspnea, No LOC, Normal tone and power, No blurred of vision , No dysphagia , No nausea or vomiting , No abdominal pain or distention ,No bloating , No change in the bowel habits, No history of allergy.
Physical examination: Normal vitals.
Examination shows a small, non tender papule on the anterior left thigh. There is a 4 cm, tender, soft, and freely mobile left inguinal lymph node with overlying erythema.
Physical history: -
Family history: -
Differential diagnosis: 1- Cat Scratch Disease
2- Lymphadenitis (Bacterial Adenitis) | C0007361 | A28.1 | T047 | Disease or Syndrome | Cat-scratch fever | 4 Years | F | 83 |
cataract | 84 | aug_253 | Age: 65
Sex: Male
Chief complaints: Blurred Vision
Presentation: Comes to the clinic due to gradual onset of blurred vision over the past 2 months.
He also has difficulty driving at night and reading fine print.
The patient's medications include Ramipril and metformin.
Absent findings: No eye pain, No eye trauma, No photophobia, No ophthalmoplegia, No lacrimation, No rhinorrhea, No nasal congestion, No sneezing, No fever, No diplopia, No headache, No nausea, No vomiting, No anorexia, No abdominal pain or discomfort or tenderness, No chest pain or discomfort or tenderness, No cough, No diarrhea, No focal neurological deficit.
Physical examination: His vital signs are normal.
His best corrected vision is 20/80 in right eye and 20/100 in left eye, with normal findings on visual field testing.
The red fundal reflex is normal, but retinal details are difficult to visualize.
Physical history: Hypertension and Diabetes.
Family history: -
Differential diagnosis: 1- Cataract
2- Macular Degeneration | C0086543 | H26.9 | T047 | Disease or Syndrome | Unspecified cataract | 65 Years | M | 84 |
chalazion | 85 | aug_69 | Age: 33
Sex: Male
Chief complaints: Eyelid swelling
Presentation: He presents with a swelling in the right upper eyelid. He reports that 2 weeks ago, this swelling was painful, red and warm, his doctor advised him to use warm water compressors to relieve the pain. But this did not help and the swelling still exists.
He also has experienced excessive tears flow.
Absent findings: No trauma, No history of similar symptoms, No conjunctivitis, No diplopia, No tunnel vision, No ophthalmoplegia, No fever, No blurry vision, No visual deficits, No photophobia, No facial swelling, No crust formation.
Physical examination: Firm lump on his upper right eyelid
Physical history: TB
Family history: -
Differential diagnosis: 1- Chalazion
2- Stye (Hordeolum)
3- Lipoma | C0007933 | H00.1 | T047 | Disease or Syndrome | Meibomian (gland) cyst | 33 Years | M | 85 |
cataract | 86 | aug_324 | Age: 64
Sex: Male
Chief complaints: Blurred vision
Presentation: Presents with gradual progressive deterioration and disturbance in vision in both eyes.
He mentions that his vision has been getting worse over the last few months. He mentions that he started noticing glare and halos around lights as well as difficulty reading fine print.
Absent findings: No eye pain, No eye trauma, No photophobia, No ophthalmoplegia, No lacrimation, No rhinorrhea, No nasal congestion, No sneezing, No fever, No diplopia, No headache, No nausea, No vomiting, No anorexia, No abdominal pain or discomfort or tenderness, No chest pain or discomfort or tenderness, No cough, No diarrhea, No focal neurological deficit.
Physical examination: His vital signs are normal.
Physical history: -
Family history: -
Differential diagnosis: 1- Cataract
2- Macular degeneration | C0086543 | H26.9 | T047 | Disease or Syndrome | Unspecified cataract | 64 Years | M | 86 |
celiac disease | 87 | aug_27 | Age: 46
Sex: Female
Chief complaints: Fatigue
Diarrhea
Presentation: She complains of fatigue and laziness for months despite the fact that she sleeps well at night.
She has experienced intermittent and recurrent episodes of voluminous diarrhea for many years accompanied by abdominal bloating and discomfort. She noticed a significant decrease in her weight in the past few months.
Absent findings: No chest pain, No dyspnea, No cough, No abdominal pain, No blood in stool, No fever, No abdominal tenderness, No jaundice, No nausea or vomiting, No urinary symptoms, No melena, No menstrual related symptoms, No arthralgia, No joints swellings, No pets at home, No recent travel history, No known allergies, No new food or medications intake, Not smoker.
Physical examination: Normal vitals.
Looks thin and pale.
Throat examination: two oral aphthous ulcers.
Skin examination: multiple intensely pruritic papules and vesicles on elbows bilaterally.
Physical history: Alcoholic.
Chronic iron deficiency anemia.
Family history: Celiac Disease
Differential diagnosis: 1- Celiac Disease
2- Inflammatory Bowel Disease
3- Chronic Pancreatitis | C0007570 | K90.0 | T047 | Disease or Syndrome | Nontropical sprue | 46 Years | F | 87 |
celiac disease | 88 | aug_35 | Age: 9
Sex: Male
Chief complaints: Vomiting
Diarrhea
Presentation: Complained of chronic bulky diarrhea coupled with a generalized abdominal pain and distention since 6 months. He sometimes vomits a non projectile vomiting after eating.
According to his parents, he looks shorter and thinner than any one of his age. They noticed that his symptoms appeared after certain types of food but they didn't manage to name them as usually their meals contain most of the nutritional elements.
He mentions that his knees becomes itchy sometimes accompanied by small vesicles.
Absent findings: No chest pain, No dyspnea, No cough, No blood in stool, No fever, No abdominal tenderness, No jaundice, No nausea, No urinary symptoms, No melena, No arthralgia, No joints swellings, No pets at home, No recent travel history, No known allergies, No new food or medications intake, Not smoker.
Physical examination: Normal vitals but looks pale.
Increased bowel sounds.
Physical history: -
Family history: Celiac Disease
Differential diagnosis: 1- Celiac Disease
2- Cystic Fibrosis
3- Inflammatory Bowel Disease | C0007570 | K90.0 | T047 | Disease or Syndrome | Nontropical sprue | 9 Years | M | 88 |
celiac disease | 89 | aug_103 | Age: 42
Sex: Female
Chief complaints: Abdominal bloating
Diarrhea
Presentation: She has been experiencing these symptoms since 6 months.
She passes 8 large foul smelling stools daily that are difficult to flush.
She experienced weight loss during last 3 months but has not had any changes in her diet or appetite.
Absent findings: No recent travel history, No ill contact history, No fever, No chills, No use of laxatives, No hypovolemia, No antibiotics use, No history of diary products or raw meat intake allergy, No vomiting, No nausea, No recent upper respiratory tract infections, No abdominal tenderness, No abdominal pain, No melena, No oliguria, No dysuria.
Physical examination: Normal vitals.
Mild temporal wasting and a beefy red tongue.
Scattered ecchymoses and trace edema over the lower extremities.
Multiple intensely pruritic papules and vesicles in her knees.
Physical history: -
Family history: -
Differential diagnosis: 1- Celiac Disease
2- Inflammatory bowel disease
3- Irritable bowel syndrome | C0007570 | K90.0 | T047 | Disease or Syndrome | Nontropical sprue | 42 Years | F | 89 |
cellulitis | 90 | aug_439 | Age: 45
Sex: Male
Chief complaints: Leg pain
Presentation: Presents with acute onset of pain and skin redness of his lower leg.
Absent findings: No sweating, No weight loss, No problems in the other leg, No chest pain or tenderness, No back pain, No cough, No dyspnea, No abdominal pain, No change in bowel habits, No urinary symptoms, No headache, No visual changes, No runny nose or nasal congestion, No history of smoking, No wounds or ulcers on the legs, No cyanosis, No joint swelling or tenderness, No recent injury or trauma to the area, No hip pain, No insects or ticks bites, No pets at home.
Physical examination: Normal vitals except for low grade fever.
Red painful hot swollen skin at the affected area.
Physical history: Diabetes Miletus 2
Family history: -
Differential diagnosis: 1- Cellulitis
2- Superficial Vein Thrombophlebitis
3- Deep Venous Thrombosis | C0007642 | L03.90 | T047 | Disease or Syndrome | Cellulitis, unspecified | 45 Years | M | 90 |
cerebral stroke | 91 | aug_110 | Age: 62
Sex: Male
Chief complaints: Sudden weakness of arm and leg on one side of the body
Presentation: Comes for evaluation of weakness.
Six hours ago, he had weakness in his right arm and leg that resolved within 30 minutes.
He has never had similar symptoms before and has no chest pain, palpitations, shortness of breath, dizziness, or syncope.
He takes no medications.
Absent findings: No fever, No back pain, No bladder dysfunction, No bowel dysfunction, No nystagmus, No neck stiffness.
Physical examination: High BP
There are no carotid bruits.
An S4 is heard on cardiac auscultation.
Neurologic examination shows mild right-sided pronator drift.
Physical history: Hypertension, hyperlipidemia, and osteoarthritis.
He has a 25-pack-year smoking history but quit 5 years ago.
Family history: Family history is significant for hypertension and type 2 diabetes mellitus.
Differential diagnosis: 1- Cerebral Stroke (ischemic)
2- TIA
3- Hemorrhagic stroke | C0038454 | I63.9 | T047 | Disease or Syndrome | Stroke NOS | 62 Years | M | 91 |
cerebral stroke | 92 | aug_424 | Age: 76
Sex: Male
Chief complaints: Facial drooping
Muscle weakness
Presentation: Presented with a sudden onset of left sided muscular weakness, facial droop and dysphasia since 2 hours.
Absent findings: No problems on the right side, No visual changes, No headache, No mental status changes, No confusion, No loss of consciousness, No recent falls or trauma to the head, No nausea or vomiting, No dizziness or vertigo, No abdominal pain, No changes in bowel habits, No urinary symptoms, No tinnitus, No hearing loss, No skin rashes, No itching, No calf swelling, No chest pain, No dyspnea, No photophobia, No neck stiffness.
Physical examination: Normal vitals.
Neurological examination: left hemiplegia.
Power was 0/5 on the left upper and lower limbs.
Physical history: Diabetes Mullites 2, Hypertension, Asthma and Dyslipidemia.
Family history: -
Differential diagnosis: 1- Cerebral Stroke (Ischemic)
2- TIA
3- Hemorrhagic Stroke | C0038454 | I63.9 | T047 | Disease or Syndrome | Stroke NOS | 76 Years | M | 92 |
chancroid | 93 | aug_451 | Age: 29
Sex: Male
Chief complaints: Genital ulcer
Presentation: Presented to the clinic with painful penile lesions that had progressed for approximately 3 weeks prior to presentation.
The patient stated that the lesions began as small erythematous macule that slowly progressed to ulcers.
Absent findings: No anorexia, No weight changes, No dysphagia, No nausea or vomiting, No abdominal pain or distention, No cough , No chest pain ,No palpitation, No loss of consciousness, No dizziness, No blurred vision, No urethral discharge, No dysuria, No frequency, No urgency, No hematuria.
Physical examination: Normal Vitals.
Penile examination: two ulcers, each is 1-2 cm in diameter that have an erythematous base and well demarcated borders.
Unilateral inguinal lymphadenopathy is palpated.
Physical history: He had recently been released from a correctional facility. The patient reported unprotected sex with multiple male and female partners.
Family history: -
Differential diagnosis: 1- Chancroid
2- Genital Herpes | C0007947 | A57 | T047 | Disease or Syndrome | Ulcus molle | 29 Years | M | 93 |
chlamydia | 94 | aug_261 | Age: 23
Sex: Male
Chief complaints: Urethral Discharge
Presentation: Presents with a 2-day history of yellowish urethral discharge mostly seen upon milking the urethra.
He also mentions unilateral scrotal pain and dysuria.
He is sexually active but doesn't like to use condoms.
Absent findings: No fever, No foul smell from the discharge, No scrotal erythema, No pain on ejaculation, No abdominal pain, No frequency or urgency, No nocturia, No hesitancy or intermittency, No changes in bowel habits, No anal or peri-anal pain, No change in stool color, No chills or rigors, No nausea or vomiting, No headache, No chest pain, No cough, No sore throat, No dyspnea, No arthralgia.
Physical examination: -
Physical history: -
Family history: -
Differential diagnosis: 1- Chlamydia
2- Urethritis
3- Epididymitis | null | null | null | null | null | 23 Years | M | 94 |
cholelithiasis | 95 | aug_17 | Age: 47
Sex: Female
Chief complaints: Abdominal pain
Presentation: She states that the pain started 8 hours ago in the right upper quadrant, similar to previous episodes that she had been to the emergency department with over the past few months. Severity 6/10.
She has loss of appetite, nausea, vomiting.
She is overweight as well.
Absent findings: No mass palpated, No acid reflux, No diarrhea or constipation, No change in stools color, No irregular menstruation or dysmenorrhea or menorrhagia, No vaginal discharge, No urinary symptoms, No melena, No recent weight loss, No fever, No jaundice.
No recent drug use, No NSAIDs, No smoking history.
Physical examination: She looks in distress, She has point tenderness under her ribs on the right, which is worsened with deep palpation, Normal vitals.
Physical history: None
Family history: -
Differential diagnosis: 1- Cholelithiasis
2- Acute cholecystitis
3- Acute pancreatitis
4- Acute cholangitis | C0008350 | K80 | T047 | Disease or Syndrome | Cholelithiasis | 47 Years | F | 95 |
cholelithiasis | 96 | aug_36 | Age: 46
Sex: Female
Chief complaints: Abdominal pain
Presentation: She presented with a 6-hour history of moderate steady pain in the right upper quadrant (RUQ) that radiates through to her back. This pain began after eating dinner, gradually increased, and has remained constant over the last few hours. She has experienced previous episodes of similar pain for which she did not seek medical advice. She got multiple episodes of vomiting.
Absent findings: No fever, No jaundice, No regurgitation, Not alcoholic, Not smoker, No hyperlipidemia, No vaginal discharge or menstrual related symptoms, No constipation or diarrhea, No urinary symptoms, No melena, No recent weight loss.
Physical examination: Normal vitals, Abdominal tenderness is present at the RUQ
Physical history: None
Family history: -
Differential diagnosis: 1- Cholelithiasis
2- Peptic Ulcer Disease
3- Acute cholecystitis | C0008350 | K80 | T047 | Disease or Syndrome | Cholelithiasis | 46 Years | F | 96 |
cholera | 97 | aug_19 | Age: 3
Sex: Male
Chief complaints: Diarrhea
Presentation: Diarrhea started 20 hours ago, and the volume has increased rapidly until now. There is almost a continuous passage of thin, yellow stools into the bed.
Initially, the child was taking fluids, but he is now drowsy and got poor oral intake.
The mother notes that the child has not urinated for the past 12 hours. The mother also reports that several members of her family and others in the village are also ill with a similar illness and that 3 children have already died.
They live in a village in Zimbabwe.
Absent findings: No nausea or vomiting, No fever, No abdominal tenderness, No melena, No cough.
Physical examination: Sunken eyes, impalpable radial pulse, blood pressure is unrecordable
Physical history: None
Family history: -
Differential diagnosis: 1- Cholera
2- Acute gastroenteritis
3- Food poisoning | C0008354 | A00.0 | T047 | Disease or Syndrome | Classical cholera | 3 Years | M | 97 |
cholera | 98 | aug_260 | Age: 26
Sex: Male
Chief complaints: Diarrhea
Presentation: Sudden-onset watery diarrhea that is accompanied by vomiting and abdominal cramps.
These symptoms started yesterday.
Absent findings: No fever, No headache, No vision changes, No urinary symptoms, No blood in diarrhea, No change in the color of the stool, No abdominal tenderness, No dizziness or vertigo, No tinnitus, No change in appetite, No skin rashes or itching, No chills or rigors, No abdominal bloating, No chest pain, No dyspnea, No cough, No sore throat.
Physical examination: Dry mouth, delayed skin turgor, tachycardia, fatigue.
Physical history: -
Family history: -
Differential diagnosis: 1- Cholera
2- Viral gastroenteritis | C0008354 | A00.0 | T047 | Disease or Syndrome | Classical cholera | 26 Years | M | 98 |
chronic bronchitis | 99 | aug_194 | Age: 62
Sex: Male
Chief complaints: Shortness of breath
Presentation: He presents with progressive shortness of breath for the past several days.
Initially he was having sore throat, rhinorrhea and myalgia but later he developed productive cough of a yellowish green sputum.
He reports morning cough daily for the last 2 years.
He smokes 1-2 packs of cigarettes daily for 35 years.
He reports ankle swelling.
His shortness of breath has worsened so that he can hardly speak now.
Absent findings: No hemoptysis ,No chest pain or palpitations ,No jugular venous distention ,No fever ,No loss of consciousness, No history of allergy , No new medication use, No nausea or vomiting, No abdominal pain
or tenderness, No diarrhea or constipation, No urinary symptoms, No dizziness or visual disturbance, No lymphadenopathy, No excessive sweating, No cold extremities, No ear pain or discharge, No loss appetite or weight.
Physical examination: Findings on physical examination: Tachypnea, cyanosis, accessory muscle use, wheezing, diminished breath sound, hyper resonance on percussion, coarse crackles are present.
Rest of vitals are normal.
Mild lower limb edema.
Physical history: Hypertension
Family history: -
Differential diagnosis: 1- Chronic bronchitis
2- Emphysema
3- Asthma | C0008677 | J42 | T047 | Disease or Syndrome | Unspecified chronic bronchitis | 62 Years | M | 99 |
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