Dialogue: [doctor] hey , ms. hill . nice to see you . [patient] hi , dr. james , good to see you . [doctor] hey , dragon , i'm seeing ms. hill . she's a 41-year-old female , and what brings you in today ? [patient] um , i am having a lot of pain at the end of my right middle finger . [doctor] what did you do ? [patient] a little embarrassing . um , i got rear-ended , slow motor , uh , vehicle accident , and i got really angry with the person who hit me , so i went to flip him the bird , but i wa...

- chief complaint: Right middle finger pain - history of present illness: The patient presents with right middle finger pain after being rear-ended in a motor vehicle accident. The incident occurred four to five days ago, and the patient injured the finger while reacting angrily to the collision. - physical examination: Tenderness over the distal phalanx of the right middle finger. - symptoms experienced by the patient: Pain in the right middle finger. - new medications prescribed or changed, in...

Dialogue: [doctor] hello , mrs . peterson . [patient] hi , doctor taylor . good to see you . [doctor] you're here for your hip today , or your- your leg today ? [patient] yes . i hurt my- the- my- top part of my right leg here . [doctor] hey , dragon . i'm seeing mrs . peterson , here , she's a 43-year-old patient . she's here for left leg pain . right leg pain , right leg pain ? [patient] yes . [doctor] um so , what happened to you ? [patient] i was bowling and as i was running up to the lane ,...

• Chief complaint: Right leg pain. • History of present illness: The patient was bowling and hit her leg with the ball, causing her to fall. She developed mild bruising but denies swelling and has been walking very carefully, alternating Tylenol and ibuprofen for pain management. History of atopic eczema and colectomy following diverticulosis. • Physical examination: Significant tenderness to the lateral aspect of the right upper leg. No pain or tenderness with flexion or extension of the lower ...

Dialogue: [doctor] hey dylan what's going on so i lift quite a bit of weights i try to stay in shape as much as i can i'm not like normal people i lift heavy weights and my elbow is extremely sore which elbow is it [patient] actually it's both my elbows but my right elbow is hurting me the most [doctor] okay and you said you lift a lot of weights [patient] mm-hmm [doctor] did you play any sports when you were younger [patient] no anything you can think of primarily it was basketball baseball and...

- **chief complaint:** Bilateral elbow pain, right worse than left. - **history of present illness:** The patient has been experiencing bilateral elbow pain for approximately 1.5 years, localized to the medial aspect of his elbows, described as extremely sore, and worsened with increased use of the upper extremities. The patient lifts heavy weights and was active in sports during his youth. - **physical examination:** - Right elbow: Limited range of motion with extension with pain, full range...

virtassist

[doctor] hey , ms. hill . nice to see you . [patient] hi , dr. james , good to see you . [doctor] hey , dragon , i'm seeing ms. hill . she's a 41-year-old female , and what brings you in today ? [patient] um , i am having a lot of pain at the end of my right middle finger . [doctor] what did you do ? [patient] a little embarrassing . um , i got rear-ended , slow motor , uh , vehicle accident , and i got really angry with the person who hit me , so i went to flip him the bird , but i was a little...

D2N005

CC: Right middle finger pain. HPI: Ms. Hill is a 41-year-old female who presents today for an evaluation of right middle finger pain after she was rear-ended in a motor vehicle accident. She has no other injuries. CURRENT MEDICATIONS: Digoxin PAST MEDICAL HISTORY: Atrial Fibrillation EXAM Examination of the right middle finger shows tenderness over the distal phalanx. RESULTS X-rays of the right middle finger, 3 views obtained on today's visit shows a comminuted distal phalanx fractur...

virtassist

[doctor] hello , mrs . peterson . [patient] hi , doctor taylor . good to see you . [doctor] you're here for your hip today , or your- your leg today ? [patient] yes . i hurt my- the- my- top part of my right leg here . [doctor] hey , dragon . i'm seeing mrs . peterson , here , she's a 43-year-old patient . she's here for left leg pain . right leg pain , right leg pain ? [patient] yes . [doctor] um so , what happened to you ? [patient] i was bowling and as i was running up to the lane , i had my ...

D2N017

CC: Right leg pain. HPI: Ms. Peterson is a 43-year-old female who presents today for an evaluation of right leg pain. She states she was bowling and hit her leg with the ball and fell. She developed mild bruising. She denies swelling. She has been walking very carefully. She is alternating Tylenol and ibuprofen. She has a history of atopic eczema and takes Fluocinonide topical cream for it. She has a history of colectomy following diverticulosis. EXAM Examination of the right leg shows sign...

aci

[doctor] hey dylan what's going on so i lift quite a bit of weights i try to stay in shape as much as i can i'm not like normal people i lift heavy weights and my elbow is extremely sore which elbow is it [patient] actually it's both my elbows but my right elbow is hurting me the most [doctor] okay and you said you lift a lot of weights [patient] mm-hmm [doctor] did you play any sports when you were younger [patient] no anything you can think of primarily it was basketball baseball and football ...

D2N037

CHIEF COMPLAINT Bilateral elbow pain, right worse than left. HISTORY OF PRESENT ILLNESS Dylan Bennett is a pleasant 53-year-old male who presents to the clinic today for the evaluation of bilateral elbow pain, right worse than left. The patient has been experiencing bilateral elbow pain, right worse than left, for approximately 1.5 years. His pain is localized to the medial aspect of his elbows and is described as being extremely sore, worse with increased use of his upper extremities. Of no...

virtassist

[doctor] hi , john , how are you doing ? [patient] hi , good to see you . [doctor] good to see you too . so i know the nurse told you about dax , i'd like to tell dax a little about you . [patient] sure . [doctor] so john is a 55-year-old male with a past medical history significant for anxiety and epilepsy who presents with an abnormal lab finding . so , john , um , i , uh , was notified by the emergency room that you , um , had a really high blood sugar and you were in there with , uh ... they...

D2N013

CHIEF COMPLAINT Abnormal labs. HISTORY OF PRESENT ILLNESS John Brooks is a 55-year-old male with a past medical history significant for anxiety and epilepsy, who presents with an abnormal lab finding. The patient was notified by the emergency room physician that he had elevated blood sugar levels. He was started on metformin 500 mg twice daily during that time. He notes that he has going from place to place for different events and they've recently had a lot of visitors; therefore, he was no...

aci

[doctor] hey anna good to see you today so i'm looking here in my notes says you have you're coming in today for some right ankle pain after a fall so can you tell me what happened how did you fall [patient] yeah so i was taking out the trash last night and i ended up slipping on a patch of ice like and then when i fell i heard this pop and it just hurts [doctor] okay so have you been able to walk on it at all or is it you know [patient] at first no like my friend who was visiting thankfully had...

D2N065

CHIEF COMPLAINT Right ankle pain. HISTORY OF PRESENT ILLNESS Anna Diaz is a pleasant 31-year-old female who presents to the clinic today for the evaluation of right ankle pain. The onset of her pain began when she slipped on a patch of ice while taking out the trash. She states that she heard a pop at the time of the injury. The patient reports that she was unable to ambulate on her right ankle initially after the injury; however, she is now able to bear some weight on her right ankle, but sh...

virtassist

[doctor] hi , anna . how are you ? [patient] i'm doing okay . how are you ? [doctor] i'm doing okay . so i know the nurse told you about dax . i'd like to tell dax a little bit about you . [patient] all right . [doctor] so , anna is a 44-year-old female with a past medical history significant for arthritis , gout , and reflux , who presents today for follow up of her chronic problems . [doctor] so , anna , it's been probably about six months since i've seen you . how are you doing ? [patient] i'...

D2N006

CHIEF COMPLAINT Follow-up of chronic problems. HISTORY OF PRESENT ILLNESS Anna Mitchell is a 44-year-old female with a past medical history significant for arthritis, gout, and reflux, who presents today for follow-up of her chronic problems. It has been about 6 months since I last saw the patient. The patient reports her arthritis is starting to get better. She has been trying to move her body with pilates and lifting weights. This has helped build up some muscles and her joint pain has red...

aci

[doctor] okay raymond it looks like you've been having some difficulty swallowing over for a period of time could you tell me like what's going on [patient] well i've been better for the last several weeks i've been noticing that it's been hard for me to swallow certain foods and i also have pain when i swallow down in my chest [doctor] okay and when does it does it happen every time you eat [patient] it hurts not every time it hurts when i when i swallow most foods but it's really just the bigg...

D2N062

CHIEF COMPLAINT Difficulty swallowing. HISTORY OF PRESENT ILLNESS Raymond Taylor is a pleasant 67-year-old male who presents to the clinic today for difficulty swallowing. The patient notes that the pain has been occurring for the last several weeks. The pain radiates to his chest when he swallows. He notes that he does not have pain every time he eats but mostly when he has big pieces of food as they seem to get stuck. Mr. Taylor notes that it has been stressful for him the past couple of mo...

aci

[doctor] hi teresa what's going on i heard that i heard that you're having a sore throat you're not feeling well [patient] yeah my throat has been hurting me for like four four days now and i think i had a fever last night because i was really sweaty but i did n't take my temperature because i was already in bed [doctor] okay alright so four days ago you started feeling badly okay now were you having chills [patient] yeah last night i was chills and i had lot of sweating and it's really hard to ...

D2N041

CHIEF COMPLAINT Sore throat. MEDICAL HISTORY Patient reports history of hypertension and diabetes. SOCIAL HISTORY Patient reports working as a cashier in a supermarket. She enjoys drinking wine. MEDICATIONS Patient reports taking lisinopril 20 mg daily, multi-vitamin, vitamin D, and metformin 1000 mg twice daily. REVIEW OF SYSTEMS Constitutional: Reports fever, chills, and profuse sweating. HENT: Reports sore throat, dysphagia, tonsil swelling, and congestion. Gastrointestinal: Denies a...