Johnyquest7/Med_soap_llama321_tinker
Text Generation • 1B • Updated • 1
transcript stringlengths 3.22k 6.18k | structured_note stringlengths 1.84k 4.7k |
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Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How are you and your family doing today?
Patient: Morning, doctor. We're doing okay, thank you. A bit worried about my daughter though. She's been showing some early signs of puberty, and it's really thrown... | Demographics:
Name: N/A
Age: 7 years
Date of Birth: N/A
Sex: Female
Presenting Illness:
- Early signs of puberty noted in a 7-year-old female over the past 3 months.
- Breast development, pubic hair growth, mild acne, increased body odor, moodiness, and accelerated height growth.
History of Presenting Illness:
Approx... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How have you been feeling since our last visit?
Patient: Morning, Doc. Honestly, I’ve been a bit off. I started feeling really tired, more than usual, and I’ve also been getting kind of cold all the time e... | Demographics:
N/A
Presenting Illness:
- Increased fatigue and feeling cold despite warm weather, duration about 2 weeks.
- Intermittent palpitations, anxiety, and irritability.
- Unintentional weight loss over the last month.
History of Presenting Illness:
Patient reports onset of increased fatigue and cold intoleran... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning, thanks for coming in today. How have you been feeling since your last visit?
Patient: Morning, uh, I've been okay overall, but, yeah, I’m still struggling with my weight. It’s been tough keeping it off.
D... | Demographics:
N/A
Presenting Illness:
- Difficulty maintaining weight loss
- Weight issues ongoing at present visit
History of Presenting Illness:
Patient reports ongoing struggle with weight management despite attempts to improve diet and occasional exercise over an unspecified period. Symptoms include increased fat... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good morning! How are you doing today?
Patient: Morning, Doctor. I’m, uh, hanging in there, but honestly I’ve been feeling pretty exhausted lately, like all the time.
Doctor: I’m sorry to hear that. When did you fi... | Demographics:
N/A
Presenting Illness:
- Persistent fatigue for several months
- Difficulty concentrating and cognitive fogginess
- Mood changes including irritability and feelings of being down
History of Presenting Illness:
Patient reports gradual onset of fatigue over a few months, initially attributed to stress an... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How are you doing today?
Patient: Morning, doctor. Uh, I’ve been... well, not great honestly. Been feeling kind of low energy and, um, less interested in, you know, the usual stuff.
Doctor: I’m sorry to hea... | Demographics:
N/A
Presenting Illness:
- Low energy and fatigue for approximately 4-5 months
- Reduced libido
- Difficulty with fertility
- Mild testicular shrinkage noticed
History of Presenting Illness:
Patient reports onset of progressive low energy and decreased interest in usual activities starting about 4-5 mont... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good morning! How are you feeling today? Patient: Morning, doctor. I’m doing okay, just a bit tired lately, I guess. Doctor: Okay, tiredness can be pretty common, especially during pregnancy. So, you’re currently in ... | Demographics:
N/A
Presenting Illness:
- Hypothyroidism management during pregnancy
- Increased fatigue for several weeks
- 12 weeks pregnant
History of Presenting Illness:
Patient is approximately 12 weeks pregnant and reports increased tiredness compared to pre-pregnancy, which she attributes to pregnancy itself. Sh... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How have you been since our last visit? Patient: Morning, doctor. I've been alright, a bit tired though, but nothing too new. Just hoping these test results can give us a better picture this time. Doctor: A... | Demographics:
N/A
Presenting Illness:
- Persistent fatigue.
- Mood swings with intermittent anxiety.
- Hair thinning and dry skin.
- Duration: symptoms ongoing since last visit (exact duration not specified).
History of Presenting Illness:
Patient reports persistent fatigue and increased mood swings characterized by ... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How have you been since we last saw each other?
Patient: Morning, doctor. Um, I’ve been okay, I guess. You know, some days are better than others, but I've been sticking to the meds mostly.
Doctor: That’s g... | Demographics:
N/A
Presenting Illness:
- Increased fatigue and easy tiredness after short walks for the past several weeks
- Occasional dizziness on standing (orthostatic symptoms)
- Mild intermittent nausea after morning medication
History of Presenting Illness:
Patient with Addison’s disease diagnosed approximately ... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How are you doing today?
Patient: Hi, Doctor. I'm doing alright, thanks. Just been feeling a bit off lately, wanted to check in about my thyroid meds.
Doctor: Of course, that’s why you’re here. So you’re cu... | Demographics:
N/A
Presenting Illness:
- Feeling off lately with thyroid medication
- On levothyroxine 75 mcg daily for about 6 months
- Recent symptoms of early waking, intermittent palpitations, mild weight loss, and lightheadedness lasting 2 weeks
History of Presenting Illness:
Patient has been taking levothyroxine... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How are you doing today? Patient: Morning, doc. I’m doing alright, just a bit tired lately and I wanted to talk about getting my diabetes better managed. Doctor: Absolutely, that’s what we’re here for. Let’... | Demographics:
N/A
Presenting Illness:
- Patient reports fatigue and episodes of dizziness, especially pre-meals.
- Concerned about fluctuating blood glucose and recent hypoglycemic event.
- Seeking improved diabetes management.
History of Presenting Illness:
Patient reports a 7-year history of type 2 diabetes mellitu... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good to see you again. How have you been since your last visit?
Patient: Hey, Doctor. Um, I've been alright, though I’ve been feeling kinda more tired than usual. Like, even when I think I should be well rested, I do... | Demographics:
N/A
Presenting Illness:
- Increased fatigue despite rest
- Sleep disturbance with frequent awakenings
- Fluctuating blood sugar levels over recent period
History of Presenting Illness:
Patient reports increased fatigue over the recent period despite perceived adequate rest. Sleep has become fragmented w... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good morning! How have you been since our last appointment?
Patient: Morning, doctor. I’ve been okay, I guess. Still a little worried about my height, though. My parents and I were hoping to understand more about wh... | Demographics:
N/A
Presenting Illness:
- Concern about short stature and growth issues
- Noticed more prominently since puberty
- Family history of short stature in sister and mother
History of Presenting Illness:
The patient has been shorter compared to peers since childhood, with increased prominence around puberty ... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good to see you again. How have you been feeling since our last visit? Patient: Hi, yeah, I've been okay, I guess. Still a bit tired, and some days I feel more sluggish than others. Doctor: Okay, thanks for letting m... | Demographics:
N/A
Presenting Illness:
- Persistent fatigue, ongoing
- Occasional headaches
- Occasional dizziness
History of Presenting Illness:
Patient reports ongoing fatigue since last visit, which remains the primary symptom. Occasional headaches and dizziness are also noted. Weight is stable with slight recent l... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good morning! How have you been since we last saw each other?
Patient: Morning, Doctor. Um, well, I've been okay, but honestly, I've been feeling more sluggish lately, and my mood's been all over the place.
Doctor:... | Demographics:
N/A
Presenting Illness:
- Increased sluggishness and low energy
- Mood instability with anxiety
- Poor sleep quality with nighttime awakenings
- Weight gain (~5 pounds in 6 months)
- Symptoms ongoing for several months
History of Presenting Illness:
Patient has a 3-year history of hypothyroidism treated... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How have you been since we last met? Patient: Morning, doc. I've been okay, I guess. Still a bit tired sometimes, and I think my heart races more than before. Doctor: Okay, thanks for letting me know. Let's... | Demographics:
N/A
Presenting Illness:
- Symptoms of fatigue and heart racing (palpitations) ongoing
- Shortness of breath and shakiness on exertion
- Unintentional weight loss of 5 pounds over 2 months
- Variable appetite
- Symptoms ongoing for approximately 2 months
History of Presenting Illness:
Patient, diagnosed ... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good morning! How have you been since we last spoke?
Patient: Hi, doctor. Um, I've been okay, but honestly, I've been feeling kind of off for a few months now. Like, my periods are irregular, and sometimes I get thi... | Demographics:
N/A
Presenting Illness:
- Irregular menstrual periods for 3-4 months.
- Unexpected nipple discharge intermittently for 3-4 months.
- Fatigue and poor sleep with frequent awakenings over recent months.
History of Presenting Illness:
The patient reports gradual onset of irregular menstrual cycles and occa... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! It's nice to see you again. How have you been since our last visit?
Patient: Hi, Doctor. I've been okay, I guess. Still trying to manage my blood sugar, but I’m not sure if the lifestyle changes alone are ... | Demographics:
N/A
Presenting Illness:
- Type 2 diabetes mellitus, diagnosed 5 years ago
- Difficulty managing blood sugar with lifestyle changes alone
- New onset fatigue and intermittent foot numbness
History of Presenting Illness:
Patient has had type 2 diabetes mellitus for approximately five years. Initially mana... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi! Good to see you again. How have you been feeling since our last appointment?
Patient: Oh hi, doctor. Well, honestly, I’ve been better. I’m just feeling pretty overwhelmed lately, and my energy levels have been all o... | Demographics:
N/A
Presenting Illness:
- Worsening fatigue, near constant
- Weight gain of a few pounds without dietary changes
- Mood swings with irritability and low mood
- Feeling cold all the time
- Intermittent palpitations, especially during anxiety
- Duration: several weeks to months, progressive
History of Pre... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning, how have you been since we last saw you?
Patient: Morning, doc. I've been okay, I guess. Still dealing with some muscle cramps and, uh, occasional tingling in my fingers.
Doctor: Okay, that's helpful to kno... | Demographics:
N/A
Presenting Illness:
- Muscle cramps and occasional tingling in fingers ongoing
- Symptoms present for approximately 5 years following thyroid surgery
History of Presenting Illness:
Patient was diagnosed with hypoparathyroidism about five years ago following thyroid surgery during which parathyroids ... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How have you been since we last saw each other?
Patient: Hi, uh, good morning. I've been okay, but I've been a bit worried about my blood sugar levels, honestly.
Doctor: That's completely understandable. Le... | Demographics:
N/A
Presenting Illness:
• Concern about blood sugar levels
• Prediabetes diagnosis based on recent labs
• Duration: recent (past few weeks)
History of Presenting Illness:
Patient reports being worried about blood sugar levels. Last blood work two weeks ago showed fasting glucose of 110 mg/dL and HbA1c o... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hello, good morning! How are you doing today?
Patient: Hi, good morning, doctor. I’ve been... well, not great, honestly. Been feeling really tired and some muscle cramps lately.
Doctor: I’m sorry to hear that. Can you ... | Demographics:
N/A
Presenting Illness:
- Fatigue for approximately 2-3 weeks
- Intermittent muscle cramps
- Tingling sensation in hands and feet
- Cognitive issues such as forgetfulness and poor focus
History of Presenting Illness:
The patient reports onset of fatigue about two to three weeks ago, which has been const... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How are you doing today?
Patient: Oh, hi, Doctor. I’m, uh, feeling a bit tired lately, actually. Just been kind of weak, like my muscles don’t have the usual strength.
Doctor: I’m sorry to hear that. When d... | Demographics:
N/A
Presenting Illness:
- Progressive muscle weakness over past few weeks
- Bone aches, especially in legs
- General fatigue for several weeks
History of Presenting Illness:
Patient reports onset of muscle weakness that has gradually worsened over the past several weeks. Initially attributed symptoms to... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi there! Good to see you again. How have you been feeling since your last visit?
Patient: Hi, doctor. Um, I think okay, but I've been kinda more tired than usual and, well, a bit anxious too. Not sure if it's related... | Demographics:
N/A
Presenting Illness:
• Increased tiredness for recent period
• Anxiety symptoms noted
• Follow-up for hypothyroidism
History of Presenting Illness:
Patient with known hypothyroidism presents for follow-up reporting increased fatigue and some anxiety. She has been on levothyroxine 75 mcg daily as pres... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good morning! How are you doing today?
Patient: Morning, doctor. I'm, uh, hanging in there, but still pretty worried about the infertility stuff. It’s been, what, over a year now trying with no luck, and, well, thin... | Demographics:
N/A
Presenting Illness:
- Infertility for over 1 year without conception
- Irregular menstrual periods with cycles skipped or heavy bleeding
- Intermittent milky nipple discharge
- Decreased libido
History of Presenting Illness:
Patient reports infertility lasting over one year despite attempts to conce... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi there! Good to see you again. How have you been doing since our last appointment?
Patient: Hey, thanks. Um, I’ve been okay, I guess. A bit more tired than usual, honestly.
Doctor: I see. When did you start feeli... | Demographics:
N/A
Presenting Illness:
• Increasing fatigue over the last 2 weeks
• Symptoms related to prednisone taper including dizziness and muscle weakness
History of Presenting Illness:
Patient reports gradual onset of increased fatigue starting approximately 2 weeks ago, initially attributed to stress or work. ... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How have you been since we last met? Patient: Morning, Doc. Umm, honestly, my blood sugars have been kinda all over the place lately. Doctor: I see. That's definitely something we want to dig into. Can you ... | Demographics:
N/A
Presenting Illness:
- Blood sugar fluctuations with hyperglycemia mostly in afternoons/evenings and occasional hypoglycemia in mornings.
- Symptoms include shakiness and sweating during hypoglycemic episodes.
- Duration: Recent weeks.
History of Presenting Illness:
Patient reports recent erratic blo... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi there, good to see you again. How have things been since your last visit?
Patient: Hey, doc. Things have been okay, I guess, but I'm still worried about how my daughter is growing. She’s, uh, just really short for h... | Demographics:
N/A
Presenting Illness:
- Short stature for age, persistent concern.
- Slow growth rate compared to peers.
- Increased fatigue and occasional joint aches.
History of Presenting Illness:
Patient's daughter has been consistently shorter than her peers with slower growth velocity noted over time. There are... |
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