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<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 yo F c/o mens cycles dysregularities - started 6 m ago. LMP 2 m ago, has menorrhagea - before 6 m, cycles were regular, 3-4 d/m. G0P0. No hot flashes. No vaginal discharge. - sex active with boyfriend, no contraception, wants to be pregnant - 10-15 p/last months - no N/V, change in bowel habits, urination ROS as above All: NKDA Meds: none PMH:none PSH: none FH: breast and cervical cancer h/o in family. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, menorrhagea, LMP 2 m ago, no contraception, 35 yo, 6 m, 6 m</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Tompkins is a 35 yo G0P0 woman with irregular, heavy periods over the past 6 months. Menarche was at 12, with periods every 30-35 days, lasting for 3 days, without pain. Now her periods occur every other month and last for 7 days, with heavy bleeding requiring her to change tampons every 2 hours. She had unprotected sex for 9 years with her ex-husband but never became pregnant and eventually adopted 2 children. She never pursued an infertility work-up. She is sexually active with her current boyfriend without birth control and has not become pregnant. She has gained 10-15 pounds in the past 6 months and feels tired. No hirsutism, acne, spotting, changes in bowels. ROS: otherwise negative. OBGYN history: Last pap 6 months ago, no hx of abnormal paps. No hx STIs. PMH: none Meds: none Surgeries: none Allergies: none FH: Aunt with breast cancer @ 51, grandmother with cervical cancer @ 62 SH: No tobacco or drugs. EtOH occ.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Ms, woman, gained 10-15 pounds, heavy periods, irregular periods, heavy bleeding, change tampons every 2 hours, without birth control, tired, never became pregnant, infertility, 35 yo, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 yo, F, c/o irregular and heavy period* 6 mos - since 6 mos ago, no ppt factors, needs to change pads/few hrs, heavier in first day, no dysmenorrhea, LMP 2 mos ago - associated w/black pigmentations in hands and neck * 1 yrs, gain 10-15 lbs/6 mos, feeling fatigue because pt has 2 kids to take care - denial cold/heat intilerance, swellings, depressed mood, anhedonis, skin/hair changes, acne, breast tenderness, vision changes, nausea, vomiting ROS: no changes in appetite, bowel or urinary habits PMH/FH/Meds: None, NKA PSH/hosp: two nl vaginal delivery SH: clerk ,etoh occ, no tobacco, illict drug use. diet nl, monogamous w/boy friend, couldn't conceive w/o condoms. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, gain 10-15 lbs, irregular period, heavy period, LMP 2 mos ago, fatigue, "couldnt conceive", 35 yo, 6 mos, 6 mos</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Case of a 35 yo F presenting for heavy menses. The patient had menarche at 12 yo. She used to have regular period lasting 7 days/ 4 weeks with 3 tampons/day. For the past 6 month she had only 2 periods with heavy bleeding changing tampons every couple of hourse, but no clots. The patient denies abdominal pain, no spotting between periods and no post-coital bleed. She rhad 10 lbs weight gain in the past 6 month with no change in appetite along with fatigue. She reports darkening of her skin on both hand and L neck for the past year. She denies change in vision, vaginal discharge or itching. She reports being infertile without investigation. No pap smear or mammography done. ROS: negative except as above PMH: Infertile PSH: None Medications/Allergy:NKFDA FH: Grandmother had cervical ca and aunt had breast ca SH: Social worker. No smoking, occasional EtOH. No illicit drug use. Sexually active with boyfriend of 1 year no condomns.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, heavy menses, heavy bleeding, changing tampons every couple of hourse, no condomns, fatigue, infertile, Infertile, 35 yo, 6 month, 6 month</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms Tompkin is 35 yoF with "problems with periods". The last five months she has noticed irregularity with her cycles and heavier bleeding. She started menstruation at 12 and her cycles were every 30-35 days. She went through 3 pads per day and had moderate bleeding. In the past five months she has only had two periods, and her last period was 2 months ago. She now changes her pad every couple hours and notices "a lot of blood". She has not had any increased pain with menstruation. She has a 10 pound weight gain in the past six months, and increased fatigue. Her last pap smear 9 months ago was normal. She has a history of infertility. Her mother and sister have regular periods ROS: no nipple discharge, breast tenderness, vaginal pain, itching, discharge or dryness, no dry skin, no hair loss, no urinary syptoms PMH: none PSH: none Meds: none FH: grandomther - cervical cancer, aunt - breast cancer SH: sexually active, no condoms. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Ms, F, weight gain, irregularity with her cycles, heavier bleeding, changes her pad every couple hour, last period was 2 months ago, no condoms, fatigue, infertility, 35 yo, five months, five months, six months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 year-old female presents with heavier and longer periods onset 6 months ago. Previously they were 3-4 days with 4 tampons this first day tapering down to 1 near the end. Now they last 7 days with tampons changed every few hours, her last one was 2 months ago and she's had 2 in the last 5 months. She denies any pain but does report fatigue and a 10-15 pound weight gain. She has no change in her vision. Unable to get pregnant. No irregular hair growth. No h/o STDs. Gyn: periods began age 12 were irregular then placed on birth control at age 12 to regulate. stopped 11 years ago. Pap smear 6 months ago normal (no abnormal) PMH: none PSH: none Allergy: NKDA FH: Aunt breast cancer 51 maternal, grandmother cervical cancer 62 maternal Med: none SH: alcohol 1-2 beers rarely, tobacco none, drugs none, work: scheduling administrator, sexyally active with boyfriend (monogamous). Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weight gain, heavier periods, tampons changed every few hours, last one was 2 months ago, fatigue, Unable to get pregnant, 35 year-old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Angela Tompkins is a 35yo F who presents to clinic complaining of "period problems." She states that her menstrual flow is heavier than usual. She usually uses 4 pads/day at the beginning of period, tapering to 1 by the end of period. Now she has to change pad every 2 hrs. Her LMP was 2 months ago. Periods are regular, occurring every 4-5weeks and lasting 3-4days. She has never been pregnant, stating "I can't get pregnant." This change in flow has never happened before. Endorses acanthosis nigrDenies hair loss, fevers, abd pain, joint pain. PMH: none PSH: none SexualHx: active w/ boyfriend, no H/o STIs, no longer uses condoms Allergies: none Meds: none SocialHx: 2 adopted children; nonsmoker, 1-2 beers/month, no illicit drug use.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, menstrual flow is heavier, change pad every 2 hrs, LMP was 2 months ago, no longer uses condoms, "I cant get pregnant", 35yo</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: Abnormal Menses 35 yo F with 6 months of irregular and heavy periods, shs has had 2 periods in 5 months, LMP 2 months ago. The bleeding is heavier than her normal period, using 7 pads/day instead of her normal 3, but there are no clots. Menarche was at age 12, and she has a history of irregular periods requiring OCPs. Menses were previously every 4-5 weeks, with 3 days of bleeding and mild cramping. She notes a 10lb weight gain in last 6 months, fatigue of 2 years duration and darkening of the skin over her knuckles and neck. She was unable to concieve after trying for 9 years. At present the patient has no pain with her periods, no vaginal dryness, no hot flashes, hirsutism, sleep changes, acne, breast discharge/pain, consipation or swelling. ROS: No headache. PMHx: None, no meds, NKDA. No Surgeries. SHx: Employed, drinks rarely, no tobacco or durg use. FHx: Maternal Grandmother Cervical CA, Maternal aunt Breast CA. OBGYN: G0,. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, Abnormal Menses, irregular periods, heavy periods, 2 periods in 5 months, bleeding is heavier, 7 pads/day, LMP 2 months ago, fatigue, unable to concieve, 35 yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35yo F presents with irregular periods. She has had 3 periods in the past 5 months, irregular onset, lasting 7 days, needs to change tampon every few hours for the first day. In the past, her periods were regular, every 5 weeks, lasted 3-4 days, 4 tampons on first day. LMP was 2 mos ago. Periods associated w minor cramping only. Also reports gaining 10-15 lbs in the past 6 months, but no increased appetite. No acne, fatigue, lightheadedness, headache, fever, hirsutism, voice changes. OBGYN Hx: Menarche age 12. Had irregular periods then and was put on oral contraceptive age 13-24; periods were regular then and remained regular after that. Tried to get pregnant for many yrs but never pregnant. No hx of STIs, tested negative 1 yr ago, no new partners since then. Sexually active with 1 male partner; no condoms or other contraceptive use. PMH: no meds, allergies, health issues, or surgical hx SH: occasional alcohol, no tobacco/drugs. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, gaining 10-15 lb, irregular periods, change tampon every few hours, periods irregular, LMP was 2 mos ago, no condoms, no contraceptive use, Tried to get pregnant but never pregnant, 35yo, 5 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo F comes into the office complains of heavy menses. It started 6 months ago, when her period started to get heavy and she use to use 3-4 pads per day now increased to changing pads every couple of hours. Menses use to be 3-4 days now lasts 7 days. Menarche was 12 years old, no pregnancy, normal pap smear 6 months ago. Associated with dark spots on skin, fatigue, 10-15 lbs weight gain in last 6 months unable to get pregnant. Denies changes in vision, neck lumps, fever, night sweats, abdominal pain, changes in stool caliber, bowel movement, urination, nausea vomiting, changes in breast, breast discharge, changes in hair. ROS-none except listed above PMH-NC; MEDS-NC; NKDA Hospitalization/PSH- NC family history- aunt died of breast CA; grandma died of cervical CA SH- social woker scheduler, no smoking, occasional alcohol, no illict drug use, sexually active with boyfriend, no condom no use of STD, lives with 2 adopted children. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, heavy menses, period heavy, changing pads every couple of hours, no condom use, fatigue, unable to get pregnant, 35 yo, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Tompkins is a 35 yo F who presents due to a h/o irregular, heavy, and painful periods for the past 6 months. She has had 2 periods in the last 5 months, with her LMP being 2 months ago. She had her menarche at age 12, began taking birth control pills at age 13 to regularize her periods, and stopped taking birth control 11 years ago. She attempted to get pregnant with her ex husband for a period of 9 years, but was not able to. She is currently sexually active with her boyfriend, and they do not use protection because she "cannot get pregnant." She denies any irregular bleeding prior to the last 6 months, dyspareunia, problems with blood sugar, painful defecation, changes in bladder habits, abnormal discharge, itching, or any past h/o STIs. Social Hx: lives a stressful life with her job, and 2 adopted children, denies smoking, drug use, or drinking FHx: None. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Ms, F, heavy periods, irregular periods, LMP being 2 months ago, do not use protection, get pregnant not able to, cannot get pregnant, 35 yo, 6 months, 5 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Patient is a 35 yo F presenting with period problems. She states that she has had heavy period flow for past 6 months. Previously her menstrual period occured every 4-5 weeks, lasting 3-4 days and requiring 3-4 pads/day. Now she states that she has had 2 periods in last 5 months, lasting 7 days and requiring up to 7 pads per day. She also notes some fatigue and states she has gained 10 pounds in the past 6 months. She denies any vaginal discharge, dysmenorrhea or any breast tenderness/discharge. ROS: negative except as above Medications: none Allergies: NKDA PMHx: none PSHx: none FHx: grandmother died from cervical cancer. Aunt died from breast cancer at 51 SHx:2 adopted children, no tobacco or illicit drug use. Drinks alcohol socially on occasion. Sexually active with boyfriend. Does not use contraceptives. OB/GYN: LMP - 2 months ago. Never pregnant. Pap smear 2 months ago - normal. no vaginal discharge or associated symptom. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, gained 10 pounds, heavy period, Now lasting 7 days, Now up to 7 pads per day, Does not use contraceptives, fatigue, 35 yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Tompkins is a 35 yo Female presenting for problems with her periods. Reports she has been having irregular heavy periods for the last 6 months. Used to have periods every 4-5 weeks lasting 3-4 days, she would need 4 tampons on day 1 and then tapered down. Over the last 5 months she has had 2 periods with the last one 2 months ago. She goes through a tampon every 2 hours for the first day and her periods last 7 days. Has light cramping with her periods which has not changed. Has noticed skin discoloration on the back of her neck and the knuckles of her hands over the last 1-2 years. Has history of trouble getting pregnant. Tried for 9 yrs with research into the best strategies and could never get pregnant. Was never evaluated for this issue. Not on any contraception, no history of STDs, last pap 6 months ago was normal and has no history of abnormal paps. FH: cervical and breast cancer SH: never smoker, 1-2 alcoholic drinks a week. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Female, heavy periods, irregular periods, tampon every 2 hours, periods last 2 months ago, Not on contraception, history of trouble getting pregnant, could never get pregnant, 35 yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 y/o female with on significant past medical history presents with heavier menstrual cycles. Her last regular menstrual period was 6 months ago. Her periods were previously on regular 1 month cycles. Her periods are still on 1 month cycles but she expereinces heavier bleeding with no pain. Has not noticed any vaginal discharge or clots. Denies any inciting factors. Does not think she is pregnant as she previously tried for 9 years and was unable to become pregnant. Has been having unprotected sex for the past year. Also reports gaining 10 pounds in the last 6 months. No fevers, chills, chest pain, shortness of breath, night sweats, hot flashes. PMH: None FMH: Aunt with breast cancer and grandmother with cervical cancer Social: Never tobacco user. No alcohol or illicit drug use Surgery: None. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, gaining 10 pounds, heavier menstrual cycles, heavier bleeding, unprotected sex, unable to become pregnant, 35 y/o, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI 40 y/o F c/o iregular periods for 6 monts, Right now she has period every 2 month but havier than before, last for 7 days and change tampons every 3 h on first day. NO tissue coming out, No fever, no constipation, no change in urinary habits. NO palpation. PMH try to be pregnat for 9 y and could not . Adoppted two kids PSH none SF parents in good healt but aunt died of brest ca and grandmother hed cervical ca. SH sexualy active with husband no history of STD. SOcial h drinks 1 glass of beer evry night but no tabbaco prodact nor illicit drugs Married, has to adopted daughters. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, iregular periods, period havier, now 7 days, now change tampons every 3 h on first day, try to be pregnat for 9 y and could not, 6 monts</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo F presenting for heavy periods. For the past 6 months she has noticed an increased length and heaviness of periods. Previously periods were 3-4 days in length requiring 4 tampons on first day, 1 subsequent days; now with 7 day periods requiring change of tampon every couple of hours. No spotting between periods. She denies dizziness, SOB, N/V, abdominal pain, or clotting problems, but does endorse fatigue. Denies soaking through clothing. Patient also stating she is unable to get pregnant after years of attempts with her ex-husband. ROS: per HPI PMH: none PSH: none Gyn: 12/irreg prior to BC/3-4 days, now 7 days; no h/o STI, Pap smear 6 months ago normal, sexually active with boyfriend, previously used condoms, but no longer Allergies: NKDA Med: none FHx: aunt with breast cancer, grandmother with cervical cancer Social: administrator, denies tobacco and drug use, social drinker, lives at home with her 2 adopted girls. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, heavy periods, increased length and heaviness of periods, now with 7 day periods, now requiring change of tampon every couple of hours, previously used condoms, but no longer, fatigue, unable to get pregnant, 35 yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 year old F complaining of missed period for the past 2 months. Reports that for the past 6 months, had heavy menses and irregular, was given Orthotricycline (OCP) by MD to help regularize menses, last dose taken 11 years ago, then menstruation became regular. Patient is divorced with husband, been trying to get pregnant and has adopted two kids. Had a boyfriend, sexually active, no condom or protection. Reports weight gain 15 lbs for the past 6 months, feeling of tiredness. Denies any depression, weight loss, hair changes, voice changes. Adopted 2 kids. ROS: none PMH: none FH: Aunt has breast Ca. grandmother has cervical cancer. OB/Gyne: LMP 2 months ago, Menarche 12 years old, initially irregular, then became regular. Uses a lot of pad every couple of hours during the first day of mens. Denies spotting but reports mild cramping or dysmenorrhea. SH: denies smoking but has 1-2 beers occasionally. no illict drug,masters scho. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, heavy menses, menses irregular, Uses a lot of pad every couple of hours, no condom, no protection, tiredness, 35 year old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo F, presents with 6 months of oligomenorrhea and heavy menses. She has had only 2 menses during this perios, which lasted 7 days, and required changing pads every hour the first day. No clots seen. No previous history of amenorrhea. She reports a 10 pounds increase in weight but no change in appetite. Lives with her two adopted children (3, 4 years-old). Has seen a physician few years ago for check up and repors having been found to have infertility. Reports hyperpigmentation of her left neck and finguer knukles. No hirsutism. no cold intolerence, no tremors. No headache or visual changes, no galactorrhea. Has not had fever/chills, abdominal pain or changes in bowel movement. No urinary symtoms. ROS: Allergies: none PMH: infertility PSH: none SH: lives with 2 adopted daughters, works as sche. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, increase in weight, oligomenorrhea, heavy menses, 6 months only 2 menses, lasted 7 days, changing pads every hour, infertility, infertility, 35 yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Tompkins is a 35 y.o. F with 6 months of heavy periods. Last normal period was 2 months ago. LMP May 27, which lasted for 7 days. Used to only last for 3-4 days, and used to be regular. No intermenstrual bleeding. No bleedng or pan with sex. No vaginal d/c, odor, or pruritis. Also reports fatiues, weight gain, and rash on neck and fngers x2 years Reports abd cramping, but denies any other pan including in joints. No other bruisng, f/c, SOB, CP, palpitiations, change n BM/voiding, appeitite, mood or anxiety. PMHx: difficulty conceiving. No hx STI, last pap smear nml a month ago, menarh 12 y.o. Adopted 2 children. No PSHx, meds, allergies. FHx: aunt breast CA, grandma cervical ca. social hx no tobacco or drugs. occasonal beer. sexually active with one male partner. no condoms or contracepton.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, heavy periods, Last period was 2 months ago, no condoms, no contracepton, fatiues, difficulty conceiving, 35 y.o, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 y/o F presents to the clinic for heavy periods 6 months in duration. Pts previous periods were regular, but she reports now that she has had 2 periods in 5months. She reports heavy bleeding on the first day of her period, now requiring 7 tampons on the first day where previously she required 3 -4. Pt has some minimal cramping, and some skin discolouration on her 2nd knucles as well as on her L neck. Pt reports feeling fatigued for 2 years, and 10 lb weight gain with balanced diet. She reports that she believes she is infertile after failing to concieve for years. OBGYN: LMP 2 months ago, heavy flow, 7 tampons used for 1st day, Menarche at 12 y/o, G0P0, no pain during sex and no postcoital bleeding, last pap 6 months ago (normal), no hx of abnormal pap ROS: Negative except as above PMH and PSH: None FH: Aunt died of breast cancer, grandmother died of Cervical cancer SH: Rarely drinks alcohol, sexually active with Boyfriend,. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, heavy periods, heavy bleeding, heavy flow, now requiring 7 tampons on the first day, 7 tampons used for 1st day, LMP 2 months ago, fatigued, infertile, failing to concieve, 35 y/o, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Patient is a 35 year old female who presents with change in menstruation. 6 months ago she started having heavier periods lasting 7 days (changing tampon every 2 hours). She has only had two during the past 6 months. Previously her periods were every 4-5 weeks, lasting 3 days without spotting or excessive cramping using 3 tampons per day. her last pap smear was 6 months ago and it was normal. no breast tenderness or discharge. tested for STIs (negative). no decrease in libido, vaginal dryness, no dysperunia, dyschezia, frequency, dysuria, incontinence, difficulty passing urine. sexually active with 1 male partner. 2 lifetime sex parterns; both men. never pregnant; tried for 9 months but couldn't get pregnant. no change in vaginal discharge (amount/smell/color). dark velvety rash bilateral knuckels and left side of neck. 10 pound weight gain with poor diet. no PMH/PSH, allergies, or meds; family hx and social hx noncontributory. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weight gain, heavier periods, changing tampon every 2 hours, "couldnt get pregnant", 35 year old, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Thompkins a 35 year old female comes to the office due to dysfunctional uterine bleeding. She states that during the last 5 months she started having heavy bleeding that is continous and intermittently without any pattern, she states that she needs to change her tampons constantly, she denies pain. Before this her menstruation used to be normal at intervals of every 30 to 35 days, lasting 3 days. Menarche was at 12 years old. ROS: No pain, No fever, denies bruises in other parts of body or blood dyscrasias. Allergies: NKDA Medications: Denied PMHx: There is a story of infertility that has not had a workup diagnosis PSHx: Denied SH: Works in social security, denies smoking and drinks ocasionally, denies drugs. Sexually active with her husband. Uses no contraception . Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, dysfunctional uterine bleeding, heavy bleeding, change her tampons constantly, Uses no contraception, infertility, 35 year old</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Tomkins is a 35 F w no PMH who presents today w/heavy periods. She has only had 2 periods in the past 5 months. When they did occur, they were heavy and lasted for 7 days, previously they were for 3 days and came monthly. She has never had any spotting inbetween her periods, no abnormal Pap smears, no hx of any STDs. Further she has had no vaginal discharge or pain. In her prior marriage, she had difficulty geting pregnant but never sought any medical attention. She is currently sexually active w/ her new boyfriend only and, they do not use contraception. Ms. Tomkins further denies any changes to her bowel or urinary habits. No HA, cold intolerance, no belly pain, or hair loss. The only associated symptom is unintentional weight gain. She reports that she eats out alot and doesnt have time to exercise. She works as a scheduler for a social worker, has 2 kids, rarely drinks (beers), & does not smoke or do any illict drugs.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, heavy periods, 2 periods in the past 5 months, periods heavy, periods 7 days, do not use contraception, difficulty geting pregnant, 35</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Angela Tompkins is a 35 year old female presenting with heavy periods. Menarche at 12 with abnormal periods for first year, started on OCP at that time and had regular periods every 4-5 weeks lasting 3-4 days requiring 4 tampons daily. stayed regular after stopping OCPs 11 years ago. Last normal period was 6 months ago. Since then has had 2 periods in 5 months, each lasting 7 days, requing multiple changes in first few hours. LMP was 2 months ago. She had tried to get pregnant with her ex-husband but was unable to. Has 2 adopted children. Normal Pap smear 6 months ago. Endorses 10-15 weight gain in 6 months and eating more. Notes rash on fingers and face for past year. PMH: health. PSH: none Meds: none. NKDA FH: aunt w/ breast cancer. grandmother w/ cervical cancer SH: etoh 1-2 on rare occasions. no tobacco. no drugs. lives w/ 2 adopted kids. Sexually active with boyfriend. Stopped using condoms in past year.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weight gain, heavy periods, requing multiple changes in first few hours, LMP was 2 months ago, Stopped using condoms, get pregnant unable to, 35 year old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: The patient is a 35 year old F presenting with heavy irregular periods for the past 6 months. Prior to that her periods were normal, but now they last 7 days, she uses 7 tampons the first day and 1-2 the last. Her LMP was May 13th, 2 months ago. She has minimal cramping with her periods, no abdominal pain, no pain with defecation, no pain with urination. She was sexually active trying to get pregnant for years in the past and was not able to. She is currently sexually active with one male (her boyfriend), does not use condoms, does not have pain with sex, and was tested for STIs in the past year and did not have any. No history of uterine fibroids or ovarian cysts. No nausea or vomiting, +fatigue, + weight gain, +decreased appetite. No abnormal nipple discharge or hair growth. PMH: none Fam Hx: none Social: negative for smoking . Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, + weight gain, irregular periods, heavy periods, uses 7 tampons the first day, LMP 2 months ago, does not use condoms, +fatigue, trying to get pregnant not able to, 35 year old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 year old female presents to the clinic today due to heavy menses, and mentioned that she would have to change her pads every couple of hours because it would soak right through. Patient denied pain with menses or any pain at all, denied vaginal discharge. Patient mentioned that she was fatigued, but it mainly had to do with taking care of her two little girls. Pap smear: No abnormal pap smear in past Past medical history, Social history, sexual history are all normal.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, heavy menses, change her pads every couple of hours, fatigued, 35 year old</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: Irregular periods. HPI: 35-yo female complaining of heavy and irregular periods for the past 6 months. She has had 2 periods in the past 6 months, lasting about 7 days. She would soak a pad every couple hours during that time. Has also noticed decreased energy. The patient reports some darkening of the skin around her knuckles and the back of her neck. 7-8 lbs. weight gain in past 6 months, appetite normal. Denies other skin changes. No changes in hair. Denies recent increases in stress, headaches. PMH: No significant PMH. No medications. SH: Scheduler for a social work company. Has one beer on the weekends. Never smoker. Divorced. She has two children, ages 3 and 5, who are adopted. The patient states that she and her ex-husband tried to get pregnant for many years but were unsuccessful. No formal workup for infertility in either her or her ex-husband. FH: Grandmother with cervical cancer. Aunt with breast cancer.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weight gain, 7-8 lbs gain, Irregular periods, irregular periods, heavy periods, pad every couple hours, decreased energy, but unsuccessful tried to get pregnant, infertility, 35-yo, 6 months, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 YO F , C/O IRREGULAR PERIODS SINCE 6 MONTHS. HER LMP WAS 2 MONTHS AGO . SHE ALSO HAS HEAVY BLEEDING DURING HER PERIODS USING MORE PADS THAN OFTEN. HER MENARCHE WAS AT 12 YRS OF AGE. HER PERIODS WERE REGULAR BEFORE. SHE HAS NO BREAST TENDERNESS OR FULLNESS. SHE HAS GAINED 15 POUNDS RECENTLY, WITH PIGMENTATION IN HER NECK REGION. NO BOWEL HABIT CHANGES , NO VOMITING. SHE HAS 2 ADOPTED KIDS AND WAS UNABLE TO CONCEIVE A CHILD FOR 10 YRS SHE DENIES ANY FEVR , SOB , BELLY PAIN . NO DISCHARGE VAGINA PMH:NONE ROS: NEG EXCEPT AS ABOVE SSH:MONOGAMOUS WITH HUSBAND ,NO USE OF CONDOM FH: BREAST CANCER IN AUNT, CERVIX CANCER IN GRANDMA ALLERGY: NONE MEDS: NONE . Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, GAINED 15 POUNDS, IRREGULAR PERIODS, HEAVY BLEEDING, USING MORE PADS, LMP WAS 2 MONTHS AGO, NO USE OF CONDOM, UNABLE TO CONCEIVE A CHILD, 35 YO, 6 MONTHS</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: hpi- 35 F c/o irregular periods for the past 6 months, lmp was 2 months ago, and menarche at age 12, she states that her periods have been happening every other month as of the past 6 months but were regular previously, she states that her cycles are now 7 days in length and are heavy, requiring her to change her tampons every hr, she denies any cramping, vaginal discharge or spotting in between her cycles, last pap smear was 6 months ago and was normal, shehas been experiecing infertility issues for the past 9 years, she also states that she has gained approx 10-15 ros- she denies breast tenderness, hirsutism, acne, headache, vision change pmh/psh- none, no previous hospitalizations, surgeries, or trauma NKDA fh- aunt- breast ca, grandmother- cervical ca social hx- social worker coordinator, beer rarely/ no tobacco or illicit drugs sexual hx- active w/ boyfriend, irregular condom use . Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, gained 10-15, irregular periods, cycles heavy, lmp was 2 months ago, irregular condom use, infertility, 35, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo F presents with a 6m history of menorrhagia (changes tampons every couple of hours), irregular periods (every other month), increased duration of periods (7d, vs the usual 3d). Also presents weight gain: 10 lb in 6m, but attributes to eating "outside" more often. Incapable of getting pregnant for 9 yr. Denies vaginal itching or discharge, cramps, spotting, changes in appetite. 1yr history of acanthosis nigricans in arms and neck. Denies weakness, fever, hair loss. OB/GYN: LMP 5wk ago. Menarche 12y/o. G0. Last pap 6m ago, normal. PMH: Never experienced before. Denies other diseases. NKDA. Takes no medications. No recent hospitalizations, infections, trauma, surgery. FH: Aunt, breast cancer. Grandmother, cervical cancer. Mom and dad healthy. Sexual history: 1 partner in the past year, no contraception use. No STD history. Social history: Alcohol1 beer sporadically. Denies smoking, drugs. Scheduling coordinator. Sedentary. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, gain 10 lb, tampons every couple of hours, irregular periods, menorrhagia, LMP 5wk ago, no contraception use, Incapable of getting pregnant, 35 yo, 6m, 6m</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 YO F G2P2 C/O IRREGULAR PERIODS X 6 MOMTHS.IT STARTED SUDDENLY,IS PROGRESSIVE,WITH NO ALLIEVIATING/AGGRAVATING FACTORS.PT ALSO MENTIONS ACANTHOSIS NIGRICANS ON HER NECK .ALSO SHE GAINED 10-15 LBS IN 6 MONTHS UNINTENTIONAL.PT USUALLY FAST FOOD AND STRESSED OUT WITH KIDS AND JOB.SHE DONT EXCERCISE REGULARLY PT DENIES BELLY PAIN,CHANGES IN SLEEP,CHANGES IN URINARY HABITS/BOWEL HABITS OBG/GYN LMP 2 MONTHS AGO,IRREGULAR,7 TAMPOON OJN HEAVY DAY,NO CRAMPS,G2P2,PAPS SMEAR 6 MONTHS AGO NORMAL . Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, GAINED 10-15 LBS, IRREGULAR PERIODS, 7 TAMPOON OJN HEAVY DAY, LMP 2 MONTHS AGO, 35 YO, 6 MOMTHS, 6 MONTHS</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 year old woman presents with menstrual irregularity, menorrhagia. In past, patient's periods occurred 30-35 days apart, lasting 3 days and controlled with tampons. Last normal period 6 months ago. Over past 5 months, periods have been occurring every other month, last 7 days, and require tampon changes every "couple of hours" due to excessive bleeding. Patient reports feeling more tired over past few months. Patient has never been pregnant, despite trying to get pregnant for 9 years. No hx of STDs. Sexually active with male partner over past year. No changes in bowel habits. No fever/chills. No cold intolerance. No bleeding elsewhere in body. No extra tissue behind neck. Has gained 10-15 lbs over past 6 months. No excess hair on arms or legs PMH: unremarkable PSH: None FH: Unremarkable SH: Never smoker, occasional beer every few weeks. No rec drugs. Eating out more often recently. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]woman, gained 10-15 lbs, menstrual irregularity, menorrhagia, tampon changes every "couple of hours, excessive bleeding, tired, never been pregnant, despite trying, 35 year old, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 y/o F c/o menstrual cycle abnormalities. 6 mo ago she began to have irregular cycles and increased flow, 2 periods in the last 5 mo that last for 7 d and day 1 requires 7 pads/d and the need for pads lessens as the days go on. Previously her cycles occurred every 4-5 wks, lasted 3-4 d, and she used 3-4 pads/d. LMP was 5 mo ago, menarche was at age 12 yrs, pt has never been pregnant, she took OCPs as a teen for 11 yrs for irregular periods (orthotricyclin). Denies vaginal discharge or dryness, dyspareunia, itchiness, SOB, mouth ulcers, HA. ROS neg except as above PMH none, NKDA, Meds none Received the HPV vaccine PSH/HOSP/Travel/Trauma none FMH aunt had breast cancer and mother had cervical cancer SH social worker administrator, denies smoke, EtOH, REC drug use Sex hx active with boyfriend in past year, don't use condoms, no h/o STI or HIV. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, menstrual cycle abnormalities, irregular cycles, increased flow, 7 pads/d, "dont use condoms", 35 y/o, 6 mo</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Tompkins is a 35 yo F who presents with irregular and heavy periods for the last 5 months. Prior to this, her periods came every 30-35 days and she used 4 tampons on the first day. Now they occur every other month, and she requires a tampon change every 2 hours. She also reports a history of infertility. She tried to get pregnant for 9 years and was unable to, she has two adopted daughters. She has no associated pain, nausea, vomiting, diarrhea, or constipation. Reports no burning or pain with urination. She has gained 10-15 lbs over the last 6 months, with more eating out. No changes in hair or hair loss. ROS- otherwise negative PMH - none PSH - none FH - parents healthy - aunt had breast cancer - gma had cervical cancer no medications, no allergies Social - never smoker, no maijuana or illicit drugs. drinks alcohol rarely. lives with boyfriend and two daughters. monogamous. Has never had an STD and does not use condoms. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, gained 10-15 lbs, irregular periods, heavy periods, periods every other month, tampon change every 2 hours, does not use condoms, infertility, tried to get pregnant unable, 35 yo</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 YO FEMALE PRESENTS W/ IRREGULAR HEAVY PERIODS FOR THE PAST 6 MONTHS, HER LAST PERIOD WAS 2 MONTHS AGO AND SHE ONLY HAD 2 PERIODS IN THE PAST 5 MONTHS, EACH PERIOD LASTS 7 DAYS W/ PADS CHANGING EVERY 2 HRS, DENIES DYSMENORRHEA AND DYSPAREUNIA, NO VAGINAL DYSCHARGE OR PELVIC PAIN, LAST PAP WAS NML 6 MONTHS AGO. SHE ALSO COMPLAINS OF DARKNESS OF SKIN AROUND KNUCKLES AND NECK. SHE HAD PRIMARY INFERTILITY FOR 9 YEARS OF UNPROTECTED SEX W/O CONCEPTION W/ PREVIOUS HUSBAND. SHE IS G0P0 WITH 2 ADOPTED CHILDREN. ROS NEGATIVE EXCEPT ABOVE PMHX, SHX, MEDS, ALLERGIES: NONE FHX: GRANDMOTHER W/ CERVICAL CANCER, AUNT W/ BREAST CANCER SHX: DENIES SMOKING AND ILICIT DRUG USE, OCCASIONAL BEER, UNPROTECTED SEX W/ BYFRIEND ONLY, HIGH FAT DIET, NO EXERCISE.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]FEMALE, IRREGULAR HEAVY PERIODS, ONLY HAD 2 PERIODS IN THE PAST 5 MONTHS, PERIOD LASTS 7 DAYS, PADS CHANGING EVERY 2 HRS, UNPROTECTED SEX, INFERTILITY, 35 YO, 6 MONTHS</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 yo F with heavy uternine bleeding. Last normal period was 6 month ago. LMP with heavy bleeding 2 months ago. No clots. Changes tampon every few hours, previously 4/day. Menarche at 12. Minimal cramping. Never been pregnent, tried previously but unsuccesful. Two adopted children and feels fatigued at home. Last PAP 6 months ago was normal, never abnormal. Gained 10-15 lbs past few months, eating out more though. Hyperpigmented spots on hands and LT neck that she noticed 1-2 years ago. No breast changes. ROS: neg except above. PMH: none. Allergies: none. Meds: none. PSH: none. FH: aunt died of breast cancer. SH: state social worker; no smoking or drug use; beer or two on weekends; sexually active with boyfriend of 14 months, used condoms at first but no longer uses them, no concerns for STDs. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, Gained 10-15 lbs, heavy uternine bleeding, heavy bleeding, LMP 2 months ago, condoms no longer uses, fatigued, Never been pregnent, tried previously but unsuccesful, 35 yo, 6 month</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo F presenting with 6 months of heavy periods. She reports having her most recent normal period (4-5 tampons for the first day, then fewer over following days) 6 months ago. Since then, she has been experiencing heavy periods (8-10 tampons for the first day, then fewer) occuring once every 2 months. She denies any other discharge, any fevers, any abdominal pain, and any constipation. She notes 10-15 lbs of weight gain over the past 6 months, as well as discoloration of her neck and hands over the past year. She denies any hot flashes, constipation, or changes in diet/exercise habits. PMH: None. OBHx: Denies, tried unsuccessfully for 9 years to become pregant) GYNHx: Last pap smear 6 months ago, no history of abnormal paps. Menstrual history per HPI. Denies history of fibroids PSH: None Meds: None All: NKDA FH: Breast cancer in aunt, cervical cancer in grandmother Sh: Lives at home with 2 adopted children. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, heavy periods, heavy periods, 8-10 tampons for the first day, tried unsuccessfully to become pregant, 35 yo, 6 months, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35-year-old female with 6 month history of heavy, irregular menstrual periods. She is P0, with two adopted children, she has tried to get pregnant in the past, trying for 9 years with her ex husband. Her menstrual periods previous to this year were once every 4-5 weeks, lasted a few days, and used 4 tampons the first day, tapering off for the other days. Now she has had 2 periods in the past 5 months, using a tampon every two hours, and her period often only lasts a day. She has no pain, light cramping. No fever, chills, nausea. She has had some feeling of tiredness but no new hair growth or cold/heat intolerance. She has gained 10-15 pounds in the past 6 months. PMH/surge: denies social: Diet: says she is eating a little more "easy" food. Never smoker, 1-2 beers very rarely Sexually active boyfriend no condom use. Meds: none currently, previously took contraceptive pills with no side effects allergies: none. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, gained 10-15 pounds, irregular menstrual periods, heavy periods, tampon every two hours, no condom use, tiredness, P0 tried to get pregnant in the past, trying for 9 years, 35-year-old, 6 month, 5 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms Tompkins is a 35 year old woman presnting with a 6 month history of abnormal menses. Pt says that her menses have become heavier over the past 6 months and can require changes in tampons every couple of hours. She has not noticed any clots. They have also become irregular and her last menstrual period was 2 months ago. The pt has not had an increase in cramps during her menses and has not felt any abdominal fullness. Menses started at age 12 and had been regular until 6 mo ago. Of note, pt believes she cannot get pregnant because she tried to conceive for years unsuccessfully with ex-husband. ROS: Weight gain of 10-15 lbs over 6 months, denies hot or cold intolerance, denies fevers, chills, headaches. PMH: No previous medical problems, no medications. Allergies: NKDA FH: parents healthy, breast cancer in aunt, cervical cancer in grandmother. SH: occasional alcohol, - smoking, - illicits. Pt sexually active w boyfriend.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Ms, woman, Weight gain, gain of 10-15 lbs, abnormal menses, menses heavier, changes in tampons every couple of hours, menses irregular, last menstrual period was 2 months ago, cannot get pregnant, tried to conceive for years unsuccessfully, 35 year old, 6 month, 6 months, 6 mo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: This is a 35yo F who presents with abnormal periods. Patient states 6 months ago she noticed increased bleeding with her periods. They now last 7 days (previously 3 days) and she now is changing her tampon with increased frequency. She denies bleeding anywhere else (ginvival), denies bruises, vaginal discharge. Patient states she tried to have a child with her exhusband for 9 year but was unable to, she never saw a doctor about this problem. She is currently sexually active with her boyfriend, and has never had an STI. Her last pap smear was 6 months ago and was regular. Menarche at age 12, periods previously occurred every 4-5 weeks denies PMH, PSHx, meds, allergies FH: grandmother - cervical cancer at 65; aunt - breast cancer at 51 Social: denies tobacco or recreational drug use, occasinal alcohol use. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, increased bleeding, now last 7 days, changing her tampon with increased frequency, abnormal periods, tried to have a child but was unable to, 35yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo F with heavy periods for the past 5 months. Periods now occur every other month, last 7 days, and increased flow requiring a tampon change every other hour. Previous periods occurred every 30-35 days, lasted 3 days, and only required a couple of tampons daily. Her last regular menses was 6 months ago. LMP was 5 weeks ago. Menarche was at 12 yo. Pap smear 6 months ago was normal, no abnormal results. Also has 9 years of infertility, requiring her to adopt. No workup previouusly done for this. Sexually active with one male partner, unprotected sex. Denies urinary frequency, dysuria, nocturia, appetite changes. PMH none Allergies none Meds none FH none Denies alcohl, drug, smoking. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, heavy periods, increased flow, tampon change every other hour, LMP was 5 weeks ago, unprotected sex, infertility, 35 yo, 5 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC-period problems hpi-Angela Tompkins is a 35 yo female who presents for period problems. She has had heavy period for the past 6 months. Her LMP was 2 months ago, with last normal period being 6 months ago. Her periods now last 7 days, and require 7 tampons on the first day up from 4 previously. She had menarche at age 12, has not experienced vaginal pruritis, dryness, or burning. Never been pregnant, has had no vaginal discharge or bleeding between periods, had a normal Pap smear 9 months ago, and has not noticed breast lumps. She has not had thought of depression. ROS:+ fatigue, weight gain (10-15 pounds over 6 months), dry skin; - for dyschezia, constipation, diarrhea, fever pmh-none psh:none SH:sexually active with boyfriend, monogomous, no male condom use; no cigarettes, alcohol socially 0/4 CAGE, no drugs; social worker FH:mom&dad alive and well; aunt died breast cancer, grandma cervical cancer meds:none Allergy:none. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weight gain, gain 10-15 pounds, heavy period, require 7 tampons, LMP was 2 months ago, no condom use, fatigue, 35 yo, 6 months, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 33 yo F c/o problems with periods. -has had heavy periods for 6mo, used to use 3-4 tampons/day now changes tampon every couple of hours LMP 2 months ago, periods used to occur every 4-5 weeks regularly and last 3 days, now has only had 2 periods in the last 5 months, and they last 7 days -no dysmenorrhea, no intermenstrual/postcoital bleeding, no dyspareunia, no abdominal/pelvic pain -fatigue, weight gain 10lbs in 6mo, hyperpigmentation over knuckles and side of neck PMH: no medical conditions, no meds, PSH none, allergies none, last pap smear 6mo ago normal, possible infertility FH aunt breast cancer died 51, grandmother died cervical cancer 65 SH non smoker, occasional EtOH, no recreational drugs, poor diet/exercise, sexually active with boyfirned, no use of condoms, 2 partners in 10yrs, no STIs. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, gain 10lbs, heavy periods, changes tampon every couple of hours, LMP 2 months ago, no use of condoms, fatigue, infertility, 33 yo, 6mo</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Angela Tompkins, a 35-year-old female, with c/o irrgualr uterine bleeding. For the past 6 motnsh she ahs noted heavyier periods and irregulites in her period frequency. her LMP was 2 months ago and she had to change her tampons "every few hours." Normally her peirods came regularly every 4-5 weeks last 3-4 days and she would use 4 tampons on the heaviest days. She also notes mild abdominal crmaping. She notes infertilliy after trying wiht he husband for several years. she has notice a 10-15 pound weght gain ROS - for Nausea vomiting, chest pain, vaginal discharge, dysuria, diarreha constipation, heat intolerance. PMHx, PSHx NA Allergies NKDA Meds: NA Fhx: + for grandmother with cervical CA, aunt with breast CA OBGYN: G0. two adopted children Social, works in administration. drinks occationally denies tobacco and illict drug use Sexual Hx: Sexually active with husban, no longer uses condoms, No STI hx in her or her partner. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weght gain, 10-15 pound gain, irrgualr uterine bleeding, heavyier periods, irregulites in her period, change her tampons "every few hours, LMP was 2 months ago, no longer uses condoms, infertilliy, 35-year-old, 6 motnsh</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 YO F C/O MENSTRUAL PROBLEMS 5 MONTHS OF HEAVY FLOW, IRREGULAR, INFERTILITY, 10 LBS WEIGHT GAIN, DARKNESS NECK AND KNUCKLES DENIES HEADACHE, LIGHTHEADEDNESS, SOB, CHEST PAIN, ABD PAIN, CHANGES IN BOWEL URINARY HABITS ROS: NEGATIVE EXCEPT ABOVE PMH: NONE OBGYN: MENARCH 12 YO, LMP 2 MONTHS AGO, MENSES BEFORE 3/30 MODERATE FLOW, CURRENT 7/60 HEAVY FLOW. LASP PAP 6 MONTHS AGO NORMAL, PREGNANCIES 0 PSH: NONE FH: AUNT BREAST CA, GRANDMOTHER CERVICAL CA MEDS: NONE ALL: NKDA SH : SCHEDULING COORDINATOR, DENIES SMOKING, ETOH OCCASIONAL, DENIES DRUGS, NO DIET OR EXERCISE, SEXUAL ACTIVITY NO BARRIER CONTRACEPTION . Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, WEIGHT GAIN, 10 LBS GAIN, HEAVY FLOW, FLOW IRREGULAR, LMP 2 MONTHS AGO, NO BARRIER CONTRACEPTION, INFERTILITY, 35 YO, 5 MONTHS</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mrs. Tompkins is a 35 yo F presenting with heavy menstruation. Her sx began 6 mo ago. Previously she had her period every 4-5 weeks, lasting 3 days. Now her periods have become irregular, lasting 7 days. Also, she previously used 3 pads a day for her periods, she now uses about 7 pads. Her last menstrual period was 2 mo ago and she had her first period at age 12. She has not complained of any vaginal itchiness, discharge, dryness. She does not experience intense cramps during her cycle. No spotting is noted. She has tried to get pregnant for 7 years with no success. Last Pap smear was 6 mo ago - normal ROS: 10 lb weight gain in 6mo; eats out often; decreased energy. Discoloration of knuckles and neck PMH/PSH: None Allergies: NKFDA Meds: None Fam hx: GM- cervical CA; Aunt - breast CA Social: divorced, 2 adopted daughters; works in social work. No smk/drugs, rare alcohol use sexual hx: sex with bf, no condom. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, heavy menstruation, periods irregular, Now lasting 7 days, now uses about 7 pads, last menstrual period was 2 mo, no condom, decreased energy, tried to get pregnant for 7 years with no success, 35 yo, 6 mo</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo F presenting with 6 mos of heavy periods. She used to have periods every 4-5 weeks lasting 3-4 days now has had 2 periods in the last 5 months with increased tampon use. She denies passage of large clots. No dysmennorhea. She has been more fatigued over the past 2 years. No alleviating or aggravating factors. She has had a 10 lb weight gain in the past year and attributes it to eating out more. She has low fruit and vegetable intake. No abdominal pain. ROS: No h/a, visual changes, n/v, constipation, diarrhea, melena, hematochezia, dysuria, vaginal discharge, leg edema PMH: None PSH: none FH: Gma died of cervical cancer, aunt died of breast cancer SHX: works for state social services, has 2 kids (adopted), has never been able to get pregnant No tobacco use, social ETOH use, no OCP or barrier protection, sexually active with boyfriend only NL pap smear 6 mos ago Meds: none. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, 10 lb weight gain, heavy periods, 2 periods in the last 5 months, increased tampon use, no OCP or barrier protection, fatigued, 35 yo, 6 mos</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 YOF C/O HEAVY MENSTRUAL BLEED, HER CYCLE HAS BECOME IRREGULAR, SHE BLEEDS HEAVILY FOR 7 DAYS AND HAS 2 CYCLES X 6M. THIS IS NOT A/W ANY PAIN OR FEVER. SHE ADMITS FAMILY HISTORY OF ENDOMETRIAL AND BREAST CANCER, GAINING 10LB IN THE PAST 6 MONTHS, STRESS AND FEELING TIRED, INFERTILITY( PAST 9 YEARS BUT SHE HAS 2 CHILDREN). SHE DENIES ANY HEAT INTOLERANCE, VOICE CHANGES , OR TRAUMA, LIGHTHEADEDNESS, BOWEL CHANGES OR URINARY CHANGES, USING OCPS. ROS: NEGATIVE EXCEPT ABOVE PMH: NONE PSH: NONE MEDS: NONE ALLERGIES: NONE SSH: NON SMOKER DRINKER OR DRUG USER SEXUALLY ACTIVE WITH BOYFRIEND WITHOUT ANY PROBLEMS UTD WITH SCREENINGS. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, GAINING 10LB, HEAVY MENSTRUAL BLEED, CYCLE HAS BECOME IRREGULAR, BLEEDS HEAVILY FOR 7 DAYS, TIRED, INFERTILITY, 35 YO, 6M</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Tompkins is a 35 yo F c/o dysmenorhea. She noticed her menstrual cycle stop 6 months ago with breakthrough bleeding occuring every few months with alot of blood. -Her LMP was 2 months ago using several pads and lasting a week. Did not have fatigue during this time. -She ALSO GAINED 10 PUNDS DURING THIS TIME. aLSO, noticed dark skin changes on her knuckles and neck over the past 2 years. -unable to conceive a child with no protection for 9 years -ros therwise negative - works as an analyst, adopted 2 children with boyfriend, sexually active with no protection, no hx of STIS PMh/PSH: NONE, NO MEDS, NO ALLERGIES -FAM HX OF OVARIAN CANCER AT 65 IN GRANDMA AND BREAST CANCER AT 51 IN AUNT . Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, GAINED 10 PUNDS, alot of blood, LMP was 2 months ago, no protection, unable to conceive, 35 yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo F c/o menorrhagia. -began 5 weeks ago, LMP 6 month ago, before that perioids are regular, 3/30days, 4 pads on the heavy day, now every other months, lasting 7 days and pad change every several hours -noted skin pigmentation on the dorsal hands and wt gain of 10-15 lbs over past 6 months, no pain, no itching -history of difficulty pregnancy for 9 yr -no pain or spotting during the peroids, no pain or bleeding the sexual intercourse, no vaginal discharge, no belly pain, no prevous pregnancy, no abortion, -normal PAP smear, sexually active with boyfriend, no condom use or OCP ROS: no fever, no night sweats, no cold intolerance, no dry skin, no voice change, no change in urination or bowel movement, no change in sleep, no fatigue,no felling of depresion PMH/PSH:nONE. All:NKDA. Meds:None. FH: Mother with breast Ca, prandmorther with cervical Ca. SH: coordinaotr, occasional EtOH., living with 2 adopted children,no abuse. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, wt gain, gain of 10-15 lbs, pad change every several hours, perioids every other months, no condom use, no OCP, 35 yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Miss. Tompkins is a 35 y/o female with no sig. PMH who presents with painless vaginal bleeding onset 5 months ago gradually worsening. Prior menstrual cycles utilized 3 tampons and not as severe. LMP 2 months ago. No hx of sti/std. Last pap smear 6 months ago normal. FHx significant for grandmother with cervical cancer. Ho social hx of smoking. Started menses at 12 y/o with menstrual cycles occuring 4-5 weeks. Sexually active with boyfriend with no contraception. Denies abdominal pain, nausea, vomting, pain with urination or defecation, pain with sexual intercourse, trauma to area, changes in hair, HA, visual changes, breast discharge.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, LMP 2 months ago, no contraception, 35 y/o, 5 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 year old female c/o heavy menstrual bleeding over the past 6 months. LMP reported as 2 months ago. Pt states she normally gets her menses every 4-5 weeks and they last 3 to 4 days; Pt states she normally uses 4 pads on the first day then it slowly tapers down to one. Pt however states that she has been skipping periods and that she now uses 7 pads on first day which is unsual for her. Pt denies any pelvic pain. Associated sxs consist of 10-15 lbs weight gain over the past 6 months along with feeling tired more often and a dark rash over the neck and hands. Pt denies any abnormal vaginal discharge. Pertinent negatives includes no breast discharge or tenderness, no hot or cold intolerance, no abdnormal hair growth, no HA or vision problems; CP/SOB. PMHx is unremarkable. No current meds; No recent hospitalizations or past surgeries. Social hx: EtOH: 1-2 beers/ month; no tobacco or other drugs; no recent travels; pt is. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weight gain, heavy menstrual bleeding, skipping periods, 7 pads on first day, LMP reported as 2 months ago, tired, 35 year old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI:A 35 yo F present with problems in her mentrual period. For the last 6 months is being hevier. Before use 4 tampons and now change tampons every hr. Feel tire. GAin weight 10-15 lbs last month. Denies other complaints. ROS: negative except as above. OBGYN: LMP 2 month ago, mense regular 4 TPD, now change tampons every hr, No STD hx, LPS 6 month ago was normal and no previous positive sresults. No contraception. G0P0 ALL: none Meds: None PMH: none PSH: none FH: Aunt breats cancer, grandmother cervical cancer SH: administrator, no smoke, ocassional etOh, no drug, no excersice, diet, new boy freind since last year no contraception use, previous boyfriend triend to get pregnant for 9 yaer witout sucess.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, GAin weight 10-15 lbs, problems in her mentrual period, mentrual period hevier, now change tampons every hr, now change tampons every hr, LMP 2 month ago, no contraception, triend to get pregnant for 9 yaer witout sucess, 35 yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 year old F presents with irregular periods. states that her periods used to be regular every 4-5 weeks lasting 3 days but for the past 6 months her periods are irregular, she has only had 2 periods in the last 5 months and they have been heavier than usual requiring more tampons and lasting for 7 days. reports weight gain of 10 lbs in the past 6 months and a new dark skin rash on her hands and neck but denies any fevers, chills, abd pain, bleeding off cycle, spotting, discharge, breast lumps, nipple discharge. has been unable to get pregnant for 9 years of trying. no obvious improving or worsening factors pmh none psurg none all none meds none obgyn: menarche 12, last pap was 6 months ago was normal, fhx: cervical cancer in grandmother (65 yrs old), aunt with breast cancer (51) soc: etoh 1-2x monthly, no tobacco or illicit drugs,works as social work scheduler,sexually active with boyfriend uses condoms occasionally,no STDhx. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, gain of 10 lbs, irregular periods, periods are irregular, requiring more tampons, uses condoms occasionally, unable to get pregnant, 35 year old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Angela Tompkins, 35, 6 month history of heavy periods LMP: 5 weeks ago, changing tampon every couple of hours, periods are lasting for 7 days. She denies bleeding or pain during intercourse. She denies any abdominal pain or fullness. She denies cramping. Patient has infertility and has two adopted children, ages 3 and 5. Patient has gained 10-15 pounds in the last 6 months. She denies a change in appetite though she has been eating out more frequently. Patient has never had an STI. She has no previous mammogram. Her last pap smear was 6 months ago and was normal. PMH: None FH: Mom: cervical cancer, Aunt breast cancer SH: Patient is a scheduling coordinator. ROS: Patient denies changes in vision, headache, night sweats, changes in urinary habits, changes in bowel habits. She denies joint pain.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Ms, gained 10-15 pounds, heavy periods, changing tampon every couple of hours, LMP: 5 weeks ago, infertility, 35, 6 month, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: The patient is a 35 yo G0P0 obese female with no significant PMH who presents of heavy and irregular periods starting 5 months ago. She states her periods have been coming once every two months, and last 7 days. The bleeding is heavy, with her having to change her tampon every two hours during the first day. Her periods were previously regular, occuring every 30-35 days, and lasting 3 days. She also states that she has never been pregnant despite trying for several years previously. Menarche was at ge 12. No pain or cramping during her periods. ROS: postive for fatigue. Negative for nausea, vomiting, diarrhea, constipation, CP, SOB. PMH: none Med: none Allergies: none FH: parents healthy, mat aunt died from breast cancer. mat GM died from cervical cancer. PSH: none SH: works as a scheduling coordinator. Has two adopted daughers, ages 3,5. No smoking, occasional alc. Sexually active with boyfriend, no condom use. no STI. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, heavy periods, irregular periods, periods have been coming once every two months, periods last 7 days, bleeding is heavy, change her tampon every two hours, no condom use, fatigue, never been pregnant despite trying, 35 yo</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Angela Tompkins is a 35yo female having irregular, heavy menstrual cycles. It began 6 months ago. Previously her periods occured every 4-5weeks needing 4 tampons at the heaviest flow. Now, she has periods irregularly and changes multiple tampons every few hours. Menarche at 12 years old but needed OCPs to control periods since 13 until she stopped. She tried to conceive for 9 years with prior husband off birth control without success. The patient last had a period 2 months ago. No abnormal discharge. Normal pap. Sexually active. No STIs as of 6 months ago. Increased in weight 10-15 lbs. Denies nausea, vomiting, polyphagia, polydypsia, ulcers, changes in hair, voice depening, palpitations, breast swelling or exudate. ROS: Neg exept above PMH, allergies, meds: none, no surgeries FHx: Aunt died of breast CA, grandmother had cervical cancer Social: - smoke, drugs, + 1-2 beers during outings, monogamous, sexually active, 2 adopted sons. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, Increased in weight, irregular menstrual cycles, heavy menstrual cycles, periods irregularly, changes multiple tampons every few hours, last had a period 2 months ago, tried to conceive without success, 35yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: Problem with periods HPI: Pt is a 35-year old G0P0 F that comes into the office with a CC of irregular periods of 5 months durations. Periods come every 2 months. Lasts 7 days. Heavy bleeding (changes tampons q1-2h during first day). Mild cramping with periods. Hx of infertility and does not use condoms with bf. No clots. No urinary complaints; 10-15lb weight gain over 6 months. No cold or heat intolerance. LMP was 2 months ago. No nausea or vomiting; no pain with sex. No history of STD's. Last pap was normal (6 months ago). ROS: negative unless indicated above Allergies: NKDA Meds: None Surgical: None PMH: None Social History: Lives with bf and 2 children (adopted). Divorced. No history of STD's. No tobacco. No drugs. Drinks 1-2 beers/month. Family Hx: Aunt deceased- breast cancer; Grandmother deceased-Cervical cancer . Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, irregular periods, Heavy bleeding, changes tampons q1-2h, LMP was 2 months ago, does not use condoms, infertility, 35-year old, 5 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Angela Tompkins is a previously healthy 35 yo F presenting with irregular periods and increased mensrtrual bleeding. In the last 6 months she has noticed increased bleeding especially on the first day of her period so that she now uses 7 tampons/day verses her normal 3. Her periods have also become irregular with only 2 in the last 6 mo. Her last period was 2 mo ago. Her periods were previously ever 4-5 wks. She also endorses fatigue which has preceded the menstrual symptoms by couple years. She is sexually active with her boyfriend. Denies dyspareuna, cervical or vaginal tenderness, or easy bruising. She has also no notice changes in facial hair or a deeping voice. Endorses 10 pound weight PMH: none FH: Breast cancer - aunt; Cervical cancer - Mom SH: No smoking history, rare alcohol use, no substance use. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, irregular periods, increased mensrtrual bleeding, increased bleeding, uses 7 tampons/day, periods irregular, last period was 2 mo ago, fatigue, 35 yo, 6 months, 6 mo</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mrs. Tompkins is a 35 year old previously healthy female who presents with chronic dysmenorrhea, most notable over the past 6 months. She reports her periods are very heavy and she sometimes skips her period. She is currently sexually active with her boyfriend and they dont use condoms because she states " I cant get pregnant" She explains she was with her ex husband for 9 years and could not get pregnant during that time. She was as young as a teenager when her periods were irregular, skipping months. she started taking birth control at this time which resulted in normalization of her periods, but stopped when she saw she was unable to get pregnant. She has some cramping that goes along with her periods. Denies SOB, chest pain, nausea vomiting, fever and chills PMH: no history of STIs Meds: None Social: 2 adopted kids. Has 1 partner. does not use condoms. alcohol 1-2 drinks/ mo. Family: no family history of bleeding disorders. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Mrs, female, periods are very heavy, sometimes skips her period, dont use condoms, does not use condoms, cant get pregnant, could not get pregnant, unable to get pregnant, 35 year old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo, F, nulipara, c/o heavy menses X 3mo -started 3 mo ago, volumous brigh red mesntrual flux, w/o clot, no foul smeal, no alleviated , constant in all last months, no associated with abdominal pain, dysmenorrha, or dyspareunia, no spots, menarche at -also refers unvoluntary wt gain (10-15 Lb /6mo), and some dark color in hand and left neck -denies hot/cold intolerance, denies skin changes, changes in sleep, cough, fever, changes in bowell/urination PMH- none ALL= none ALL NKA FH- mother- cervical ca , aunt- breast ca SSH- monogamous w boy frined, no smoker, illict drugs or ETOH, worsk as skeduller administration. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, wt gain, gain (10-15 Lb, heavy menses, 35 yo</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 YO F C/O PERIOD PROBLEMS X 6 MONTHS. IT STARTED SUDDENLY, SHE HAD HER LAST PERIOD 2 MONTHS BACK THAT LASTED FOR 7DAY AND SHE SOAKED A PAD AFTER EVERY AN HOUR. SHE REPORTS TIREDNESS, WEIGHT GAIN 10-4LBS IN 6 MONTHS WITHOUT ANY CHANGE IN HER APPETITE. SHE REPORTS BLACK DISCOLORATION OVER HER NECK. SHE IS TRYING TO CONCIEVE, MONOGAMOUS WITH HUSNBNAD NOT USING ANY CONTRACEPTION. SHE DENIES LOW MOOD, EXERTION SOB,SLEEPING PROBLEM, COLD INTOLERANCE, CHANGE IN BOWEL/URINARY HABITS. ROS: -VE EXCEPT AS ABOVE PMH/PSH: NONE MEDS: NONE ALLERGY: NKDA FH: NONE OBS & GYN: SHE ADOPTED 2 KIDS, NO VAGINAL DISCHARGE, BEFORE 6 MONTHS HER CYCLES WERE REGULAR SSH: 1-2 BEERS/WEEK, DENIES SMOKING/ILLICIT DRUG USED. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, WEIGHT GAIN, GAIN 10-4LBS, PERIOD PROBLEMS, LASTED FOR 7DAY, SOAKED A PAD AFTER EVERY AN HOUR, LAST PERIOD 2 MONTHS BACK, NOT USING ANY CONTRACEPTION, TIREDNESS, 35 YO, 6 MONTHS, 6 MONTHS</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Tompkins is 35 year old female complaining of period pains. She notes that for the past 6 months her periods have been irregular and she has had heavy flow. Her periods used to be regular, every 4-5 weeks lasting 3-4 days. however she has recently had periods every 2 months, and they now last longer. she must change her pad or tampon every 2 hours due to heavy flow. She notes new, light cramping while on her period now. ROs: Patient elicits that she has had a recent weight gain of 10-15 lbs in recent months, due to eating habit chages. She denies any headaches, vision problems, trouble swallowing, chest palpitations, abdominal pain except for period cramping, bowel changes. PMH: None PSH: None Allergies: No known allergies Meds: None Mentrual history: LMP was 2 mo ago. No prior pregnancies, patient elicits that she "cannot get pregnant" as she has never gotten pregnant despite years of trying with no contraception. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weight gain, periods have been irregular, periods heavy flow, periods have been irregular heavy flow, periods, LMP was 2 mo ago, no contraception, cannot get pregnant, 35 year old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Tompkins is a 35 yo F presenting with a change in her menstruation. She normally has monthly periods that last about 3 days and require about 3 tampons per day, but she has only had 2 periods over the last 6 months, with the most recent lasting about 7 days and requiring a nw tampon every 3 hours. She denies pain except for her normal menstrual cramps. She endorses an unintentional weight gain of about 10 pounds over the last 6 months as well as fatigue. She had attempted to conceive for 9 years with her ex husband unsuccussfully and believes she cannot get pregnant and for this reason does not use contraception with her new boyfriend. PMH: None ROS: Otherwise - NKDA No meds or vitamins No hospitalizations, trauma, recent illness Family Hx: Cervical cancer in grandmother (age 65), breast cancer in aunt (age 51) Sexually active with boyfriend, no condoms for 10 months Social: Denies tobacco, drugs, rarely will have 1 drink. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, gain of about 10 pounds, nw tampon every 3 hours, change in her menstruation, does not use contraception, no condoms, fatigue, attempted to conceive unsuccussfully, 35 yo, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo F complains of heavy menses since the past 5 months. She reports she used to have regular periods 6 motnhs ago, they were every 30 to 35 days, lasting 3 days, she used 4 tampons daily. Her last normal menstrual period was 6 motnhs ago, since then she has had heavy menses, she uses tampons every 2 hours. She also reports dark lesions in her neck and hands since the past 1 to 2 years. She has never been able to be pregnant despite regular sexual activity. She denies constipation, cold intolerance, loss of hair. She has 2 adopted daughters. Denies nipple discharge, vaginal dryness or itching. She has gained 10 to 15 pounds in the last 6 months. ROS> Negative except as above PMH> None Medication> None Allergies> NKDA PSH> None FMH> Aunt died of breast cancer, grandmother died of cervical cancer SH> Denies tobacco, alcohol ocassionally, denies illicit drug use. Sexually active with his husband, no contraceptive methods used. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, gained 10 to 15 pounds, heavy menses, heavy menses, tampons every 2 hours, no contraceptive methods, never been able to be pregnant, 35 yo, 5 months, 6 motnhs</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 year old female presents with 6 months of dysmennorhea. Prior to 6 months she had regular periods monthy with 3-4 days of menstrual flow. However, she now reports that she has had 2 periods in the past 5 months, that last 7 days with heavy flow on day 1 requiring tampon changes every 2 hours. Her cramping is very light. She is not taking any medications. She also reports 10-15 lb weight gain in the past 6 months. She denies any constipation, brittle hair, dry skin, or new hair growth. She also states that she does not use contraception because she cannot get pregnant. She tried for 9 years in a previous relationship to get pregnant but was never successful. She denies history of STI. She denies pain during sex, abdominal pain, fever, chills. She is up to date on cervical cancer screenings. No PMH or PSH Social: drinks 1-2 beers rarely, no tobacco or illicit drugs; lives with 2 adopted children, relationship with boyfriend. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weight gain, 2 periods in the past 5 months, heavy flow, periods last 7 days, tampon changes every 2 hours, does not use contraception, cannot get pregnant, tried to get pregnant but was never successful, 35 year old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: Irregular periods HPI: Ms. Tompkins is a 35 yo F with pmh of irregular periods who presents with irregular periods. She states that in the last 6 months her periods are irregular, only having 2 in the last 6 months with heavy bleeding. She states she used to have irregular periods at age 12, was controlled with birth control that she stopped 11 years ago. Denies pain. 2 sexual partners, male. Has intercourse twice a week. Denies history of stds. States she is unable to become pregnant, has tried for years. Reports weight gain and skin darkening. She is up to date on health screening and has had normal pap smears, last one 6 months ago. ROS: negative except as stated above PMH: None Past surgical history: None Meds: None Allergies: None Family history: breast cancer in aunt, cervical in grandmother Social: Drinks alcohol occasionally, 1-2 times a month. Denies tobacco or recreational drug use. Lives with 2 adopted daughters.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, Irregular periods, irregular periods, periods irregular, heavy bleeding, unable to become pregnant, 35 yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Tomkins is a 35 y/o G0P0 female with concerns of heavier periods for the past 6 months. Patient notes normal periods prior to this, and states that she must know change her tampons every couple of hours. Patient denies any pain or discomfort associated with menses. Patient notes that she had unprotected sex with her ex-husband for 9 months and was unable to get pregnany. Patient denies nipple discharge, vaginal discharge, post-coital bleeding, dysuria, burning while urinating. Patient also denies fevers, chills, dizziness, lightheadedness, headaches, N/V. Allergies: None Meds: None PMH, PSH: None FH: Grandmother with cervical cancer and Aunt with breast cancer SH: Works as social work scheduler. Never smoker. Occasionally drinks 1-2 beers. No recreational drug use. Sexually active with no boyfriend; does not use protection.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, heavier periods, know change her tampons every couple of hours, does not use protection, unable to get pregnany, 35 y/o, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: cc: "heavy periods" Ms. Tompkins, a 35-year-old G0P0 female, presents with heavy periods for the past 6 months. They have been heavy, lasting for 7 days. She uses about 7 tampons on the first day and tapers down till 1 on the 7th day. LMP was 2 months ago. She's had only 2 periods since the past 5 months. Prior to 6 months ago, she's been having her regular monthly periods with normal flow. She's been trying for the past 9 years to conceive with her ex-husband but didnt. She has two adopted daughters. Divorced 2 years ago. Denies n/v, no diarrhea/constiption. No fever or chills. Positive for weight gain of 10-16lbs in the last 6 months. ROS: neg except per hpi ObGyn: G0P0, sexually active with 1 partner since the past year. 2 lifetime. STDs: none. Papsmear- 6 months ago, no abnormal ones. bc-none Allergies:none PMH/PSH: none Meds: none Social: never smoked, ETOH rarely, no IDU FHx: aunt- breast cancer, grandma-cervical cancer. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weight gain, gain of 10-16lb, heavy periods, heavy periods, LMP was 2 months ago, trying to conceive didnt, 35-year-old, 6 months, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Obese 35yo F c/o heavy and irregular periods. She report her periods have started becoming irregular 6 months ago. Her LMP was 2 months ago. She has no pain other than normal cramps. Her periods normally last 3 days but now last 7 days. She changes her tampon q2hr. She also reports 10lb weight gain in past 6 months. She denies urinary changes, bowel changes, fevers, chills, hirsutism, abdominal pain, or h/o STI's, pregnancy. She has never been able to get pregnant; tried for 9 years with ex-husband. ROS: negative except for above allergies: none PMH: none PSH: none FH: grandmother died of cervical cancer age 65; aunt died of breast cancer age 51 SH: no tabacco use, no illicit drug use, occasional beer every other month. sexually active with boyfriend only, has 2 adopted daughters.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, irregular periods, heavy periods, periods irregular, changes her tampon q2hr, LMP was 2 months ago, never been able to get pregnant, 35yo, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 F presents with irregular and heavy periods for the last 6 months. Since 6 months ago, her periods have gotten heavier, to where she is changing her tampons every 1-2 hours. The periods also last 7 days. She denies any abdominal cramping or pain. Her LMP was 5 weeks ago. Her periods used to be regular and occur every 30-35 days. She reports no vaginal discharge or spotting in between periods. She reports a weight gain of 10-15 lbs in the last 6 months. No fevers/chills/nausea/vomiting/diarrhea/constipation. She denies hot flashes, night sweats, CP, SOB. Pt report history of infertility after inability to conceive for 9 years OBGYN: Denies history of cysts, fibroids. She has never been pregnant. She's had irregular periods for 11 yrs treated with OCP PMH/SH: none Meds: none NKDA FH: aunt with breast cancer, died at 51. Grandmother with cervical cancer. SH: denies tobacco use, drinks 1 beer every few weeks, denies drug use.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, gain of 10-15 lbs, heavy periods, irregular periods, periods heavier, changing her tampons every 1-2 hours, LMP was 5 weeks ago, infertility, inability to conceive, 35, 6 months, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 year old female presents with menstrual period irregularities. She has been having heavy flow for the past 6 months and changing pads every few hours. Her periods have increased from month to every other month and the length has increased from 3 days to 7 days. She has also been feeling tired. She has been unable to get pregant for the past 9 years and has adopted children; this was never investigated. She has also noticed darkening of her skin in her hands and her neck. Denies vaginal dryness, itching. ROS: negative except as above PMH/PSH: none Allergies: none Medications: none FH: parents are healthy; breast cancer in aunt and cervical cancer in grandmother SH: never smoked, drinks occasionall, never used drugs. Sexually active with boyfriend.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, period irregularities, heavy flow, changing pads every few hours, periods have increased from month to every other month, tired, unable to get pregant, 35 year old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 y/o F with a 6 month history of heavy periods. Prior to the 6 months, she would use up to 4 pads/tampoons on the first day, now she has to change it every 2 hours. Her period used to come once a month, but now comes every other month. She has never been pregnant although she tried to becoming pregnant for 9 years with her ex-husband. She is sexually active with her boyfriend, no longer use a condom. She also reports gaining 10-15 pounds in the past 6 months. She attributes that to eating out more. Denies exercise, although she notes that she has to follow her two daughters around. PMH: None Meds: None Allergies: None PSh: None FH: Aunt died of breast cancer, and grandmother died of cervical cancer SH: Drinks 1-2 beers rarely; denies tobacco or drug use. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, gaining 10-15 pounds, heavy periods, pads/tampoons change it every 2 hours, no use a condom, never been pregnant tried to becoming pregnant, 35 y/o, 6 month, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo f come to the clinic with c/o irregular periods since 6 months, gradual onset associated with heavy bleeding on first day as she chages tampons every hr but no passage of clots, occassional abd cramps during her period. she feels tired but no chest pain, sob. She has gained 10 - 15 pounds in past 6 months and she has not conceived even with a trial of 9 years for conception. she has no changes in mood, no hot flashes and she is sexually active with her boyfriend. there is no fever, heat or cold intolerance. ROS: - EXCEPT AS ABOVE MH: non PSH: none SH: sexually active with husband, doesnt use contraceptives as trying to conceive, doesnt smoke, no rec drugs, occassional drinker, ALL: NKA F. Extract phrases from this text which may help understand the patient's medical condition.[/INST]f, gained 10 - 15 pounds, irregular periods, chages tampons every hr, doesnt use contraceptives, tired, not conceived even with a trial for conception, 35 yo, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35YO FEMALE PRESENTS FOR HEAVY MENSTRUAL PERIODS FOR THE LAST 6 MONTHS. PATIENT STATES THAT HER FLOW HAS BEEN HEAVY, OCCURS EVERY COUPLE MONTHS AND NOW LASTS 7 DAYS. PREVIOUS CYCLES OCCURED EVERY MONTH AND LASTED 3 DAYS. PATIENT DESCRIBES INCREASED FATIGUE AND 10LB WEIGHT GAIN IN THE LAST 6 MONTHS. SHE DENIES ANY ABDOMINAL PAIN, CHEST PAIN, FEVER/CHILLS, NAUSEA OR VOMITING. ROS: NEGATIVE EXCEPT AS ABOVE. OB-GYN: LMP 5 WEEKS AGO, OCCURS EVERY OTHER MONTH, LASTS 7 DAYS, 1 TAMPOM EVERY COUPLE HOURS FOR THE FIRST FEW DAYS OF CYCLE PMH: NONE ALLERGIES: NKDA MEDICATIONS: NONE SHX: NONE FAMILY HX: AUNT - BREAST CANCER, GRANDMA - CERVICAL CANCER SH: NO ALCOHOL. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]FEMALE, WEIGHT GAIN, 10LB GAIN, HEAVY MENSTRUAL PERIODS, FLOW HEAVY, 1 TAMPOM EVERY COUPLE HOURS, LMP 5 WEEKS AGO, FATIGUE, 35YO, 6 MONTHS, 6 MONTHS</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI - 35 year old G0P0 presented with 6 month history of oligmenorrhoea with increase in bleeding. Previously her menstrual cycles were 4-5 weeks, regular and 5 days of menstruation. Currently she has only had 2 menstrual peroids in the last 6 months with bleeding being much heavier and longer (7 days). She denies any significant dysmenorrhoea. She denies headaches, visual changes, lactation or breast changes or hot flashes. She denies vaginal dryness and dyspareunia. She noticed a change in her skin over the last 1 year and has gained 10-15 pounds in the last 6 months. She feels tired but denies SOB or lightheadedness. Reports previously subfertile. ROS - negative except above. Allergies - none Meds - none PMHx - none PSHx - none SHx - sexually active with husband, no previous history of STIs. Has 2 adopted children at home ages 3 and 5. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]gained 10-15 pounds, oligmenorrhoea, increase in bleeding, 2 menstrual peroids in the last 6 months, bleeding being much heavier, bleeding longer, tired, 35 year old, 6 month</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo female patient presenting for problems with her period for the past 6 months. The patient reports heavy flow and that she needs to change her tampon every 2 hours. Last menstrual period was 2 mo ago. She didn't have similar problems before. Her menstrual cycle is regular. Her first menses occured at the age of 12. No vaginal discharge or blood clots reported. Multiple failed attempts of getting pregnant reported. Her last pap smear was normal 6 months ago. She reports weight gain of 10 pounds recently with an increased appetite. No cold intolerance, tremors, low mood, constipation, or bloating reported. She reports being anxious at work. ROS: as listed above PMH/PSH: none Medication and allergies: none FH: negative for spontaneous abortions or heavy bleeds SH: non smoker, occasional drinker, no illicit drug use, she lives with her 2 adopted daughters, divorced, sexually active with her boyfriend with no contraceptive use. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weight gain, gain of 10 pounds, problems with her period, heavy flow, change her tampon every 2 hours, Last menstrual period was 2 mo ago, no contraceptive use, Multiple failed attempts of getting pregnant, 35 yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35-year-old female complaining of problems with her periods. Patient states that for the last 6 months her periods have been irregular and heavy. 2 periods in 5 months each lasting 7d, very heavy especially on day 1 changing tampons every few hours. Never experienced this before, periods previously normal. Denies nausea/vomiting/change in appetite/bowel/bladder habits. Denies pain w/intercourse/vaginal discharge. Does state that she "is unable to get pregnant", tried for years with ex-husband, not sure why. Over the last two years she has noticed increased fatigue dailiy and darkening of skin on her neck/knuckles. Denies increased thirst/ cold/heat intolerance. Monogamous w/boyfriend does not use protection PMH: unknown repro issue PSH: none Meds: none NKDA Fam: denies endocrine/repro Social: desk job, only exercise is chasing adopted kids, doesn't pay attention to her diet, rare beer, denies drugs/tobacco, 1 cup coffee daily. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, problems with her periods, periods have been irregular, periods have been heavy, 2 periods in 5 months, lasting 7d, changing tampons every few hours, does not use protection, fatigue, unable to get pregnant, 35-year-old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo F c/o having problems with her periods She has been having an increase on the bleeding recently, denies dyspareunia, nausea or vomiting Has increased the number of tampoons due to the bleeding Has gained weight due to a recent vacation overseas, feels fatigued and tired She has 2 little girls at home that are adopted as she cannot get pregnant Has bleeding after itercourse ROS: Negative Except as above OBGYN: P-0, P0, increased in number of tampoons, cannont get pregnant, No h/o STD's Meds: None Allergies: None SH: Negative . Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, gained weight, increase on the bleeding, increased the number of tampoons, increased in number of tampoons, fatigued, tired, cannot get pregnant, cannont get pregnant, 35 yo</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC; abnormal periods HPI: the patient is a 35 yo G0 woman with no past medical history presenting with abnormal periods for the past 6 monsths, baseline periods every 4-5 weeks for 3-4 days using 4 tampons, last 6 months periods do not come monthly, heavy last 7 days with multiple tampon changes up to every hour on the girst day. NO clots whith periods, abdominal pain, vaginal discharge or odor. Last pap smear 9months ago normal, never had abnormal pap, no history of sexually trasmitted infections. Patient previously on othrotrycyclen birth control periods, last used 11 years ago, wstopped to try to have children but unsuccessfull, adopted 2 kids ROS: no fevers, nausea, vomiting, diarrhea, brest tenderness, hirsutism, chest pain, shortness of breath, palpitations Past meedical history: none, PSH none, Meds: none Allergies: none FAm mom in good health, grandmother with cervical cancer, aunt with breast cancer, no alcohol/drugs. Extract phrases from this text which may help understand the patient's medical condition.[/INST]woman, abnormal periods, abnormal periods, periods heavy, 7 days, multiple tampon changes up to every hour, try to have children but unsuccessfull, 35 yo, 6 monsths</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 YO F PRESENTED WITH C/O IRREGULAR PERIOD X 6 MONTHS ASSOCIATED WITH HEAVY BLLEDING DURING MENSTRUATION. PREVIOUSLY HER PERIODS WERE REGULAR OCCURING EVER 4-5 WEEKS BUT NOW IN THE PAST 6 MONTHS SHE HAS HAD ONLY 2 PERIODS. SHE ALSO COMPLAINS OF TIREDNESS IN THE LAST 2 YRS HAVING TO TAKE CARE OF 2 ADOPTED CHILDREN. SHE WANTS TO GET PREGNANT BUT IS UNABLE TO CONCEIVE. HER APPETITE IS NORMAL BUT REPORTS WEIGHT GAIN IN THE LAST 6 MONTHS. SHE HAS A RASH IN HER NECK AND ARMS THAT SHE THINKS IS DUE TO SUNBURN. SHE DENIES FEVER, ABDOMINAL PAIN, CHANGES IN BLADDER AND BOWEL HABITS. ROS: NEG EXCEPT AS ABOVE ALLERGIES: NKA/NKDA MEDS: NONE PMH/PSH: NONE FH: AUNT HAD BREAST CANCER, GRANDMOTHER HAD CERVICAL CANCER SH: MONOGAMOUS WITH BOYFRIEND, DOESNT USE CONDOMS, NONSMOKER, DOESNT CONSUME ETOH OB/GYN: LMP 2 MONTHS BACK UP TO DAT EWITH SCREENING. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, WEIGHT GAIN, IRREGULAR PERIOD, HEAVY BLLEDING, LMP 2 MONTHS, DOESNT USE CONDOMS, TIREDNESS, UNABLE TO CONCEIVE, 35 YO, 6 MONTHS, 6 MONTHS, 6 MONTHS</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Angela Tompkins is a G0P0 35 year old female with a past medical history of infertility (unclear if from her or exhusband) who presents with heavy menstrual bleeding. Her periods started at the age of 12 and typically occurred every 30-35 days with 3 days of bleeding and about 4 tampons per day. She previously was on birth control for irreglar periods at menarche but stopped years ago. Over the last six months she is having irregular periods that last for 7 days, occur every other day, and require her to change tampons every 2 hours. She has fatigue and 15 lbs weight gain but no fever, chest pain, palpitations, heat or cold intolerance, vaginal discharge, dysuria, urinary frequency, urine color change, nausea, vomit, diarrhea. Last pap 6 months ago normal. PMH: Infertility (? from her or exhusband) No prior surgeries Meds: none Allergies: none FH: Aunt died of breast cancer at 51, grandma of cervical cancer at 62.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weight gain, heavy menstrual bleeding, irregular periods, tampons every 2 hours, fatigue, infertility, Infertility, 35 year old, six months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: heavy irregular periods HPI: Angela Tompkins is a 35 year old female with no PMH who presents with 6 months of heavy, irregular menstrual bleeding. Normally, her periods last for 3-4 days and occur every 4-5 weeks with minimal pain. Over the last 6 months, she has had only 2 periods, and they lasted for 7 days with very heavy bleeding (tampon change every 2 hours). Menarche was at age 12 with irregular periods that became regular with oral contraceptives (OCPs). She stopped taking OPCs 11 years ago to become pregnant, but she and her husband could not conceive. She has also noted weight gain of 10-15 lbs in 6 months despite normal appetite. Notes dark patches on neck/hand. Feels more tired than usual. Denies abdominal pain, headaches, and any other bleeding. Normal bowel movements and urination. Had normal paps. ROS: neg except per HPI PMH: no PSH: no Meds: no Family: Aunt -breast cancer. Grandmother -cervical cancer. Soc:. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, weight gain, irregular periods, heavy periods, heavy menstrual bleeding, irregular menstrual bleeding, last 6 months 2 periods, periods lasted for 7 days, heavy bleeding, tampon change every 2 hours, tired, 35 year old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 YO F C/O PERIODS PROBLES X 6 MONTHS. - LMP WAS 2 MONTH AGO, SHE HAS 2 MENSES IN LAST 5 MONTHS - MENSES WERE HEAVY, GAINED 10 -15 LBS X 6 NMONTHS, HAS HYPERPIGMENTATIONS ON HANDS AND NECK - DENIES SKIN DRYNESS, BOWEL MOTIONS CHANGES, HEAT/COLD INTOLERANCE, BREAST TENDERNESS, MORNING SICKNESS - TRIED TO GET PREGNANT UNSUCCESSFLLY. SHE PRACTICE SEX WITHOUT CONDOMS . NO OCPS ROS: AS IN HPI PMH: NONE ALLERGY: NKDA MEDS: NONE FH: AUNT WITH BREAST CANCER, GRAND MOTHER WITH CERVICAL CANCER SH: DRINKS ALCOHOL OCCASIONALLY, SEXUALLY ACTIVE WITH HER BOYFRIEND ADOPTED 2 KIDS . Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, GAINED 10 -15 LBS, MENSES HEAVY, LMP WAS 2 MONTH AGO, SEX WITHOUT CONDOMS, SEX NO OCPS, TRIED TO GET PREGNANT UNSUCCESSFLLY, 35 YO, 6 MONTHS, 5 MONTHS, 6 NMONTHS</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo F c/o Irregular periods for 6 months. Occurs around every 8 wks now, lasts 7 days, change pads every hrs. Not on contraception, sexually active with boyfriend. Pap smear 6 months back was normal. Noticed darkening of skin, gained 10 pounds over 6 months, feels fatigued. Usually eats outside. No change in vision, headache, discharge from breast, strias in belly. No hot/cold intolerance, hirsutism, dysparunia, abdominal discomfort, vaginal discharge, hot flashes. NO change in desire of sex, axillary or pubic hair changes. ROS: negative except as above Allergies: none Meds: none PMH/PSH: none FH: Aunt died of breast cancer, grandmother died of cervical cancer SH: Sexually active with boyfriend, no contraception, no smoking/etoh/drugs . Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, gained 10 pounds, Irregular periods, now, lasts 7 days, periods every 8 wks, Not on contraception, no contraception, fatigued, 35 yo, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Tompkins is a 35 yo F who presents with menstrual irregularities. She previously had normal periods, but has only had 2 periods over the past 6 months. Her LMP was 2 months ago. Her periods have been very heavy during this time, and she is changing her tampon every 2 hours for the first couple days. She is sexually active with her boyfriend, and they are not using any form of contraception as the paitent believes she cannot get pregant. She reports trying for 2 years with her ex husband with no success, but had no infertility workup. She has gained 10-15 lbs over the past 6 months with no change in diet or appetite and feels more fatigued. She denies hirtuism, virilization, cold intolerance, hair changes, vaginal or nipple discharge. Denies history of STIs or abnormal paps PMHx- none Meds - none Allergies - none FH - breast cancer in aunt, grandmother with cervical cancer SH - rare alcohol no smoking. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, gained 10-15 lbs, menstrual irregularities, only had 2 periods over the past 6 months, periods have been very heavy, changing her tampon every 2 hours, LMP was 2 months ago, not using contraception, fatigued, cannot get pregant, infertility, trying for 2 years with no success, 35 yo</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 yo F with no PMH presents for "problems with her periods." She states that beginning 6 months ago periods became heavier, lasting 7 days, and requireing more frequent change of her tamponds than usual. She has only had 2 periods in the last 6 months and LMP was 2 months ago. Menarche 2 months ago. Before this change, periods used to come every 4-5 weeks, lasting 3-4 days, and requiring only 4 changes of tampons. No excessive cramping noted before or after this change. Patient has never been pregnant before. No change in appetite but has gained 10-15 pounds since 6 months ago. She also has a non-pruritic rash on her hands and neck. ROS: no headaches, breast tenderness or discharge, no intermenstrual spotting, no vaginal discharge, no palpitations, changes in bowel or urinary habits PMH: none past surgical history: none Meds: none Allergy: NKDA FH: breast cancer in aunt, grandmother with cervical cancer sH: no smoking or drinkin. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, gained 10-15 pounds, periods heavier, more frequent change of her tamponds, LMP was 2 months ago, 35 yo, 6 months, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 year old patient complaining of irregular and heavy periods for the past 6 months, use 7 tampons first day of period. her LMP 2 months ago. additional 10 pound ogf weight gain, and fatigued. she is sexually active, monogamous, doesnt use barrier or oral contraceptives. she had a past husband and they never had kids although they tried, never check out the reason of infertility. ROS: no change in apettie, no vision changes, no fever, no vaginal discharge PMH: none, PsHX: none, medications: none, allergies: none, FH: aunt died f breast cancer, grandmother died of cervical cancer, SH: no acohol, no smoking, no drug use, no excersise, normal diet. OBGYN: menache: 12 year, periods now irregular 2 periods in the past 2 months, lmp 2 months ago, current monogamous relationship with her boyfriend, no contraceptive use. last pap smear 6 months ago normal.occupation in scheduling in social worker office. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]weight gain, irregular periods, heavy periods, 7 tampons first day, periods now irregular, LMP 2 months ago, lmp 2 months ago, doesnt use barrier or oral contraceptives, no contraceptive use, fatigued, never had kids although they tried, infertility, 35 year old, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 F G0P0 woman comes in with 6 months history of heavier periods lasting 7 days and using tampons every 4 hours. Previously this was 3 days and 4 tampons per day. There is no dysparunia or vaginal discharges. She does not experience any abdominnal pain during or after menstrual cycles. NO history of other bleeding. History of 15 lb weight again in past 6 months. No fevers or systemic symptoms. NO breakthrough bleeding between periods. NO OTC meds. No hormone supplementation or OCPs. NO hx of STI in past. ROS: negative. NO constitutional symtpoms. FMHX: Grandmother has cervical Ca. Aunt had breast Ca and passed at age of 50. PsHX: none. Meds: None Allergies: none Social Hx: divorced with new partner. Sexually active with only 1 partner. No contraception. 2 adopted DTRs. works in a social work setting. Moderate alcohol intake. No history of abuse.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]woman, weight again, heavier periods, using tampons every 4 hours, No contraception, 35 F, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 YO F complains of polymenorrhea x 6 months. She reports periods are irregular, every other month lasting for 7 days, previously was every 30-35 days for 3 days. Uses tampons every couple hours on the first few days of her cycle, but previously was using 4 tampons on the first day of her cycle. No pain, or cramping. No cold intolerance, dry skin, constipation. No deeping of her voice, or facial hair growth. Reports unintentional weight gain, 10 pounds x 6 months. Per patient she can not get pregnant. No fever, chills, headache, breast tenderness, breast discharge, or abdominal pain. ROS: none except as above. Allergies: None Medications: None PMH: None PSH: None FH: Parents healthy. Aunt breast cancer. Grandmother cervical cancer. SH: Sexually active with partner. 2 adopted kids. Employed. No tobbaco, or drugs. Is a social drinker. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, polymenorrhea, periods are irregular, 7 days, tampons every couple hours, can not get pregnant, 35 YO, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 35 YO F C/O MENSTRUAL ABNORMALITIES FOR 6 MONTHS. HAS HEAVY PERIODS, USES MORE TAMPONS THAN BEFORE, BUT HAD ONLY 2 PERIODS IN THE LAST 6 MONTHS. LMP; 2 MONTHS AGO. MENARCHE: AT 12 YO. PATIENT DENIES DYPARUNIA OR DYSMENORREA, OR SPOTTING. PATIENT GAINED 10LBS IN LAST 6 MONTHS. PATIENT HAS SKIN RASH ON HANDS AND NECK FOR 1 YR, BUT DENIES ANY JOINT PAIN, STIFFNESS, FEVER, CHANGES IN URINARY OR BOWELS HABITS. PT HAS NO COLD INTOLERANCE, PALPITATIONS OR SOB. PT HAS NO HAIR CHANGES. NO MISCARRIAGES OR ABORTION ROS: NEGATIVE EXCEPT AS ABOVE PMH: NEGATIVE, EXCEPT INABILITY TO GET PREGNANT IN THE LAST 10 YRS. SH: SEXUALLY ACTIVE WITH BOYFRIEND OF MORE THAN YR, NO PROTECTION. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, GAINED 10LBS, MENSTRUAL ABNORMALITIES, HEAVY PERIODS, USES MORE TAMPONS, ONLY 2 PERIODS IN THE LAST 6 MONTHS, LMP; 2 MONTHS AGO, NO PROTECTION, INABILITY TO GET PREGNANT, 35 YO, 6 MONTHS</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: A 35 Y O F C/O HEAVY BLEDING X 6 MO, USING TAMPONS FOR EVERY 1 HR. ALSO NOTICE CRAMING PAIN DURING HER MENSES.SHE IS NOT TAKING ANY MEDICATIONS. SHE REPORTS SHE IS GETTING ALL THE TIME.AND SHE GAINED 10 - 15 LBS WEIGHT IN THE PAST COUPLE OF MONTHS. SHE DENIES ANY CHANGES IN HER HAIR, ANY RACING OF HEART OR SWEATING.SLEEP AND APETITE ARE GOOD. SHE ADOPTED 2 KIDS. ROS- NEG EXCEPT ABOVE FH- MOTHER ATTAINED MENOPAUSE AT THE AGE OF 51. PMH $ PSH- NONE SH- NON SMOKER, DRINKS ALCOHOL OCCASSIONALLY. NO ILLICIT DRUG UASAGE LAST PAP SMEAR WAS 6 MONTHS AGO AND IT WAS NL.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, GAINED 10 - 15 LBS, HEAVY BLEDING, TAMPONS FOR EVERY 1 HR, 35 Y O, 6 MO</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: A 35 YO C/O HEAVY PERIOD * 6 MONTHS THAT LASTS FOR 7 DAYS AND IRREGULAR AND CHANGING PADS EVERY 2 HRS. NO ABD PAIN NO PAIN WITH SEX NO PAIN WITH MENSRUATION , NO SPOTTING BETWEEN PERIODS , NO HEAIR GROWTH CHANGES, NO FEVER, AND THE PT MENTIONED GAINING WT 10- 15 IBS * 6 MONTHS SHE HAS 2 ADOPTED CHILDEREN WITH NP PREGNANCIES, DID PAP SMEAR 6 MONTHS AGO AND WAS NORMAL. ROS -VE EXCEPT ABOVE PMH, PSH , DRUGS NONE , NKDA FH AUNT HAD BREST CASNCER AT AGE 51 AND GRAND MOM HAD CERVICAL CANCER AT AGE 62 SHE HAS A BBOYFRIEND SINC 1 YR AND DRINL ETOH 2 TIMES AMONTH. Extract phrases from this text which may help understand the patient's medical condition.[/INST]GAINING WT, GAINING 10- 15 IBS, HEAVY PERIOD, PERIOD IRREGULAR, CHANGING PADS EVERY 2 HRS, 35 YO, 6 MONTHS, 6 MONTHS</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Ms. Tompkins is a 35 yo female who presents with 6 months of heavy periods. Her periods are now 7 days duration from originaly 3 days duration, and she is now using tampons every couple of hours. Her periods are now every other month. She does not have any pain or any other associated sx. Last PAP was 6 months ago and reportedly normal. She has felt more tired than normal. She has gained 10-15lbs in 6 months but attributes that to eating out more often. First menses was at 12 years old, was placed on OCPs at age 13 due to irregular periods and was on these meds for 11 yrs. She has never been pregnant and has been told she was unable to get pregnant. PMH. Meds. Surg. Allerg-none ROS neg Soc-no tobacco, alcohol, drugs. Has 2 adopted daughters. One male sexual partner, no condom use for 1 yr. Works as a social work scheduler from home.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, gained 10-15lbs, heavy periods, tampons every couple of hours, no condom use, tired, unable to get pregnant, 35 yo, 6 months, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35yo f complains of HAVING HEAVY MENSTRUAL PERIODS. HER LAST MP WAS 6M AGO. BEFORE MP WAS FOR 3-4DAYS EVERY 5W, PT USED 4 PADS FOR THE FIRST DAY AND 1-2 PADS FOR THE REST OF THE DAYS. NOW MP LAST 7DAYS, PT CHANGES PADS EVERY 2 HOURS. PT REPORTS HAVING CRAMPY PAIN DURING THE PERIODS, 2/10. PT IS SEXUALLY ACTIVE WITH BF FOR THE LAST YEAR, NO CONTRACEPTION. PT ALSO NOTICED SKIN DISCOLORATION IN THE NECK AND HANDS. PT GAINED 10-15 LBS FOR THE LAST 6M. PT HAS NEVER BEEN PREGNANT. PT DENIES ANY BOWEL MOVEMENT CHANGES, MOOD CHANGES, HIRSUTISM OR COLD OR HOT INTOLERANCE. ROS - NEG EXCEPT AS ABOVE ALLERGIES - NKDA PMH, PSH - NONE MEDICATIONS - NONE FH - AUNT HAS BREAST CANCER, GRANDMOTHER CERVICAL CANCER SH - DRINKS 1-2 BEERS ON THE WEEKENDS, NO ILLICIT DRUGS, NO SMOKING. Extract phrases from this text which may help understand the patient's medical condition.[/INST]f, GAINED 10-15 LBS, HEAVY MENSTRUAL PERIODS, CHANGES PADS EVERY 2 HOURS, NOW MP LAST 7DAYS, NO CONTRACEPTION, 35yo</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 35 y/o woman presents with period concerns. States that 6 months ago her periods became irregular and now also has increased bleeding. Last period was two months ago and before that one 4 months ago. Periods now last for 7 days at a time and require very frequent changing of tampons. Has a minimal amount of cramping during periods and cramping is overall unchanged. Reports weight gain during this time. No changes in facial or pubic hair growth. No breast tenderness or nipple discharge. No nausea or vomiting or vision changes. Describes a history of infertility with prior husband. PMH and PSH none Meds and allergies none SH - works as an administrator; divorced; lives with two adopted children; sexually active with boyfriend and does not use barrier contraception; no tobacco products, no recreational drug use; rare alcohol use FH none . Extract phrases from this text which may help understand the patient's medical condition.[/INST]woman, weight gain, history of infertility, period concerns, periods became irregular, increased bleeding, Periods now last for 7 days, now very frequent changing of tampons, Last period was two months ago, does not use barrier contraception, 35 y/o, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: angela tompikins is a 35 y/o F with 6 months of irregular periods. she had normal periods prior to 6 months ago. her LMP6 onths ago 7 days of bleeding changing her pad every hour, menarche ar 12yrs old. G0P0 w/ 2 adoptoded daughters. She reports feeling fatigued, and weight gain of 10 ponds in ths last 6 months without trying. she is sexually active with her boyfriiebds and stopped using condoms 6 months ago. she reports no cold intolderence or constipation. ROS negative excepyt as above PMh: none PSH:none FMH: aunt with breast cancer, grandmother with cervical cancer parents are healthy SH: lives with boyfriend and 2 adopted children, clerk at a social work agency. drinks socially, no etoh or drug use. diet is mixed without eating vegetables or fruits often. Gained 10 pounds despite skipping meals, does not exercise, but is more tired than usual;. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, weight gain, Gained 10 pounds, irregular periods, 7 days of bleeding, changing her pad every hour, stopped using condoms, fatigued, tired, 35 y/o, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: - 35 yo F presents with problems with her menstrual flow - Her usual periods are regular every 4-5 weeks, normal flow using 4-5 pads/ day - Over the past 5 months she had only two mestrrual periods, but heavy and changing pads every 1-2 hours - She has mild cramp, but no abnormal vaginal discharge - She noticed darkening of her nuckles and neck, and gained 10 lbs over the past 5 months - Denies headache, change in her vision, cold intolerance, skin change, nipple discharge, constipation. - she is not taking any meds; no allergies - PMH/ PSH: none - Sexually active with boy friend, no condom use. social drinker, no tabacco or illicit drug use. Extract phrases from this text which may help understand the patient's medical condition.[/INST]F, gained 10 lbs, past 5 months she had only two mestrrual periods, periods heavy, changing pads every 1-2 hours, problems with her menstrual flow, no condom use, 35 yo</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mrs. Tompkins is a 35 y/o G0P0 presenting with mennorhagia for past 6 months. She states the flow has been heavy and she goes thru 7 rampons/day. She has had 2 periods in the last 6 months. The last one was 2 months ago. She does not have pain with menstruation. Her last pap smear was 6 months ago and was normal. She denies abdominal pain, pain with intercourse. Prior to the past 6 months, she had periods every 4 weeks lasting several days and would go thru 4 tampons a day. She states she could not get pregnant for 9 years with her ex boyfriend. She currently does not use contraceptives. She has gained 15 lbs in the past few months. She denies fever, chills, fatigue, changes in vision or hearing, chest pain, SOB, abdomen pain. ROS otherwise (-) PMH: Not significant. Meds: None. Surgery: None. Meds: None FH: Aunt with breast CA. Grandma had cervical CA SH: Denies smoking or illicit drugs use. Drinks 1-2 beers/month. No STD history.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]gained 15 lbs, mennorhagia, flow has been heavy, 7 rampons/day, 2 periods in the last 6 months, last one was 2 months ago, does not use contraceptives, could not get pregnant, 35 y/o, 6 months</s>
<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Angela Tompkins is a 35 yo female presenting w/ abnormal menstraul cycles for the past 6 months. LMP was 2 months ago and she has only had 2 cycles in the past 5 months. She has had heavy flow during recent cycles and will last about 7 days. They used to only last 3-4 days and had regular intervals. She has hardly had any pain w/ her cycles. She used to take oral contraceptives but stopped eleven years ago to try and get pregnant. She has been unsuccessful and not been able to get pregnant despite having sexual intercourse with her boyfriend and trying "for years". She denies trying to become pregnant now and in the recent past. She has not restarted contraception since trying to become pregnant. She had her first pap smear 6 months ago that did not have any abnormal findings. She has regular obgyn follow up. Her aunt has breast cancer and her grandmother had cervical cancer. Family has not done any genetic testing.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]female, only had 2 cycles in the past 5 months, heavy flow, will last about 7 days, abnormal menstraul cycles, LMP was 2 months ago, has not restarted contraception, not been able to get pregnant, 35 yo, 6 months</s>