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lemon-mint

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GBaker-MedQA-USMLE-4-options-Korean

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[ "23 year old woman", "brought", "emergency department 8 hours", "sudden onset of shortness", "breath", "pleuritic chest pain", "cystic fibrosis", "past year", "4 respiratory exacerbations", "required hospitalization", "Current medications include", "inhaled bronchodilator", "inhaled corticosteroid", "inhaled", "acetylcysteine", "azithromycin", "patient appears chronically ill", "temperature", "100", "pulse", "96 min", "respirations", "min", "labored", "blood pressure", "64 mm Hg", "Pulse oximetry", "L/min", "oxygen", "nasal cannula shows", "oxygen saturation", "96", "Examination shows", "increased", "chest diameter", "digital clubbing", "Chest", "tactile fremitus", "decreased", "right side", "auscultation", "chest", "breath sounds", "diminished", "right lung field", "diffuse wheezing", "heard", "left lung field", "following", "most likely underlying cause", "patient's current symptoms" ]

[ "61 year old diabetic woman", "brought", "emergency department", "complaint", "multiple bouts", "abdominal pain", "last 24 hours", "pain", "dull aching", "nature", "radiates", "back", "worsens", "meals", "nausea", "occasional vomiting", "hospitalized repeatedly", "past", "similar complaints", "temperature", "98", "F", "respiratory rate", "min", "pulse", "min", "blood pressure", "mm Hg", "physical exam", "dark hyperpigmentation of the axillary skin", "noted", "blood test report", "month", "given", "Glycated hemoglobin", "Triglyceride", "675 mg/dL LDL-Cholesterol", "mg/dL HDL-Cholesterol", "35 mg/dL Total Cholesterol", "mg dL Serum Creatinine", "1.2 mg dL BUN", "mg/dL Alkaline phosphatase", "100 U/L Alanine aminotransferase", "36 U/L Aspartate aminotransferase", "U/L", "most diagnosis", "case" ]

[ "year old woman", "admitted", "hospital", "of wet gangrene", "right leg", "Two days", "admission", "confused", "tachypneic", "intubated", "support", "initiated", "temperature", "pulse", "min", "blood pressure", "83", "mm Hg", "ventilator", "set", "FiO2", "100", "respiratory rate", "20 min", "arterial blood gas checked 30 minutes", "intubation shows", "PCO2", "mm Hg", "PO2", "55 mm Hg", "appropriate care", "patient dies", "respiratory", "Further evaluation", "most likely to show", "following findings" ]

[ "57 year old florist presents", "family physician", "nodular lesions", "right hand", "forearm", "got pricked", "rose thorn", "right", "pointer finger", "first lesions appeared", "lesions then began to appear", "ascending", "physician prescribed", "medication", "warned", "gynecomastia", "side effect", "taken", "long periods", "time", "following", "mechanism of action", "medication" ]

[ "58 year old woman presents", "physicians office", "vaginal bleeding", "bleeding started", "spotting", "increased", "persistent", "month", "patient", "history", "polycystic ovary syndrome", "type 2 diabetes mellitus", "completed menopause", "years", "took cyclic estrogen progesterone replacement therapy", "year", "beginning", "menopause", "weight", "kg", "height", "5 ft 2", "vital signs", "follows", "blood pressure", "70 mm Hg", "heart rate", "min", "respiratory rate", "min", "temperature 36", "98", "Physical examination", "unremarkable", "Transvaginal ultrasound reveals", "endometrium of", "mm thickness", "Speculum examination shows", "cervix", "focal lesions", "bloody discharge", "non dilated external os", "pelvic examination", "uterus", "slightly enlarged", "movable", "non-tender", "Adnexa", "non-palpable", "next appropriate step", "management", "patient" ]

[ "student", "reviewing", "various effects", "dose-response curve", "observed", "certain drugs", "work", "agonist", "antagonist", "site", "graph", "shown", "checking", "responses", "measured", "same graph", "learned", "drug", "less potent than drug", "Drug", "potency", "drug", "combined", "same solution", "additional drug", "added", "solution", "maximal efficacy", "drug", "increases", "wishes to", "curve", "drug", "learns", "drug", "works", "same molecules", "drugs", "drug", "maximal efficacy", "drug", "combined", "drug", "following best", "drug" ]

[ "seeing", "patient in clinic", "recently started treatment", "active", "patient", "currently", "treated with rifampin", "isoniazid", "pyrazinamide", "ethambutol", "patient", "not used", "taking medicines", "very concerned", "side effects", "carbohydrate polymerization inhibiting medication", "following", "known side effect" ]

[ "year old man visits", "primary care physician", "routine health maintenance examination", "examination", "concerns", "not", "to", "father", "sexually active", "monogamous", "wife", "past", "years", "use condoms", "contraception", "physician", "to", "vasectomy", "wife", "patient", "care", "physician", "last appointment", "concerns over", "prescribed", "drugs", "affect", "fertility", "to", "following", "most appropriate action", "physician", "patient's wish to", "vasectomy" ]

[ "48 year old man", "brought", "emergency department", "wife 20 minutes", "witnessed", "vigorously shaking", "minute", "episode", "feels drowsy", "nausea", "history of chronic alcoholism", "drinking", "beers daily", "past 3 days", "time", "drank", "beers daily", "last drink", "2 hours", "appears lethargic", "vital signs", "normal limits", "Physical", "neurologic examinations show", "abnormalities", "mental", "confused", "not oriented to time", "Laboratory studies show", "Leukocyte count", "Platelet count", "mEq", "HCO3", "mg dL Albumin", "treatment", "patient", "urrent ondition uts ", "ncreased risk ", "ollowing dverse events?" ]

[ "48 year old man presents early", "morning", "emergency department", "burning sensation", "chest", "crushing feeling", "sternum", "reports", "neck pain", "left side", "difficulty breathing", "Late", "night", "home", "eaten", "family size lasagna", "watching TV", "past medical history", "significant", "type 2 diabetes", "poorly controlled hypertension", "patient admits", "often neglects to take", "medications", "not", "following", "diet", "current medications", "aspirin", "metformin", "captopril", "Examination reveals", "distressed", "overweight male sweating", "following", "most likely to", "found", "auscultation" ]

[ "76 year old man", "brought", "emergency room", "of one episode", "hemoptysis", "pulse", "min", "Physical examination shows pallor", "blood in", "oral cavity", "Examination", "nasal", "nasal speculum shows active bleeding", "posterior nasal cavity", "Tamponade", "balloon catheter", "attempted", "success", "most appropriate next step", "management", "ligation", "branch", "vessel", "following arteries" ]

[ "researcher", "studying", "arachidonic acid metabolites mediate", "inflammatory response", "rats", "multiple enzyme inhibitors", "target individual proteins", "arachidonic acid pathway", "injects", "inhibitors", "rats", "exposed", "common bacterial pathogens", "downstream effects", "one", "experiments", "injects a leukotriene B4 inhibitor", "rat", "observes", "abnormal cell response", "following interleukins", "most", "function", "one", "missing products" ]

[ "23 year old man", "physician", "recurrent episodes", "chest pain", "shortness of breath", "palpitations", "sensation", "choking", "symptoms usually resolve", "deep breathing exercises", "about", "minutes", "now", "graduate school classes", "worried", "episode", "Physical examination", "unremarkable", "Treatment", "lorazepam", "initiated", "concurrent intake", "following drugs", "patient" ]

[ "year old girl", "BMI", "kg/m2", "admitted", "hospital", "treatment", "anorexia nervosa", "patient", "administered intravenous fluids", "supplied", "600 calories daily", "increase", "200 calories", "day", "day 5", "treatment", "patient manifests symptoms", "weakness", "confusion", "dark", "following clinical conditions", "most likely cause", "patient's symptoms" ]

[ "year old woman", "brought", "emergency department", "involved", "rear-end collision", "restrained driver of", "back car", "arrival", "alert", "active", "reports pain in both knees", "severe pain", "right", "Temperature", "98", "pulse", "min", "respirations", "min", "blood pressure", "mm Hg", "Physical examination shows tenderness", "knee", "right groin", "tender", "palpation", "right leg", "slightly shortened", "flexed", "adducted", "internally rotated", "examination shows", "abnormalities", "following", "most likely diagnosis" ]

[ "investigator", "studying human genetics", "cell division", "molecule", "used to inhibit", "exchange", "genetic", "homologous chromosomes", "following phases", "cell cycle", "molecule target" ]

[ "investigator", "studying neuronal regeneration", "microscopic visualization", "neuron", "aniline stain", "applied", "staining", "only", "soma", "dendrites", "neurons", "visualized", "not", "axon", "Presence of", "following cellular elements best", "staining pattern" ]

[ "67 year old woman presents", "surgeon", "painless", "slowly", "ulcer", "region", "last", "months", "physical examination", "irregular shaped ulcer", "2", "dimensions", "irregular margins", "crusting", "surface", "woman", "fair-skinned individual", "loves to go sunbathing", "family history", "malignancy", "complete physical examination", "surgeon performs", "biopsy", "lesion", "local anesthesia", "sends", "tissue", "histopathological examination", "pathologist confirms the diagnosis of squamous cell carcinoma", "skin", "cause", "surgeon", "possible causes", "likely", "squamous cell carcinoma", "face due to repeated exposure", "ultraviolet rays", "sun", "ultraviolet", "rays", "surgeons opinion", "correct", "following mechanisms", "most likely involved", "pathogenesis", "condition" ]

[ "67 year old man presents", "physician", "watery diarrhea", "fever", "crampy abdominal pain", "taking", "antibiotic course", "cefixime", "about", "week to treat", "respiratory tract infection", "doctors office", "pulse", "min", "blood pressure", "100 66 mm Hg", "respirations", "min", "temperature", "oral mucosa appears dry", "abdomen", "soft", "vague diffuse tenderness", "digital rectal examination", "normal", "Laboratory studies show", "Hemoglobin", "g dL Hematocrit 33", "Total leucocyte count", "Serum lactate", "9 mmol/L", "creatinine", "mg dL", "most likely to confirm", "diagnosis" ]

[ "year old man presents", "emergency department", "fever", "easy bruising", "3 days", "fatigue", "2 weeks", "past medical history", "takes", "medications", "Excessive bleeding", "intravenous lines", "reported", "nurse", "not smoke", "drink alcohol", "temperature", "pulse", "min", "respiration rate", "min", "blood pressure", "70 mm Hg", "physical examination", "multiple purpura", "lower extremities", "several ecchymoses", "lower back", "buttocks", "Petechiae", "soft palate", "Cervical painless lymphadenopathy", "detected", "sides", "examination", "lungs", "heart", "abdomen shows", "abnormalities", "laboratory test results", "follows", "Hemoglobin", "g", "Mean corpuscular volume 90 m3 Leukocyte count", "mm3 Platelet", "Partial thromboplastin time", "activated", "60 seconds Prothrombin time", "INR", "2.2", "Fibrin split products Positive Lactate dehydrogenase", "serum", "U/L", "Giemsa-stained peripheral blood smear", "shown", "image", "Intravenous fluids", "blood products", "antibiotics", "given", "patient", "Based", "likely diagnosis", "following", "best therapy", "patient", "time" ]

[ "2 month old", "brought", "physician", "well", "born", "weeks gestation", "spontaneous vaginal delivery", "breastfed", "3 400 g", "8 oz", "birth", "physician's office", "appears well", "pulse", "min", "respirations", "min", "blood pressure", "mm Hg", "5 200 g", "8 oz", "measures 57", "length", "physical examination", "normal", "following developmental milestones", "patient", "likely met" ]

[ "40 year old female", "several months of unintentional weight loss", "epigastric pain", "sensation of abdominal pressure", "diabetes well-controlled", "metformin", "prior medical history", "not", "surgeries", "physical exam", "doctor", "brown", "areas", "pigmentation", "neck", "doctor", "enlarged", "left supraclavicular node", "Endoscopic findings show", "stomach wall", "appears to", "thickened", "following findings", "most likely", "seen", "biopsy" ]

[ "year old boy", "brought", "emergency room", "ambulance", "kindergarten teacher", "Emergency department staff attempt to call", "parents", "reached", "boys medical history", "unknown", "teacher", "boy", "eating", "cafeteria", "friends", "itching", "widespread rash", "Physical exam", "notable", "diffuse hives", "tongue edema", "pulse", "100 min", "blood pressure", "90 60 mmHg", "boy appears frightened", "not", "treatment", "parents", "following", "next best step", "management", "patient" ]

[ "month old boy", "brought", "physician", "well", "born", "weeks", "gestation", "48", "length", "g", "oz", "currently 60", "length", "7", "g", "17", "7 oz", "walk", "one hand held", "throw", "small ball", "pick", "object", "thumb", "index finger", "wave", "mama", "oh", "cries", "left to play", "alone", "Physical examination shows", "abnormalities", "following", "most likely delayed", "child" ]

[ "27 year old woman presents", "emergency department", "right lower quadrant abdominal pain", "vaginal spotting", "denies diarrhea", "constipation", "blood in", "stool", "medical history", "unremarkable", "not use tobacco", "drink alcohol", "sexually active", "husband", "uses", "IUD", "contraception", "temperature", "99", "blood pressure", "70 mm Hg", "pulse", "80 min", "respiratory rate", "min", "physical examination reveals localized tenderness", "right", "masses", "palpated", "LMP", "weeks", "following", "most likely associated with", "patients diagnosis" ]

[ "58 year old man", "past medical history of diabetes", "hypertension", "hyperlipidemia", "brought", "emergency department", "wife", "observed", "go", "sleep", "several days", "recently open", "out", "credit cards", "reports", "quit", "job", "excessively talkative", "easily", "weeks", "patient", "previous psychiatric history", "Routine medical examination", "investigations", "toxicology rule out", "medical cause", "substance abuse", "Lab results", "consistent with", "impaired renal function", "single best treatment", "patient" ]

[ "year old woman", "physician", "evaluation", "month history", "dull lower abdominal pain", "decreased appetite", "5 kg", "weight loss", "Physical examination shows", "abnormalities", "Pelvic ultrasonography shows bilateral ovarian enlargement", "free fluid", "rectouterine pouch", "Biopsy specimens", "ovaries show multiple", "round", "mucin filled cells", "flat", "peripheral nuclei", "Further evaluation of", "patient", "most likely to show", "following findings" ]

[ "71 year old man presents", "clinic", "complaints of right wrist pain", "2 days", "examination", "redness", "swelling", "noted", "dorsal aspect of", "right wrist", "pain with extreme range of motion", "wrist", "history includes 2 hip replacements", "2 previous episodes of gout", "first metatarsophalangeal joints", "hypertension", "Two days later", "swelling", "increased", "dorsal aspect of", "right wrist", "hand", "Wrist flexion", "limited", "80", "severe pain", "pain", "present", "palpation of", "scaphoid bone", "Due to", "suspicion", "fracture", "patient", "referred", "general practitioner", "radiographs", "findings", "consistent with gouty arthritis", "most likely cytokine involved", "process" ]

[ "A group", "investigators", "conducted", "randomized clinical trial to evaluate", "efficacy", "adding a novel adenosine receptor agonist", "standard anti epileptic treatment", "reducing", "frequency", "focal", "found", "patients taking", "combination regimen", "n", "200", "lower seizure frequency compared", "patients taking", "standard treatment alone", "n", "200", "p", "0.01", "several participants taking", "novel drug reported severe drowsiness", "investigators administered", "survey", "combination treatment group", "standard treatment group to evaluate", "drowsiness interfered", "daily functioning using", "yes", "questionnaire", "Results", "shown", "Interference", "daily functioning Yes", "number of patients", "number of patients", "Combination treatment group", "85 Standard", "following statistical methods", "most appropriate", "assessing", "statistical significance", "results" ]

[ "year old male presents", "office", "nodular skin lesions", "progress", "right hand", "right shoulder", "patient reports", "initial lesion", "currently necrotic", "ulcerative", "injury", "received", "weeding", "couple weeks earlier", "patient denies symptoms", "respiratory", "meningeal disease", "following most likely characterizes", "pattern", "patients skin lesions" ]

[ "year old Latin American woman", "significant past medical history", "family history presents", "pediatrician", "concerns", "long standing skin lesions", "notes", "light-colored rash", "chest", "abdomen", "present", "years", "blood pressure", "81 mm Hg", "pulse", "min", "respiratory rate", "min", "temperature", "3C", "99", "Physical examination reveals numerous hypopigmented macules", "chest", "abdomen", "lesions", "seen", "palms", "soles", "questioned", "states", "lesions", "not tan", "rest", "skin", "exposed", "sun", "of", "review", "systems", "negative", "most likely cause", "lesions" ]

[ "year old male presents", "emergency room", "severe diarrhea", "recently returned", "business trip", "Bangladesh", "Since returning", "loose bloody", "day", "abdominal cramping", "occasional nausea", "vomiting", "temperature", "blood pressure", "100 60 mmHg", "pulse", "min", "respirations", "20 min", "examination", "demonstrates mild tenderness", "palpation", "abdomen", "delayed capillary refill", "dry mucus membranes", "Results", "stool sample", "subsequent stool culture", "mechanism of action", "toxin", "pathogen responsible", "patients current condition" ]

[ "80 year old woman", "evaluation", "outpatient clinic", "firm nodular lump", "left side", "labia", "medical history", "notable", "hypertension", "coronary artery disease status post CABG", "lichen sclerosus", "vagina", "treated with", "over-the-counter steroid cream as needed", "first", "lump", "months", "physical examination", "temperature", "98", "blood pressure", "mm Hg", "pulse", "95 min", "respiratory rate", "min", "Examination", "genital area reveals", "small nodular lump", "left labium majus", "visible excoriations", "white plaque-like lesions", "next best step", "management" ]

[ "75 year old male", "hospitalized", "bloody diarrhea", "abdominal pain", "meals", "Endoscopic work-up", "CT scan lead", "attending physician to diagnose ischemic colitis", "splenic flexure", "following", "most likely", "patient", "ischemic colitis" ]

[ "Two days following", "home birth", "son", "mother", "infant", "pediatric emergency room", "bilious vomiting", "unable to pass meconium", "abdomen", "distended", "Endoscopic biopsy of", "proximal colon demonstrates", "absence", "Auerbachs plexi", "bowel wall", "following", "most likely diagnosis" ]

[ "year old man", "physician", "month history", "increasing fatigue", "reduced libido", "joint pain", "hands", "vital signs", "normal", "Physical examination shows tanned skin", "small testes", "second", "third", "joints of", "hands", "tender", "palpation", "range of motion", "limited", "liver", "palpated 2", "3 cm", "right costal margin", "Histopathologic examination of", "liver biopsy specimen shows intracellular material", "stains", "Prussian blue", "patient", "greatest risk", "following complications" ]

[ "general surgery intern", "paged", "59 year old male", "successful sigmoidectomy", "treatment", "recurrent diverticulitis", "patient's nurse", "recorded", "temperature", "relates", "patient", "chills", "surgery", "completed 8 hours", "complicated", "extensive bleeding", "estimated blood loss of 1", "mL", "Post-operative anemia", "diagnosed", "a hemoglobin", "5.9 g/dL", "found", "2 units", "packed red blood cells", "ordered", "transfusion", "initiated 90 minutes", "patient's vital signs", "follows", "T", "88", "BP", "RR", "98", "Physical examination", "not show", "abnormalities", "immediately stopping", "transfusion", "following", "best management", "patient's" ]

[ "year old man presents", "emergency department", "anxiety", "patient states", "very anxious", "not", "able to take", "home anxiety medications", "requesting to", "home medications administered", "patient", "past medical anxiety", "depression", "current medications include clonazepam", "amitriptyline", "lorazepam", "patient", "multiple psychiatric providers", "currently care", "temperature", "99", "3C", "blood pressure", "85 mmHg", "pulse", "min", "respirations", "min", "oxygen saturation", "100", "room air", "Physical exam", "notable", "anxious", "sweating", "tremulous young man", "more confused", "emergency department", "following", "given", "patient" ]

[ "year old female returning", "trip", "developing country presents", "diarrhea", "pain", "abdominal region", "Microscopic evaluation", "stool reveals", "presence", "RBC's", "WBC's", "patient reports poor sewage sanitation", "region", "visited", "physician suspects", "bacterial infection", "culture reveals Gram-negative rods", "non lactose", "subunit", "bacteria's toxin acts to" ]

[ "year old man", "recent diagnosis", "peptic ulcer disease currently treated with", "oral proton pump inhibitor twice daily presents", "urgent care center", "acute abdominal pain", "began", "hours", "physical exam", "find", "abdomen to", "mildly distended", "tender", "palpation", "positive", "rebound tenderness", "Given", "following options", "next best step", "patient management" ]

[ "31 year old male presents", "emergency room following", "altercation", "local grocery store", "acting", "hospital staff", "appears to", "speaking", "non existent individuals", "examination", "tachycardic", "diaphoretic", "Horizontal", "vertical nystagmus", "noted", "patient", "admits", "illegal substance earlier", "evening", "of", "following mechanisms", "action", "most consistent with", "substance", "patient took" ]

[ "29 year old female presents", "primary care provider", "pain", "stiffness", "hands", "knees", "reports", "stiffness", "worse", "morning", "appears to", "better", "day", "healthy", "denies", "recent illness", "not play sports", "examination", "metacarpal phalangeal", "proximal interphalangeal", "joints", "swollen", "erythematous", "distal interphalangeal", "joints appear normal", "exhibits pain", "passive", "active range of motion", "knees", "Serological analysis reveals high titers", "anti-cyclic citrullinated peptide antibodies", "following processes", "patients condition" ]

[ "year old man presents", "severe abdominal", "diagnosed", "appendicitis", "taken", "emergent appendectomy", "procedure", "patient", "massive", "persistent bleeding", "blood transfusion", "preoperative laboratory studies showed", "normal bleeding time", "normal prothrombin time", "INR", "1.0", "normal platelet count", "patient", "complications", "surgery", "recalls", "forgot to", "family history of", "unknown bleeding disorder", "postoperative laboratory tests reveal", "prolonged partial thromboplastin time", "following", "most likely diagnosis", "patient" ]

[ "year old girl", "brought", "emergency department", "high-grade fever", "headache", "nausea", "3 days", "looking", "light source", "aggravates", "headache", "acute lymphoblastic leukemia", "last chemotherapy cycle", "2 weeks", "appears lethargic", "temperature", "40", "pulse", "min", "blood pressure", "100 60 mm Hg", "Examination shows", "stiff neck", "pupils", "equal", "reactive to light", "Neck flexion results in flexion of", "knee", "hip", "Muscle", "decreased", "right upper extremity", "Deep tendon reflexes", "2", "Sensation", "intact", "Extraocular movements", "normal", "Two sets of blood cultures", "obtained", "following", "most appropriate next step", "management" ]

[ "year old man presents", "new primary care provider", "fatigue", "occasional fever", "month", "symptoms", "starting to affect", "job", "treatment", "physician runs", "standard metabolic panel", "shows elevated AST", "ALT", "patient", "then tested", "hepatitis viruses", "hepatitis", "positive", "patient", "doctor discuss treatment options", "agree", "interferon", "oral ribavirin", "side-effect", "most likely", "taking", "ribavirin" ]

[ "year old immigrant presents", "unintentional weight loss", "sleep hyperhidrosis", "persistent cough", "symptoms", "present", "time", "imaging", "granulomas", "upper lobes", "present", "noted", "apical granulomas", "centers", "necrosis", "appear cheese", "appearance", "Encircling", "area", "necrosis", "large cells", "cytoplasms pale", "color", "following surface markers", "one", "specific", "cells" ]

[ "27 year old woman", "emergency room", "fever", "severe left knee pain", "past week", "not sustained", "trauma", "injury", "area", "traveled", "taken part", "outdoor activities", "recent past", "sexually active", "one male partner", "use condoms", "appears ill", "temperature", "100 4F", "pulse", "98 min", "respirations", "min", "blood pressure", "72 mm Hg", "Physical examination shows multiple painless pustular lesions", "ankles", "dorsum", "soles of", "feet", "swollen", "erythematous", "tender left", "wrists", "mildly edematous", "tender", "pain", "extension", "X-ray", "knees shows tissue swelling", "Arthrocentesis of", "knee shows yellow purulent fluid", "Gram stain", "negative", "Analysis", "synovial fluid shows", "leukocyte count", "58", "mm3", "neutrophils", "crystals", "following", "most appropriate pharmacotherapy" ]

[ "30 year old man presents", "restlessness", "sit", "past", "days", "medical history", "significant", "schizophrenia", "diagnosed 3 weeks", "managed", "Vital signs", "blood pressure", "90 mm Hg", "pulse", "96 min", "physical examination", "patient", "fidgety", "anxious", "well oriented", "following", "most likely diagnosis", "patient" ]

[ "previous experiment infecting hepatocytes", "shown", "viable HDV virions", "only", "presence of", "co infection", "better understand", "particle", "production", "viable HDV virions", "scientist encoded", "separate plasmids", "various antigens/proteins", "co infected", "hepatocytes", "HDV", "experiments", "viable HDV virions", "conjunction", "appropriate", "antigen/protein" ]

[ "61 year old woman presents", "primary care physician", "routine check-up", "Physical examination demonstrates asymmetric peripheral neuropathy", "feet", "patient", "previous relevant history", "denies", "symptoms", "diabetes", "Routine blood work shows normal results", "referred to", "hematologist", "Subsequent serum protein electrophoresis demonstrates", "slightly elevated gamma globulin level", "monoclonal gammopathy of undetermined significance", "diagnosed", "following diseases", "most likely to", "course", "patients condition" ]

[ "71 year old man presents", "primary care physician", "tremor", "hands", "tremor", "worse", "resting", "gets better", "reaches", "objects", "wife reports", "slowing", "movements", "difficulty starting to walk", "steps", "short", "unsteady", "able to initiate movement", "Physical exam reveals rigidity", "muscles", "tested", "active range of motion", "Histology", "patient", "most likely reveal", "following findings" ]

[ "year old man", "brought", "emergency department", "vacation", "history of sudden onset vertigo", "difficulty walking", "normal health", "starting", "vacation", "week", "today", "suffering", "loss of balance", "mild headache", "episodes of vomiting", "last", "hours", "denies fever", "neck pain", "head trauma", "weakness", "diplopia", "Past medical history", "significant", "hypertension", "dyslipidemia", "medications include valsartan", "atorvastatin", "missed several doses", "leaving", "trip", "Blood pressure", "mm Hg", "heart rate", "76 min", "respiratory rate", "min", "temperature", "98", "patient", "awake", "oriented to time", "place", "person", "Extraocular movements", "normal limits", "Muscle strength", "normal", "extremities", "urgent head CT", "ordered", "shown", "picture", "additional clinical features", "expected", "patient" ]

[ "65 year old man presents", "painless swelling of the neck", "past week", "noted severe night sweats", "change", "clothes", "bed linens", "next day", "medical history", "significant", "long standing hypertension", "received", "kidney transplant", "years", "current medications include amlodipine", "metoprolol", "furosemide", "aspirin", "tacrolimus", "mycophenolate", "family history", "significant", "sister", "died last year", "lymphoma", "review of systems", "positive", "kg", "unintentional weight loss", "past", "months", "vital signs include", "temperature", "100 0", "blood pressure", "75 mm Hg", "physical examination", "multiple painless lymph nodes", "averaging 2", "diameter", "palpable", "anterior", "posterior triangles of", "neck", "Axillary", "inguinal lymphadenopathy", "palpated", "right side", "Abdominal examination", "significant", "spleen", "cost margin", "percussion", "Laboratory studies", "significant", "following", "Hemoglobin", "g dL Mean corpuscular volume", "Leukocyte 12", "mm3 Platelet count", "Creatinine 1", "mg dL Lactate dehydrogenase", "U L", "peripheral blood smear", "unremarkable", "following", "most likely diagnosis", "patient" ]

[ "year old man", "brought", "emergency department", "neighbor", "hours", "ingesting", "unknown substance", "suicide attempt", "confused", "unable to provide further history", "temperature", "pulse", "min", "respiratory rate", "min", "blood pressure", "mm Hg", "skin", "dry", "Pupils", "mm", "reactive", "ECG shows", "abnormalities", "following", "most appropriate treatment", "patient's condition" ]

[ "81 year old man presents", "primary care physician", "yearly exam", "past medical history", "significant", "osteopenia", "nephrolithiasis", "hypertension", "family history", "significant", "relatives", "early onset kidney failure", "takes occasional acetaminophen", "supplemental calcium/vitamin D", "active", "normal body mass index", "current concerns", "Review", "laboratory results today", "compared", "years", "following findings", "Results today", "Serum concentration", "1.1 mg/dL Urine creatinine concentration", "100 mg/dL Urine volume", "mL/day", "Results", "years", "Serum concentration", "1.1 mg/dL Urine creatinine concentration", "mg/dL Urine volume", "mL/day", "most likely cause", "changes", "creatinine clearance" ]

[ "72 year old man presents", "primary care provider", "fatigue", "mild headache", "discomfort", "chewing", "week", "felt well overall", "now", "symptoms", "medical history", "notable", "hypertension", "hyperlipidemia", "controlled", "examination", "nontoxic appearing", "mild tenderness", "palpation", "right temporal artery", "exam", "not revealing", "Prompt recognition", "treatment", "prevent", "following feared complications" ]

[ "month old boy", "brought", "clinic", "evaluation", "rash", "rash started", "face", "spread", "trunk", "fever", "cough", "past 2 days", "mother", "recently", "Asia", "provide vaccination records", "physical examination reveals", "maculopapular rash on", "face", "trunk", "proximal limbs", "lymphadenopathy", "Blue white spots", "noted", "oral mucosa", "bilateral mild conjunctival injection", "causative agent", "condition", "following virus families" ]

[ "31 year old", "woman", "weeks presents", "clinic", "evaluation", "abnormal glucose tolerance test", "denies", "symptoms", "states", "given 50 g", "oral 1 earlier", "subsequent venous level", "mg/dL 1 hour later", "vital signs", "blood pressure", "mm Hg", "pulse", "81 min", "respiratory rate", "min", "Physical examination", "normal limits", "following", "most appropriate next step", "management" ]

[ "newborn", "mother", "poor antenatal care", "found to", "larger", "normal head circumference", "bulging fontanelles", "Physical examination reveals", "predominant downward gaze", "marked eyelid retraction", "convergence-retraction nystagmus", "Ultrasound examination showed dilated lateral ventricles", "dilated third ventricle", "Further imaging studies reveal", "solid mass", "pineal region", "following", "most likely finding", "patient" ]

[ "year old man", "physician", "progressive swelling", "pain", "right ring finger", "past 2 days", "pain began", "playing football", "finger", "caught", "jersey", "pulled", "Examination shows", "right ring finger", "extended", "pain", "swelling", "distal", "patient", "to make", "fist", "right ring finger", "not", "distal interphalangeal joint", "joint laxity", "following", "most likely diagnosis" ]

[ "50 year old man", "physician", "routine checkup", "increasing swelling", "the nape of", "neck", "2 months", "not", "fever", "discharge", "swelling", "colectomy", "colon cancer", "age", "years", "type 2 diabetes mellitus", "hypertension", "osteoarthritis of", "left knee", "Current medications include insulin glargine", "metformin", "enalapril", "naproxen", "worked", "traffic warden", "past", "years", "frequently plays golf", "appears healthy", "temperature", "3C", "99", "pulse", "88 min", "blood pressure", "mm Hg", "Examination of", "neck shows", "2.5", "1", "firm", "mobile", "painless nodule", "skin", "nodule", "pinched", "lungs", "clear", "auscultation", "examination shows", "abnormalities", "photograph", "lesion", "shown", "following", "most likely diagnosis" ]

[ "67 year old man", "physician", "3-day history", "fever", "chills", "headache", "fatigue", "appears ill", "temperature", "Analysis", "nasal secretions shows infection", "single-stranded segmented RNA virus", "response", "infection", "pathogen", "certain cells present antigens", "pathogen", "CD8", "T-lymphocytes", "following statements", "molecules used", "presentation", "antigens", "most accurate" ]

[ "58 year old female", "treated", "medical floor", "community-acquired pneumonia", "levofloxacin", "watery diarrhea", "reports", "episodes", "diarrhea", "last two days", "lower abdominal discomfort", "cramping", "temperature", "98", "F", "respiratory rate", "min", "pulse", "67 min", "blood pressure", "98 mm Hg", "physical examination", "unremarkable", "Laboratory testing shows", "Hb", "gm dL Total count", "WBC", "400 mm3 Differential count", "Neutrophils", "80", "Lymphocytes", "Monocytes", "5", "ESR", "mm", "most likely diagnosis" ]

[ "year old girl presents", "primary care physician", "routine check-up", "physician allows", "medical student to perform", "physical examination", "medical student notes hearing impairment", "findings show", "Radiographs show indications of multiple old fractures", "humerus", "healed", "questioning", "girls parents", "medical student learns", "addition", "patient", "extremely", "food", "eats", "diet consisting", "cereal", "pasta", "most likely etiology", "patients disease" ]

[ "year old man", "physician", "abdominal pain", "smelling", "watery diarrhea", "days", "not", "nausea", "vomiting", "blood in", "stool", "history of alcohol use disorder", "recently completed", "7-day course", "clindamycin", "pneumonia", "not traveled out of", "United States", "following toxins", "most likely to", "involved", "pathogenesis", "patient's symptoms" ]

[ "year old boy presents", "clinic", "of", "enuresis", "past month", "Urinalysis", "detailed patient history", "fluid intake", "stool", "voiding diary", "previous visit", "show", "abnormalities", "parent", "child", "referred", "education", "behavioral therapy", "Enuresis decreases", "patient", "mother", "concern", "issue to resolve", "possible", "following", "most appropriate next step", "management" ]

[ "year old homeless woman", "brought", "emergency department", "ambulance 30 minutes", "police found", "sidewalk", "arrival", "unresponsive", "pulse", "76 min", "respirations", "min", "blood pressure", "mm Hg", "Examination shows cool", "dry skin", "pupils", "pinpoint", "light", "Intravenous", "drug", "initiated", "Two minutes after treatment", "started", "patient regains consciousness", "respirations increase", "min", "drug", "administered", "strongest effect", "following receptors" ]

[ "infectious disease investigator", "evaluating", "diagnostic accuracy", "new interferon-gamma based assay", "diagnosing tuberculosis", "patients", "received", "Bacillus Calmette", "vaccine", "Consenting participants", "history of BCG vaccination received", "interferon-gamma assay", "evaluated", "tuberculosis", "sputum culture", "Results", "study", "table", "Tuberculosis", "confirmed by culture", "tuberculosis Total Positive interferon-gamma assay 90", "Negative", "100", "Based", "results", "sensitivity", "interferon-gamma based assay", "diagnosis", "tuberculosis", "study" ]

[ "Several patients", "local", "hospital present", "chronic secretory", "multiple potential causes", "diarrhea present", "patients", "following", "most likely", "common cause", "chronic secretory" ]

[ "27 year old woman", "sickle cell disease", "weeks", "gestation", "brought", "emergency department", "active labor", "multiple episodes of acute chest syndrome", "required", "transfusions", "past", "prolonged vaginal delivery complicated", "postpartum bleeding", "receives", "transfusion of", "packed red blood cells", "One hour later", "patient experiences acute flank", "temperature", "pulse", "min", "respirations", "min", "blood pressure", "95 55 mm Hg", "Foley catheter shows dark", "Further evaluation", "patient", "most likely to show", "following" ]

[ "year old man", "brought", "mother", "pediatrician", "order to complete medical clearance forms prior to attending college", "visit", "mother", "health risks", "aware", "college", "recently saw", "news", "college students", "killed", "fatal car crash", "causes of death", "population", "following", "true", "causes of death", "college age individuals" ]

[ "month old boy", "born", "immigrant parents", "Greece", "presents", "hospital", "pallor", "abdominal distention", "parents note", "recently moved", "old apartment building", "concerned", "son's exposure", "chipped paint", "walls", "physical exam", "patient", "found to", "hepatosplenomegaly", "frontal skull bossing", "Hemoglobin electrophoresis reveals markedly increased HbF", "HbA2 levels", "most likely findings", "peripheral blood smear" ]

[ "year old woman", "physician", "worsening lower back pain", "pain radiates", "right leg", "lateral side of", "foot", "trauma", "urinary incontinence", "fever", "MRI of", "lumbar spine shows disc degeneration", "herniation", "level", "following", "most likely finding", "physical examination" ]

[ "year old woman", "physician", "4 month history", "progressive pain", "stiffness of", "fingers", "right hand", "worse", "end", "day", "works", "hair dresser", "to take frequent breaks to rest", "hand", "hypertension", "takes hydrochlorothiazide", "Two weeks", "completed", "course", "oral antibiotics", "urinary tract infection", "sister", "systemic lupus erythematosus", "drinks one", "two beers daily", "occasionally", "weekends", "past 2 weeks", "taking ibuprofen as needed", "joint pain", "vital signs", "normal", "Physical examination shows swelling", "joint line tenderness", "decreased range of motion", "right first metacarpophalangeal joint", "2nd", "4th distal interphalangeal joints of the right hand", "Discrete", "hard", "mildly tender swellings", "palpated", "2nd", "4th distal interphalangeal joints of the right hand", "following", "most likely underlying mechanism", "findings" ]

[ "year old man presents", "dermatologist", "severe stomatitis", "superficial skin", "trunk", "condition started 2 months", "unresponsive", "oral antibiotics", "medications", "history", "similar rash", "medical history", "type 2 diabetes mellitus", "essential hypertension", "physical examination reveals numerous flaccid", "bullae", "rupture easily", "Nikolsky's sign", "positive", "following best represents", "etiology", "patients condition" ]

[ "50 year old male presents", "primary care physician", "routine check-up", "reports", "well overall", "symptoms", "past medical history", "significant only", "hypertension", "well controlled", "losartan", "Vital signs", "follows", "T", "0", "80", "BP", "76", "RR", "99", "Physical examination", "not reveal", "concerning abnormalities", "physician recommends", "fecal occult blood test", "visit to screen", "presence", "blood", "patient's stool", "suggestive of", "underlying colorectal cancer", "following best", "method", "disease prevention" ]

[ "57 year old man presents", "emergency department", "pain", "center", "chest", "radiating", "left arm", "left side of", "neck", "pain started", "30 minutes", "patient", "work", "patient", "pain", "squeezing", "nature", "10", "intensity", "associated with nausea", "difficulty breathing", "type 2 diabetes mellitus", "years", "hypertension", "10 years", "dyslipidemia", "denies", "history", "cardiac problem", "40 pack-year history of smoking", "not drink alcohol", "Vital signs include", "blood pressure 80 40 mm Hg", "regular pulse 90 min", "temperature", "98 9F", "Chest auscultation reveals diffuse bilateral rales", "murmurs", "ECG reveals convex ST-segment elevation", "leads V1", "V6", "echocardiogram shows anterolateral hypokinesis", "retrograde blood", "left atrium", "ejection fraction", "following best", "mechanism", "patients illness" ]

[ "29 year old African American female presents", "office", "extreme fatigue", "bilateral joint pain", "Serologies", "presence", "rheumatoid factor", "Smith", "anti-dsDNA antibodies", "VDRL syphilis", "positive", "order", "coagulation profile", "reveals normal bleeding time", "normal PT", "prolonged PTT", "normal platelet count", "Further evaluation", "most likely to reveal", "following" ]

[ "31 year old man", "physician", "5-day history", "fever", "chills", "dyspnea", "temperature", "pulse", "90 min", "Cardiac examination shows", "murmur", "measures", "cardiac catheterization", "performed", "graph showing", "results", "catheterization", "shown", "patient", "likely", "following valvular heart defects" ]

[ "54 year old woman", "physician", "of", "painful skin lesion", "right leg", "1 month", "initially started out", "small red spot", "rapidly increased in size", "period", "remembers", "ant bite", "leg", "lesion occurring", "treated", "anterior uveitis", "months", "corticosteroids", "Crohn's disease", "type 2 diabetes mellitus", "hypertension", "Current medications include insulin", "mesalamine", "enalapril", "aspirin", "returned", "Wisconsin", "visiting", "son", "months", "temperature", "pulse", "98 min", "blood pressure", "88 mm Hg", "Examination shows pitting pedal edema of", "lower extremities", "4 cm tender ulcerative lesion", "anterior right leg", "central necrotic base", "irregular borders", "dilated tortuous veins", "lower legs", "Femoral", "pedal pulses", "palpated", "following", "most likely diagnosis" ]

[ "primary care physician", "recently receiving more negative", "reviews", "patients", "feeling tired", "written 2 wrong prescriptions", "past month alone", "Currently", "panel", "list", "patients", "half", "geriatric patients", "spends", "hours per week visiting", "20 patients", "day", "history", "serious illness", "takes", "medications", "evaluation", "psychiatrist shows", "primary psychiatric", "recent national surveys", "following", "physicians", "frequently", "physicians current condition" ]

[ "year old Caucasian woman", "enrolled", "randomized controlled trial to study cardiac", "setting", "different drugs", "started", "verapamil", "to exercise", "50", "VO2", "several cardiac parameters", "measured", "experiment", "following represents", "relative conduction speed", "heart", "fastest", "slowest" ]

[ "year old boy", "physician", "of", "generalized rash", "3 days", "past", "days", "high fever", "sore throat", "year old sister", "treated", "infectious mononucleosis 2 weeks", "returned", "summer camp", "week", "immunizations", "date", "Three years", "required intubation", "allergic reaction", "dicloxacillin", "patient appears ill", "temperature", "100", "Examination shows circumferential oral pallor", "Cervical lymphadenopathy", "present", "tonsillar erythema", "exudate", "confluent", "blanching", "punctate erythematous rash", "texture", "spread", "trunk", "extremities", "hemoglobin concentration", "g/dL", "leukocyte count", "mm3", "erythrocyte sedimentation rate", "mm/h", "following", "most appropriate next step", "management" ]

[ "30 year old woman", "physician", "of", "swelling", "neck", "5 months", "enlarged", "size", "mildly painful", "intermittent episodes of throbbing", "sweating", "palpitations", "past 3 months", "Menses occur", "regular", "day intervals", "last", "days", "not smoke", "occasionally", "alcohol", "weekends", "appears thin", "pale", "temperature", "pulse", "min", "blood pressure", "90 mm Hg", "Examination shows", "firm", "3", "swelling", "neck", "moves", "swallowing", "lymphadenopathy", "Cardiopulmonary examination shows", "abnormalities", "Laboratory studies show", "Hemoglobin", "g dL Leukocyte", "mm3 Platelet count", "Serum", "K", "2", "Calcitonin 300 ng dL", "Normal", "5 ng/dL", "electrocardiogram shows sinus tachycardia", "following laboratory abnormalities", "most likely to", "seen" ]

[ "31 year old", "woman", "weeks of gestation", "brought", "emergency department", "husband", "repeated twitching", "husband", "watching TV", "unresponsive", "hands", "legs started shaking", "episode lasted", "5 minutes", "to", "sleeping", "past medical history", "significant", "pregnancy induced hypertension", "patient", "tired", "responsive", "denies urinary incontinence", "paresthesia", "fever", "upper respiratory signs", "new medication changes", "denies", "history", "seizures", "temperature", "blood pressure", "97 mmHg", "pulse", "96 min", "respirations", "min", "Physical examination demonstrates", "lethargic patient", "moderate right upper quadrant tenderness", "most appropriate next step", "patient" ]

[ "65 year old man", "picked", "security personnel", "voiding urine", "inappropriate place", "community", "questioning", "making", "remarks", "physical examination", "physician observed", "ataxic gait", "amnesia", "Initial urine drug screen", "negative", "drugs of abuse", "most likely pathological finding present", "patient" ]

[ "year old man", "exercise stress test", "1-week history of", "chest pain", "aggravated by exercise", "relieved by rest", "test", "increase", "breakdown", "glycogen", "muscle cells", "following changes best", "intracellular finding" ]

[ "35 year old man presents", "general practitioner", "skin rash", "present", "2 days", "rash appeared", "gotten worse", "started", "erythematous", "back of", "hands", "nose", "lesions", "hands", "bullous", "tense", "never experienced similar symptoms", "got back", "canoeing trip", "very hot", "sunny weekend", "Physical exam", "significant", "erythematous", "vesicular lesions", "nape", "neck", "bridge of", "nose", "tense bullae", "dorsum of", "hands", "attending physician suspects", "defect", "synthesis", "heme", "orders", "blood tests", "following precursors", "most likely", "elevated", "patient" ]

[ "year old woman", "gravida 2", "para 1", "weeks", "gestation", "emergency department", "of vaginal bleeding", "past hour", "patient reports", "felt contractions prior to", "onset of", "bleeding", "contractions stopped", "bleeding started", "severe abdominal", "first child", "delivered", "lower segment transverse cesarean", "fetal heart rate", "pulse", "min", "respirations", "min", "blood pressure", "90 60 mm Hg", "Examination shows diffuse abdominal tenderness", "rebound", "guarding", "contractions", "felt", "fetal heart rate shows recurrent variable decelerations", "following", "most likely diagnosis" ]

[ "5 year old boy", "brought", "emergency department", "parents", "difficulty breathing", "playing outside", "snow", "progressive onset", "wheezing", "gasping", "history", "notable", "eczema", "nut allergies", "patient", "respirations", "min", "forward", "hands", "legs", "seated", "table", "Physical", "notable", "inspiratory", "expiratory wheezes", "exam", "nebulized medication", "started", "begins to relieve", "breathing difficulties", "following", "increased", "patient", "result", "medication" ]

[ "year", "male", "history of coronary artery disease", "status coronary currently", "aspirin", "clopidogrel", "found", "bathroom", "wife", "GCS score", "3", "accurate physical exam", "limited", "stat non contrast CT scan of", "brain", "large right parietal intracranial", "surrounding edema", "transferred", "intensive care unit", "monitoring", "next day", "mental status continues to worsen", "repeat CT scan shows", "new bleeding", "addition", "patients urinary output", "200 cc", "hours", "increasing", "temperature", "99 0 deg F", "37 2", "blood pressure", "72 mmHg", "pulse", "87 min", "respirations", "min", "following values", "most likely", "patients urine specific gravity", "urine osmolality", "plasma osmolality", "serum sodium" ]

[ "year old woman", "physician", "follow-up examination", "One month", "diagnosed", "carcinoma of the left breast", "lumpectomy", "mass", "sentinel lymph node biopsy", "weeks", "biopsy of", "breast mass showed margin free invasive ductal carcinoma", "immunohistochemistry showed", "carcinoma", "estrogen-receptor", "progesterone-receptor negative", "HER2 receptor positive", "lymph node biopsy", "negative", "metastases", "Examination shows", "healing", "left", "palpable axillary lymphadenopathy", "physician", "to initiate treatment", "appropriate pharmacotherapy", "following", "most appropriate next step", "management" ]

[ "Three weeks after birth", "infant girl", "episodes of apnea", "lethargic", "past two days", "two episodes of apnea lasting 10 seconds", "last day", "born", "31 weeks of gestation", "1600 g", "8 oz", "Apgar scores", "5 minutes", "takes", "medications", "temperature", "36", "98", "pulse", "min", "respirations", "60 min", "irregular", "blood pressure", "70 35 mm Hg", "appears pale", "Physical examination shows", "abnormalities", "Laboratory studies show a hemoglobin", "g/dL", "reticulocyte count", "0.5", "mean corpuscular volume", "m3", "Leukocyte", "platelet count", "total bilirubin", "indirect bilirubin", "reference range", "following", "most likely underlying mechanism", "patient's anemia" ]

[ "year old woman presents", "physician", "month history of progressive shortness", "breath", "now", "to stop to rest three", "four times", "climbs", "stairs", "apartment", "third floor", "reports chronic", "nonproductive cough", "wheezing", "uses ipratropium inhalers", "pack-year smoking history", "examination", "blood pressure", "80 mm Hg", "pulse rate", "95 min", "temperature", "36", "97", "respiratory rate", "min", "Chest auscultation reveals bilateral crepitations", "Cardiac auscultation reveals normal S1", "S2", "murmurs", "added sounds", "Arterial blood gas analysis shows", "pH 7 36", "reference", "HCO3", "mEq/L", "reference", "mEq/L", "Pco2 48 mm Hg", "reference", "mm Hg", "Po2 63 mm Hg", "reference", "mm Hg", "O2 saturation", "reference", "following", "to find", "patient" ]

[ "27 year old man", "brought", "psychiatrist", "mother", "concerned", "distant", "longer", "out", "afraid", "outside", "ever", "teenager", "large crowds", "public transportation", "now works", "home", "rarely leaves", "house", "mandatory business", "following personality disorders", "most likely", "associated with", "patient's disorder" ]

[ "year old woman presents", "sudden-onset pain", "lower back", "exercising", "hours", "felt", "sharp pain", "pain", "radiating", "side", "leg", "foot", "physical exam", "vital signs", "follows", "95", "BP", "70", "T", "degrees C", "extreme pain", "leg", "straight leg raise", "sensation", "light touch", "pin prick", "intact", "following", "most likely diagnosis" ]

[ "year old man", "AIDS", "physician", "2-day history", "decreasing vision", "seeing black spots", "right eye", "pain", "left eye", "asymptomatic", "treated", "fungal esophagitis", "months", "fluconazole", "diagnosed", "Kaposi's sarcoma 2 years", "Current medications include efavirenz", "tenofovir", "emtricitabine", "azithromycin", "trimethoprim-sulfamethoxazole", "multivitamins", "nutritional supplement", "5 ft", "tall", "kg", "99 lbs", "BMI", "kg/m2", "temperature", "98", "pulse", "min", "blood pressure", "70 mm Hg", "Examination shows cervical lymphadenopathy", "multiple violaceous plaques seen", "trunk", "extremities", "Fundoscopic examination shows granular yellow white opacities", "retinal vessels", "multiple areas", "dot-blot hemorrhages", "CD4", "lymphocyte count", "36 mm3", "following", "most likely diagnosis" ]

[ "year old man", "physician", "painless neck lump", "2 month history", "difficulty swallowing", "history of recurrent nephrolithiasis", "episodic hypertension", "Physical examination shows", "3", "3", "nontender nodule", "the level of", "thyroid cartilage", "photomicrograph", "section", "tissue obtained", "core needle biopsy", "nodule", "shown", "following", "most likely diagnosis" ]

[ "year old boy", "brought", "physician", "increasing pain", "swelling of", "right knee", "days", "episodes of pain", "urination", "weeks", "painful", "swollen left ankle joint", "resolved", "treatment one week", "mother", "rheumatoid arthritis", "sexually active", "female partners", "uses condoms", "appears anxious", "temperature", "100 4F", "pulse", "68 min", "blood pressure", "100 80 mm Hg", "Examination shows bilateral inflammation of", "conjunctiva", "right knee", "tender", "erythematous", "swollen", "range of motion", "limited", "pain", "tenderness", "left Achilles tendon insertion site", "Genital examination shows", "abnormalities", "Laboratory studies show", "Hemoglobin", "count", "mm3 Platelet count", "rate", "h Serum", "Glucose", "Creatinine", "Protein negative", "WBC", "hpf", "ELISA test", "HIV", "negative", "Arthrocentesis", "synovial fluid", "cloudy", "Gram stain", "negative", "Analysis", "synovial fluid shows", "leukocyte count", "mm3", "75", "neutrophils", "following", "most likely diagnosis" ]

[ "72 year old man presents", "primary care provider to discuss", "frequency", "wakes up", "night to", "drinking liquids", "night", "symptoms", "worsened", "medical history", "significant", "hypertension", "hyperlipidemia", "takes lisinopril", "atorvastatin", "multivitamin", "day", "Today", "vital signs include", "blood pressure", "80 mm Hg", "heart rate 90 min", "respiratory rate", "min", "temperature", "98", "physical examination", "appears tired", "heart", "regular rate", "rhythm", "lungs", "clear", "auscultation", "bladder ultrasound reveals", "full bladder", "digital rectal exam reveals", "enlarged", "symmetric prostate free", "nodules", "consistent with benign prostatic enlargement", "history of symptomatic hypotension", "several episodes of syncope", "past", "patient", "prostate biopsy", "provide", "definitive diagnosis", "requests less invasive treatment", "following", "recommended to treat", "patients enlarged prostate" ]