id
stringlengths 1
4
| document_id
stringlengths 1
4
| text_1
stringlengths 15
613
| text_2
stringlengths 0
214
| label
stringclasses 2
values |
---|---|---|---|---|
201 | 201 | Are her symptoms (sweating, feeling of being stimulated, nervous) due to Paxil? | Are her symptoms (sweating, feeling of being stimulated, nervous) due to Paxil? | true |
202 | 202 | Are her symptoms (sweating, feeling of being stimulated, nervous) due to Paxil? | How should I treat polymenorrhea in a 14-year-old girl? | false |
203 | 203 | Does this patient with a 3-week-old fracture of the distal head of the fifth metatarsal need any treatment? | Patient with 3-week-old fracture of distal head fifth metatarsal, need any treatment? | true |
204 | 204 | Does this patient with a 3-week-old fracture of the distal head of the fifth metatarsal need any treatment? | What is the dose of Famvir? | false |
205 | 205 | This woman called about her husband who was seen in the emergency room because of confusion and dementia. Should I get a head computerized tomography (CT) now since he is improving, or wait and run the risk of missing a brain tumor? | Patient with confusion and dementia in emergency room, now better. Get head computerized tomography (CT) now or observe? | true |
206 | 206 | This woman called about her husband who was seen in the emergency room because of confusion and dementia. Should I get a head computerized tomography (CT) now since he is improving, or wait and run the risk of missing a brain tumor? | Why wasn't this patient very sick? (large empyema and Haemophilus influenza in sputum) | false |
207 | 207 | How much codeine is in Tylenol with codeine elixir? | How much codeine is in Tylenol with codeine elixir? | true |
208 | 208 | A 40 year-old woman with left chest pain, tender 4th rib, lungs clear, heart normal, psychiatric overlay, suspect intercostal neuritis. How far do you go with a workup for chest pain? Attempting to keep costs down. | Forty-year-old woman left chest pain, tender fourth rib, psychiatric overlay, how far to workup? | true |
209 | 209 | A 40 year-old woman with left chest pain, tender 4th rib, lungs clear, heart normal, psychiatric overlay, suspect intercostal neuritis. How far do you go with a workup for chest pain? Attempting to keep costs down. | How do you inject the bicipital tendon? | false |
210 | 210 | I felt an elongated mass coming off the prostate and extending laterally, feels like a tight muscle. It's thin as a pencil lead and long, not sure what it is. One question is "Who should I punt to?" I'm not even sure what the question is. | I felt an elongated mass coming off the prostate extending laterally, what is it? | true |
211 | 211 | A 9-year-old girl had been to Wacky Waters, now has clear vesicles on her hands, may be staphylococcal infection even though the vesicles are clear but I want to see what they have to say. | Nine-year-old girl was at Wacky Waters, clear vesicles on hands, what is it? | true |
212 | 212 | A 9-year-old girl had been to Wacky Waters, now has clear vesicles on her hands, may be staphylococcal infection even though the vesicles are clear but I want to see what they have to say. | What is the dose of Sporanox? | false |
213 | 213 | Can Lorabid cause headaches? | Can Lorabid cause headaches? | true |
214 | 214 | Can Lorabid cause headaches? | I wonder if this patient could have a rotator cuff thing? | false |
215 | 215 | What is the name of the ophthalmic drop that has ciprofloxacin in it? | What is the name of the ophthalmic drop that has ciprofloxacin in it? | true |
216 | 216 | What is the name of the ophthalmic drop that has ciprofloxacin in it? | How should I treat polymenorrhea in a 14-year-old girl? | false |
217 | 217 | 43 year-old female has had rash for approximately 1 year, has gotten worse. "What is the cause of this rash?" He said he knew what it was but needed to know the name of it - 3rd book he looked at finally had a good picture. | Forty-three-year-old woman has had rash for approximately one year, gotten worse. What is the name of it? | true |
218 | 218 | 43 year-old female has had rash for approximately 1 year, has gotten worse. "What is the cause of this rash?" He said he knew what it was but needed to know the name of it - 3rd book he looked at finally had a good picture. | What are the indications for getting a digoxin level? | false |
219 | 219 | Question asked of Dr. X by resident: Patient on birth control is having breakthrough bleeding. In her case is it best to increase the level of estrogen in her medication? | Question from resident: patient on oral contraceptive's, breakthrough bleeding. Increase estrogen? | true |
220 | 220 | Question asked of Dr. X by resident: Patient on birth control is having breakthrough bleeding. In her case is it best to increase the level of estrogen in her medication? | Patient, plate in hip, no murmur, needs subacute bacterial endocarditis prophylaxis before sees dentist? | false |
221 | 221 | What is a good source to use for teaching residents how to repair 4th degree lacerations? | What is a good source to teach residents to repair fourth-degree lacerations? | true |
222 | 222 | What is a good source to use for teaching residents how to repair 4th degree lacerations? | Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)? | false |
223 | 223 | A patient Dr. X saw the day before (7/30/96) said his friend told him that Plendil can react negatively if the patient is exposed to the sun. Is that true? | Does Plendil cause an adverse reaction with sun exposure? | true |
224 | 224 | Patient with chronic lymphocytic leukemia had pneumonia. Why is she still short of breath now that her pneumonia is all better? Her hemoglobin is 10 and she is sick so that's probably part of it. | Patient, chronic lymphocytic leukemia, had pneumonia. Why still short of breath now that pneumonia all better? | true |
225 | 225 | What is Dynabac (dirithromycin)? What bacteria does it cover? What are the indications for use? Should you take it with food? What is the dose? | What is Dynabac (dirithromycin)? Coverage? Indications? Take with food? Dose? | true |
226 | 226 | 72-year-old woman with chronic lymphocytic leukemia, white blood count>100,000. How should I treat her? | 72-year-old woman, chronic lymphocytic leukemia. How should I treat her? | true |
227 | 227 | This patient has a blue lesion on her abdomen and I'm not sure what it is, so the question is, what is it? | This patient has a blue lesion on her abdomen. What is it? | true |
228 | 228 | This patient has a blue lesion on her abdomen and I'm not sure what it is, so the question is, what is it? | Is Serzone okay to give to with a partial gastrectomy; that is, will it be absorbed? | false |
229 | 229 | I saw a 54-year-old woman a year ago with severe dyspnea (dying), skin like leather and she was hypothyroid (thyroid stimulating hormone 400, T4 0, T3 0). What happened to her thyroid, why did she get hypothyroid? | 54-year-old female, dyspnea, skin like leather, hypothyroid, thyroid stimulating hormone 400. Why hypothyroid? | true |
230 | 230 | I saw a 54-year-old woman a year ago with severe dyspnea (dying), skin like leather and she was hypothyroid (thyroid stimulating hormone 400, T4 0, T3 0). What happened to her thyroid, why did she get hypothyroid? | Boys' father has Marfan's Syndrome. Do these boys need further evaluation? | false |
231 | 231 | The same patient got bullous pemphigoid but I didn't know what the rash was and I had to look it up. | Patient got bullous pemphigoid but didn't know what the rash was, had to look it up. | true |
232 | 232 | I had to look up the dose of azathioprine (Imuran) before I started her on it. | What is the dose of azathioprine (Imuran)? | true |
233 | 233 | Man with stomach ulcers. Can't take nonsteroidal anti-inflammatory drugs. Why can't I get the only thing that ever worked (Plegine)? What is it and how can I get it? | Man can't take nonsteroidal anti-inflammatory drugs. Why can't I get Plegine? What is it? | true |
234 | 234 | Man with stomach ulcers. Can't take nonsteroidal anti-inflammatory drugs. Why can't I get the only thing that ever worked (Plegine)? What is it and how can I get it? | Let's give these immunizations. That's right isn't it? | false |
235 | 235 | A woman I saw last week has an abdominal aortic aneurysm (three and a half centimeters) and diverticulitis. She comes in with abdominal pain periodically. Is the abdominal pain her diverticulitis or her abdominal aortic aneurysm? | Woman with abdominal aortic aneurysm (3 1/2 centimeters) and diverticulitis, has abdominal pain. Is it diverticuli or abdominal aortic aneurysm? | true |
236 | 236 | A woman I saw last week has an abdominal aortic aneurysm (three and a half centimeters) and diverticulitis. She comes in with abdominal pain periodically. Is the abdominal pain her diverticulitis or her abdominal aortic aneurysm? | I wonder if this patient could have a rotator cuff thing? | false |
237 | 237 | Woman with polycythemia vera, feels well except for itching, tearing herself apart. The itching is part of her disease but how do you treat it? | Woman with polycythemia vera, severe itching, how do you treat itching? | true |
238 | 238 | Woman with polycythemia vera, feels well except for itching, tearing herself apart. The itching is part of her disease but how do you treat it? | Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)? | false |
239 | 239 | Young woman seen last week got infectious mononucleosis at the beginning of summer and still feels bad after 6 to 8 weeks. She realizes her summer is gone and now has to go back to college. I think she's depressed. How common is depression after infectious mononucleosis? | Patient got infectious mononucleosis, still feels bad after 8 weeks. How common is depression after infectious mononucleosis? | true |
240 | 240 | Young woman seen last week got infectious mononucleosis at the beginning of summer and still feels bad after 6 to 8 weeks. She realizes her summer is gone and now has to go back to college. I think she's depressed. How common is depression after infectious mononucleosis? | Boys' father has Marfan's Syndrome. Do these boys need further evaluation? | false |
241 | 241 | What is the dose of Levsin drops for a 30-pound child? | What is the dose of Levsin drops for a 30-pound child? | true |
242 | 242 | Does she have osteoarthritis or rheumatoid arthritis (generalized but early stage)? He discussed and looked in textbook after patient left clinic. | Does she have osteoarthritis or rheumatoid arthritis? | true |
243 | 243 | Does she have osteoarthritis or rheumatoid arthritis (generalized but early stage)? He discussed and looked in textbook after patient left clinic. | How should I treat polymenorrhea in a 14-year-old girl? | false |
244 | 244 | Is casting adequate treatment for this 10-year-old girl with a fracture of the distal radius? X-ray showed it was slightly displaced. | Is casting adequate for this 10-year-old girl with slightly displaced fracture distal radius? | true |
245 | 245 | Is casting adequate treatment for this 10-year-old girl with a fracture of the distal radius? X-ray showed it was slightly displaced. | What antibiotic should I use for this diabetic patient's infected foot ulcer? | false |
246 | 246 | Patient had synovitis of thumb (with stenosing). He questioned in his mind how to treat. He may refer to orthopedic physician later if symptoms persist. | Patient had synovitis of thumb (with stenosing). How to treat? | true |
247 | 247 | Patient had synovitis of thumb (with stenosing). He questioned in his mind how to treat. He may refer to orthopedic physician later if symptoms persist. | What antibiotic should I use for this diabetic patient's infected foot ulcer? | false |
248 | 248 | Thirty-year-old female with psoriasis. What is the name of the drug for treatment? He says he always has trouble remembering the name of the drug. | 30-year-old female, psoriasis. What is name of drug for treatment? Trouble remembering. | true |
249 | 249 | Is an upset stomach a side effect of Glucotrol? Dr. X said she hadn't seen that before. | Is upset stomach a side effect of Glucotrol? Hadn't seen that before. | true |
250 | 250 | Is an upset stomach a side effect of Glucotrol? Dr. X said she hadn't seen that before. | How should I treat polymenorrhea in a 14-year-old girl? | false |
251 | 251 | Is this male child depressed? Child's counselor thinks Ritalin is stimulating him and suggested he shouldn't be on it. Dr. X thought he looked the best he has looked while on Ritalin but took him off and started him on Prozac. | Is this male child depressed? May have attention-deficit-hyperactivity-disorder also. | true |
252 | 252 | Is this male child depressed? Child's counselor thinks Ritalin is stimulating him and suggested he shouldn't be on it. Dr. X thought he looked the best he has looked while on Ritalin but took him off and started him on Prozac. | Obstetric patient, 39 weeks had a little sore, ? herpes. How long after she heals is it safe to do a vaginal delivery? | false |
253 | 253 | Why can't this woman hear? A patient treated for otitis media recently. Now she says she feels better but she can't hear. The ear is not red and it moves well with the pneumatic otoscope, Weber lateralizes to the opposite ear. | Why can't this woman hear after otitis media, now normal tympanic membrane's and move well? | true |
254 | 254 | Phone call. An elderly man lives at home with his wife. He's not eating, constipated, and has mobility problems. "Why won't she agree to let her husband go into the nursing home?" | Elderly man at home with wife, not eating. Why won't she let me put him in nursing home? | true |
255 | 255 | Phone call. An elderly man lives at home with his wife. He's not eating, constipated, and has mobility problems. "Why won't she agree to let her husband go into the nursing home?" | How should I treat polymenorrhea in a 14-year-old girl? | false |
256 | 256 | A woman with fibrocystic breast disease. Why do I have to wait to get the mammogram before I send her to have the lump needled (aspirated)? | Why do I have to get the mammogram before I send her to needle the breast mass? | true |
257 | 257 | A woman with fibrocystic breast disease. Why do I have to wait to get the mammogram before I send her to have the lump needled (aspirated)? | Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)? | false |
258 | 258 | The patient says she can't use inhalers because they upset her stomach. I never heard of that. Why would an inhaler upset her stomach? | Patient can't use inhaler, upsets her stomach. Can an inhaler cause upset stomach? | true |
259 | 259 | The patient says she can't use inhalers because they upset her stomach. I never heard of that. Why would an inhaler upset her stomach? | On nonstress test after every acceleration brief sharp not deep deceleration. Important? | false |
260 | 260 | What are some of the psychodynamics? This is the first time I've seen her. She's seen my colleagues but I can't get everything from the records. I'm sure there's more because her complaint is fatigue. There's more to it than just adjusting her asthma medications. | What are the psychodynamics? More here than just adjusting her asthma medications. | true |
261 | 261 | What are some of the psychodynamics? This is the first time I've seen her. She's seen my colleagues but I can't get everything from the records. I'm sure there's more because her complaint is fatigue. There's more to it than just adjusting her asthma medications. | Is Serzone okay to give to with a partial gastrectomy; that is, will it be absorbed? | false |
262 | 262 | Patient with balanitis. What is balanitis? What is the differential diagnosis? | Patient with balanitis. What is balanitis? What is the differential diagnosis? | true |
263 | 263 | What is this rash? It's probably Rhus. Could be cutaneous larva migrans but I don't think so. | What is this rash? It's probably Rhus. Could be cutaneous larva migrans. | true |
264 | 264 | What is this rash? It's probably Rhus. Could be cutaneous larva migrans but I don't think so. | How should I treat polymenorrhea in a 14-year-old girl? | false |
265 | 265 | 46-year-old woman. One of her children said, "Mom, what's that lump in your neck?" I think she has a multinodular goiter. Thyroid stimulating hormone, free thyroxine (free T4), parathyroid hormone, calcitonin all normal. Would you skinny needle her? | 46-year-old woman, thyroid nodule. Thyroid function tests normal. Would you skinny needle it? | true |
266 | 266 | 46-year-old woman. One of her children said, "Mom, what's that lump in your neck?" I think she has a multinodular goiter. Thyroid stimulating hormone, free thyroxine (free T4), parathyroid hormone, calcitonin all normal. Would you skinny needle her? | How should I treat polymenorrhea in a 14-year-old girl? | false |
267 | 267 | What shots do I need to go to Egypt? | What shots do I need to go to Egypt? | true |
268 | 268 | What shots do I need to go to Egypt? | Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)? | false |
269 | 269 | Patient with chronic abdominal pain. I don't know what to do for it. What is the cause? He's had two negative computerized tomography (CT) scans. | Chronic abdominal pain, don't know what to do for it. What is the cause? | true |
270 | 270 | Patient with chronic abdominal pain. I don't know what to do for it. What is the cause? He's had two negative computerized tomography (CT) scans. | Is melatonin good for anything? What is the dose? | false |
271 | 271 | I need a review of taxonomy of cells of the bone marrow. They rename them (the cells) and the diseases every 10 years. I'll admit I'm confused. I'm embarrassed to talk about it. | I need to review taxonomy of cells in bone marrow. Embarrassing not to know this. | true |
272 | 272 | A patient from the nursing home (phone call) with a sore toe. History of gout. Uric acid normal. "It's hard to make a diagnosis of gout when the uric acid is normal." | Patient with sore toe, history of gout, uric acid normal. Hard to diagnose gout with normal uric acid. | true |
273 | 273 | A patient from the nursing home (phone call) with a sore toe. History of gout. Uric acid normal. "It's hard to make a diagnosis of gout when the uric acid is normal." | Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)? | false |
274 | 274 | He states this is a frustration question. There is no answer. She is an exceptional patient that lives in a group home. Is having bleeding between periods, so scheduled for Papanicolaou smear. At the last visit she was having her period, so rescheduled for today and because of reluctance to have exam, was given Mellaril prior to coming into office. Again she refused to have the exam and so staff at group home will watch to see if symptoms worsen -- may have to examine under anesthesia if symptoms warrant. | Group home patient bleeding between periods, given Mellaril but refuses pelvic. Now what? | true |
275 | 275 | He states this is a frustration question. There is no answer. She is an exceptional patient that lives in a group home. Is having bleeding between periods, so scheduled for Papanicolaou smear. At the last visit she was having her period, so rescheduled for today and because of reluctance to have exam, was given Mellaril prior to coming into office. Again she refused to have the exam and so staff at group home will watch to see if symptoms worsen -- may have to examine under anesthesia if symptoms warrant. | Hospital nurse never had chicken pox, negative titers, should I give vaccine? | false |
276 | 276 | Seen this morning for breast and pelvic exam. Had carcinoid tumor removed this spring. Question is what urine exam should be done to follow up a carcinoid tumor? | Patient had carcinoid removed. What urine test should be done to follow up? | true |
277 | 277 | Seen this morning for breast and pelvic exam. Had carcinoid tumor removed this spring. Question is what urine exam should be done to follow up a carcinoid tumor? | Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)? | false |
278 | 278 | Saw patient last week. 43-year-old obese male with growths (skin tags) on inside of thighs -- has had for some years but have become more uncomfortable. Dr. X removed a couple of them. What is the best way to remove these fibroepithelial skin tags? | 43-year-old obese male, skin tags inside thighs. What is best way to remove them? | true |
279 | 279 | Saw patient last week. 43-year-old obese male with growths (skin tags) on inside of thighs -- has had for some years but have become more uncomfortable. Dr. X removed a couple of them. What is the best way to remove these fibroepithelial skin tags? | Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)? | false |
280 | 280 | What is causing the chronic itching? | What is causing the chronic itching? | true |
281 | 281 | What is causing the chronic itching? | Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)? | false |
282 | 282 | Interesting case he discussed with Dr. Y, his associate. 14-year-old girl had physical exam last Thursday and Dr. X noted node on left clavicle area. On x-ray it looks to him like a large cervical rib. Dr. Y agreed but they haven't had radiologist report. They are both awaiting the radiologists report. "Is this a cervical rib?" Dr. Y said she agreed it was a cervical rib but they are waiting the radiologist's report. | 14-year-old girl, nodule palpated on left clavicle. On x-ray, is this a cervical rib? | true |
283 | 283 | Saw this patient earlier. I overheard his telephone conversation with hospital pharmacist (I believe patient is in hospital). Question he had was whether they make a one gram pill of Glucophage. | Does Glucophage come in a one-gram tablet? | true |
284 | 284 | Saw this patient earlier. I overheard his telephone conversation with hospital pharmacist (I believe patient is in hospital). Question he had was whether they make a one gram pill of Glucophage. | Let's give these immunizations. That's right isn't it? | false |
285 | 285 | Another phone conversation with hospital pharmacist regarding providing enough dosage of typhoid capsules for Dr. X and his wife for out of country trip. | How many typhoid vaccine pills do I need to take for my trip to middle east? | true |
286 | 286 | Another phone conversation with hospital pharmacist regarding providing enough dosage of typhoid capsules for Dr. X and his wife for out of country trip. | How should I treat polymenorrhea in a 14-year-old girl? | false |
287 | 287 | What should I do with this man who complained of left neck fullness and now has a possible thrombosis on magnetic resonance imaging (MRI)? | What to do with this man, complaining of left neck fullness, possible thrombosis on magnetic resonance imaging (MRI)? | true |
288 | 288 | What should I do with this man who complained of left neck fullness and now has a possible thrombosis on magnetic resonance imaging (MRI)? | Boys' father has Marfan's Syndrome. Do these boys need further evaluation? | false |
289 | 289 | What should I do with this man who has had a negative extensive workup for palpitations and chest pain? | What to do with this man, negative extensive workup for palpitations and chest pain? | true |
290 | 290 | What should I do with this man who has had a negative extensive workup for palpitations and chest pain? | Why did they cut out the Coccidiomycosis granuloma rather than treat it medically? | false |
291 | 291 | This guy is dizzy when he's active but no other symptoms. What gives a doctor more uncertainty than dizziness and fatigue? How often is an etiology found? | Patient dizzy when active. What gives a doctor more uncertainty than dizziness? | true |
292 | 292 | This guy is dizzy when he's active but no other symptoms. What gives a doctor more uncertainty than dizziness and fatigue? How often is an etiology found? | Should we do a head CT (computerized tomography) with contrast tomorrow (Saturday) or MRI (magnetic resonance imaging) Monday? | false |
293 | 293 | The podiatrist doesn't know what he's got on his foot either. It's either a wart or a corn. It's a hyperkeratotic lesion with scaling and desquamation around it. | Podiatrist doesn't know either. It's either a wart or a corn. | true |
294 | 294 | The podiatrist doesn't know what he's got on his foot either. It's either a wart or a corn. It's a hyperkeratotic lesion with scaling and desquamation around it. | Why did she get Coccidiomycosis? | false |
295 | 295 | What is the dose of Famvir? I thought it was 500 milligrams three times a day but a recent New England Journal of Medicine article says 750 milligrams. | What is the dose of Famvir? I thought 500 milligrams three times a day but New England Journal of Medicine article says 750 milligrams. | true |
296 | 296 | What is the dose of Famvir? I thought it was 500 milligrams three times a day but a recent New England Journal of Medicine article says 750 milligrams. | How should I treat polymenorrhea in a 14-year-old girl? | false |
297 | 297 | How could the mother of this 4 1/2-year-old drift along for so long without getting any immunizations? | How could mother of 4 1/2-year-old drift so long without getting any immunizations? | true |
298 | 298 | How could the mother of this 4 1/2-year-old drift along for so long without getting any immunizations? | How should I treat polymenorrhea in a 14-year-old girl? | false |
299 | 299 | 15-year-old with an influenza-like illness, increased lactate dehydrogenase (LDH) and bilirubin. We had a recent death on the football field here (anomalous coronary artery). This patient is a football hero and the original question was whether to let him play. I did. | 15-year-old, influenza-like illness, increased lactate dehydrogenase (LDH) and bilirubin. Should he play football? | true |
300 | 300 | 15-year-old with an influenza-like illness, increased lactate dehydrogenase (LDH) and bilirubin. We had a recent death on the football field here (anomalous coronary artery). This patient is a football hero and the original question was whether to let him play. I did. | Why did they cut out the Coccidiomycosis granuloma rather than treat it medically? | false |