id
stringlengths
1
4
document_id
stringlengths
1
4
text_1
stringlengths
15
613
text_2
stringlengths
0
214
label
stringclasses
2 values
401
401
Why is she fatigued? This is follow-up visit. Automated blood count abnormal but done by hand was normal. Doing thyroxine today since thyroid stimulating hormone was elevated. Patient smokes 1 1/2 packs per day. Trying to cut back.
Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?
false
402
402
Why does he have a pleural effusion? 69-year-old man came in for eye exam, but complained of trouble breathing, et cetera so eye exam postponed.
Why does he have a pleural effusion? 69-year-old man complaining of trouble breathing.
true
403
403
Why does he have a pleural effusion? 69-year-old man came in for eye exam, but complained of trouble breathing, et cetera so eye exam postponed.
Boys' father has Marfan's Syndrome. Do these boys need further evaluation?
false
404
404
New onset, unexpected thrombocytopenia -- What to do with it? Blood went to reference lab. I wonder if sitting in the tube in the courier's car would do that.
Unexpected thrombocytopenia -- What to do with it? Sat in courier's car awhile.
true
405
405
New onset, unexpected thrombocytopenia -- What to do with it? Blood went to reference lab. I wonder if sitting in the tube in the courier's car would do that.
How do you inject the bicipital tendon?
false
406
406
Patient with aortic valve replacement and triglycerides are over 2000. Had cerebrovascular accident (CVA) when her international normalized ratio (INR) was approximately 2.5. What should I do about the interaction between Coumadin and gemfibrozil?
What should I do about the interaction between Coumadin and gemfibrozil?
true
407
407
Patient with aortic valve replacement and triglycerides are over 2000. Had cerebrovascular accident (CVA) when her international normalized ratio (INR) was approximately 2.5. What should I do about the interaction between Coumadin and gemfibrozil?
Obstetric patient, 39 weeks had a little sore, ? herpes. How long after she heals is it safe to do a vaginal delivery?
false
408
408
In an adult female teacher with a lapse in her Hepatitis B series, how long can you wait after the second shot before you have to start the whole series over?
Lapse in hepatitis B series, how long after second shot before you have to start over?
true
409
409
In an adult female teacher with a lapse in her Hepatitis B series, how long can you wait after the second shot before you have to start the whole series over?
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
410
410
Does theophylline cause fatigue?
Does theophylline cause fatigue?
true
411
411
Does theophylline cause fatigue?
How should I treat polymenorrhea in a 14-year-old girl?
false
412
412
An adult female seen yesterday is going on a cruise and wanted to know if there was a shot for motion sickness that lasts two weeks. Is there a shot for motion sickness that lasts two weeks?
Patient going on cruise, wanted to know if there was a shot for motion sickness.
true
413
413
Where do you find articles on tinnitus? Dr. X discussed referral but feels probably no one does anything to treat it and there are many people who have it.
Where do you find articles on tinnitus?
true
414
414
Where do you find articles on tinnitus? Dr. X discussed referral but feels probably no one does anything to treat it and there are many people who have it.
Obstetric patient, 39 weeks had a little sore, ? herpes. How long after she heals is it safe to do a vaginal delivery?
false
415
415
Which guidelines do you follow regarding frequency of flexible sigmoidoscopies? Cancer society, Medicare, health maintenance organization's (HMO's), et cetera vary with their recommendations. Dr. X feels there should be uniform guidelines.
Which guidelines do you follow regarding frequency of flexible sigmoidoscopies?
true
416
416
Which guidelines do you follow regarding frequency of flexible sigmoidoscopies? Cancer society, Medicare, health maintenance organization's (HMO's), et cetera vary with their recommendations. Dr. X feels there should be uniform guidelines.
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
417
417
72-year-old man seen this morning. Dr. X thinks he has genital herpes. The patient asked, "How long does herpes go on?"
72-year-old man with genital herpes. Patient asked, "How long does herpes go on?"
true
418
418
72-year-old man seen this morning. Dr. X thinks he has genital herpes. The patient asked, "How long does herpes go on?"
Boys' father has Marfan's Syndrome. Do these boys need further evaluation?
false
419
419
A less than 3-month-old male was seen earlier this week with chicken pox. The question was, "Should you treat or not?"
3-month-old male with chicken pox. Should you treat or not?
true
420
420
A less than 3-month-old male was seen earlier this week with chicken pox. The question was, "Should you treat or not?"
How do you inject the bicipital tendon?
false
421
421
Dr. X received phone call from visiting nurse that his patient who had a leg amputation a long time ago (diabetic) now has an ulceration on her good leg, won't let them in the house to do dressing changes, et cetera. What to do?
Diabetic with leg ulcer won't let visiting nurse in house to change dressing. What do you do?
true
422
422
Dr. X received phone call from visiting nurse that his patient who had a leg amputation a long time ago (diabetic) now has an ulceration on her good leg, won't let them in the house to do dressing changes, et cetera. What to do?
Are there better patient education materials on natural family planning than what I have?
false
423
423
37-year-old man with a viral upper respiratory infection. Is it okay to give the influenza shot to someone with an upper respiratory infection?
37-year-old with viral upper respiratory infection. Is it okay to give the influenza shot to someone with an upper respiratory infection?
true
424
424
37-year-old man with a viral upper respiratory infection. Is it okay to give the influenza shot to someone with an upper respiratory infection?
Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?
false
425
425
The same man has a son with Gaucher's disease and he gets transfusions once a month. Is Gaucher's a form of anemia? I'd have to look it up.
Is Gaucher's disease a form of anemia? I'd have to look it up.
true
426
426
46-year-old man. What is the dose of Prevacid and how do you spell it?
What is the dose of Prevacid and how do you spell it?
true
427
427
41-year-old woman with upper respiratory infection. She's pretty good size. The question is, "Should I give 500 milligrams or 250 milligrams of Amoxicillin?" I had to give that some thought.
Good size 41-year-old with upper respiratory infection. Should I give 500 milligrams or 250 milligrams of amoxicillin?
true
428
428
41-year-old woman with upper respiratory infection. She's pretty good size. The question is, "Should I give 500 milligrams or 250 milligrams of Amoxicillin?" I had to give that some thought.
Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?
false
429
429
42-year-old woman with upper respiratory infection. Wants to know when she should go back to work. That's always a question -- when you should let someone go back.
42-year-old woman with upper respiratory infection. Wants to know when she should go back to work.
true
430
430
42-year-old woman with upper respiratory infection. Wants to know when she should go back to work. That's always a question -- when you should let someone go back.
How do you inject the bicipital tendon?
false
431
431
44-year-old woman. What is the generic name of Halcion? She was on a sleeper that began with a T. Wanted to see if she could get a refill.
What is the generic name of Halcion?
true
432
432
What's the best time to get an obstetric ultrasound for dating and also to see other things like the placenta? Some say 13 to 15 weeks. Some say to get one early and late.
What is the best time to get obstetric ultrasound for dating and to see other things?
true
433
433
What's the best time to get an obstetric ultrasound for dating and also to see other things like the placenta? Some say 13 to 15 weeks. Some say to get one early and late.
Let's give these immunizations. That's right isn't it?
false
434
434
What are the optimal number of calories for an obstetric patient? She says she eats all the time.
What are optimal number of calories for obstetric patient? Says she eats all the time.
true
435
435
What are the optimal number of calories for an obstetric patient? She says she eats all the time.
Patient with hypertension and abdominal bruit. Should I order an intravenous pyelogram?
false
436
436
What are the chances of reversing a vasectomy? He asked me and I didn't know. Specifically, does the technique of doing a vasectomy affect the chance of reversal?
What are the chances of reversing a vasectomy? He asked me and I didn't know.
true
437
437
What are the chances of reversing a vasectomy? He asked me and I didn't know. Specifically, does the technique of doing a vasectomy affect the chance of reversal?
Let's give these immunizations. That's right isn't it?
false
438
438
What is the practicality of freezing sperm before you do a vasectomy? We got some information from the University but how long can you freeze sperm and still have it be good?
What is the practicality of freezing sperm before you do a vasectomy?
true
439
439
What is the practicality of freezing sperm before you do a vasectomy? We got some information from the University but how long can you freeze sperm and still have it be good?
How should I treat polymenorrhea in a 14-year-old girl?
false
440
440
Are there any rules for when to get a chest x-ray to rule out pneumonia, like the Ottawa ankle rules? This patient has a cough and pleuritic pain, smoker, upper airway and bronchial sounds.
Are there rules when to get chest x-ray to rule out pneumonia like the Ottawa ankle rules?
true
441
441
Are there any rules for when to get a chest x-ray to rule out pneumonia, like the Ottawa ankle rules? This patient has a cough and pleuritic pain, smoker, upper airway and bronchial sounds.
Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?
false
442
442
What are the long term effects of Dilantin use?
What are the long term effects of Dilantin use?
true
443
443
What are the long term effects of Dilantin use?
How should I treat polymenorrhea in a 14-year-old girl?
false
444
444
How often should you check a Dilantin level in someone who's using it chronically? What's safe? What's wise? Not just what everybody does?
How often should you check Dilantin level in someone who's using it chronically?
true
445
445
How often should you check a Dilantin level in someone who's using it chronically? What's safe? What's wise? Not just what everybody does?
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
446
446
I can feel a pounding aorta in this 58-year-old man. I'm not sure if it's normal. How often does an abdominal aortic aneurysm occur in patients under 60?
I can feel pounding aorta in this 58-year-old man. I'm not sure if it's normal.
true
447
447
I can feel a pounding aorta in this 58-year-old man. I'm not sure if it's normal. How often does an abdominal aortic aneurysm occur in patients under 60?
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
448
448
In people with colds and coughs and hemoptysis, in who should you workup the hemoptysis for cancer with a cytology and/or a chest x-ray? Just smokers or who?
In patients with colds and coughs and hemoptysis, who should be worked up?
true
449
449
In people with colds and coughs and hemoptysis, in who should you workup the hemoptysis for cancer with a cytology and/or a chest x-ray? Just smokers or who?
What antibiotic should I use for this diabetic patient's infected foot ulcer?
false
450
450
Do salicylates cause the same concern about proteinuria as nonsteroidal anti-inflammatory drugs? She had proteinuria in the past which we traced back to nonsteroidal anti-inflammatory drugs.
Do salicylates cause the same concern about proteinuria as nonsteroidal anti-inflammatory drugs?
true
451
451
Do salicylates cause the same concern about proteinuria as nonsteroidal anti-inflammatory drugs? She had proteinuria in the past which we traced back to nonsteroidal anti-inflammatory drugs.
What is the cause and treatment of this old man's stomatitis?
false
452
452
What is the dose of Trilisate?
What is the dose of Trilisate?
true
453
453
Do you need to do a tuberculin skin test if you want to rule out tuberculosis in a patient with hemoptysis and the patient has a negative chest x-ray?
Do you need to do a tuberculin skin test to rule out tuberculosis in a patient with hemoptysis and a negative chest x-ray?
true
454
454
Do you need to do a tuberculin skin test if you want to rule out tuberculosis in a patient with hemoptysis and the patient has a negative chest x-ray?
I wonder if this patient could have a rotator cuff thing?
false
455
455
A 60-year-old woman uses a lot of Avon Care Deeply with Cocoa Butter skin cream. She asked if she could be absorbing enough of this through her skin to cause her elevated cholesterol.
60-year-old female uses cocoa butter skin cream. Could that be absorbed, increase cholesterol?
true
456
456
A 60-year-old woman uses a lot of Avon Care Deeply with Cocoa Butter skin cream. She asked if she could be absorbing enough of this through her skin to cause her elevated cholesterol.
Why did she get Coccidiomycosis?
false
457
457
A 70-year-old woman with a total cholesterol of approximately 230, low-density lipoprotein (LDL-cholesterol) approximately 180. Should I worry about cholesterol in asymptomatic older patients?
70-year-old female with cholesterol approximately 230, low-density lipoprotein (LDL-cholesterol) approximately 180. Worry about cholesterol in asymptomatic elderly woman?
true
458
458
A 70-year-old woman with a total cholesterol of approximately 230, low-density lipoprotein (LDL-cholesterol) approximately 180. Should I worry about cholesterol in asymptomatic older patients?
Let's give these immunizations. That's right isn't it?
false
459
459
How do you workup galactorrhea? I think I should get at least a thyroid stimulating hormone and prolactin level.
How do you workup galactorrhea?
true
460
460
What are the Occupational Safety and Health Administration (OSHA) criteria for using liquid nitrogen (that is, protection by gloves, et cetera)?
What are Occupational Safety and Health Administration (OSHA) rules for using liquid nitrogen (that is, protection by gloves, et cetera)?
true
461
461
What is the proper treatment for gastroesophageal reflux disease (GERD)?
What is the proper treatment for GERD (gastroesophageal reflux disease)?
true
462
462
What is the proper treatment for gastroesophageal reflux disease (GERD)?
Let's give these immunizations. That's right isn't it?
false
463
463
What is the dosage of Lodine?
What is the dosage of Lodine?
true
464
464
Dr. X received consult report from neurologist at tertiary center X regarding patient's possible tendinitis but letter somewhat unclear so he telephoned this physician for an interpretation. Does she have tendinitis?
Does she have tendinitis?
true
465
465
Dr. X received consult report from neurologist at tertiary center X regarding patient's possible tendinitis but letter somewhat unclear so he telephoned this physician for an interpretation. Does she have tendinitis?
How should I treat polymenorrhea in a 14-year-old girl?
false
466
466
38-year-old man. What are the Ottawa criteria for ankle x-rays?
38-year-old man. What are the Ottawa criteria for ankle x-rays?
true
467
467
38-year-old man. What are the Ottawa criteria for ankle x-rays?
What antibiotic should I use for this diabetic patient's infected foot ulcer?
false
468
468
What are the doses of Solumedrol and Claforan for an 8-year-old female?
What are the doses of Solumedrol and Claforan for an 8-year-old female?
true
469
469
What do you do when someone has no insurance and has almost no money to buy Chemstrips?
What do you do when someone has no insurance and no money to buy Chemstrips?
true
470
470
What do you do when someone has no insurance and has almost no money to buy Chemstrips?
How should I treat polymenorrhea in a 14-year-old girl?
false
471
471
I would have had to look up mefloquine but he is staying in the city in Viet Nam so I don't need to look it up.
I would have had to look up mefloquine but he is staying in a city in Viet Nam?
true
472
472
What is causing her intermittent dysuria?
What is causing her intermittent dysuria?
true
473
473
What is causing her intermittent dysuria?
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
474
474
How long should this patient be kept on Floxin? Has a history of two previous bouts of cystitis.
How long should patient stay on Floxin? Two previous bouts of cystitis.
true
475
475
How long should this patient be kept on Floxin? Has a history of two previous bouts of cystitis.
How do you use Redux? What are the indications?
false
476
476
What is the dosage of Famvir for treatment of herpes simplex?
What is the dosage of Famvir for treatment of herpes simplex?
true
477
477
What is the dosage of Famvir for treatment of herpes simplex?
Let's give these immunizations. That's right isn't it?
false
478
478
Female around age 40 with vascular headache. What is the dosage of Midrin? Said he has to look this up occasionally.
Female around age 40 with vascular headache. What is the dosage of Midrin?
true
479
479
Female around age 40 with vascular headache. What is the dosage of Midrin? Said he has to look this up occasionally.
What is the dose of Famvir?
false
480
480
Should I put all diabetics on angiotensin converting enzyme (ACE) inhibitors to protect their kidneys, even if they don't have hypertension?
Should I put all diabetics on angiotensin converting enzyme inhibitors to protect the kidneys, even if no hypertension?
true
481
481
Should I put all diabetics on angiotensin converting enzyme (ACE) inhibitors to protect their kidneys, even if they don't have hypertension?
Estimated fetal weight on ultrasound in grams; what is it in pounds so I can tell mother?
false
482
482
Why is her ferritin high and why is she anemic (Hemoglobin 11.0, Ferritin high at 292, total iron binding capacity normal)?
Why is ferritin high, why is she anemic (Hemoglobin 11.0, Ferritin 292, total iron binding capacity normal)?
true
483
483
Why is her ferritin high and why is she anemic (Hemoglobin 11.0, Ferritin high at 292, total iron binding capacity normal)?
What is the maximum dose of digoxin? (patient seen in emergency room, had digoxin level less than 0.03)
false
484
484
What is the dose of Cefzil (cefprozil) for an 18-pound girl with otitis media?
What is the dose of Cefzil (cefprozil) for an 18-pound girl with otitis media?
true
485
485
What is the drug Zyprexa? The patient brought it in with him and said his psychiatrist had put him on it (not in a prescription bottle, but a sample drug bottle).
What is Zyprexa? Patient brought it in, psychiatrist put him on it.
true
486
486
This child had some flea bites. Question is - are children more susceptible to flea bites and what preventive measures could be used?
Are children more susceptible to flea bites, are there preventive measures?
true
487
487
Dr. X knows that if a postmenopausal woman is on estrogen for only a few years, she gets a continued protective effect against osteoporosis. Is that protective effect also ongoing with only a few years of estrogen therapy in the case of heart disease?
Will only a few years of estrogen help prevent heart disease?
true
488
488
Dr. X knows that if a postmenopausal woman is on estrogen for only a few years, she gets a continued protective effect against osteoporosis. Is that protective effect also ongoing with only a few years of estrogen therapy in the case of heart disease?
What are the causes of tinnitus?
false
489
489
Patient has a prolapsed uterus and is having problems which include urinary problems. Would removal of the uterus alone resolve her urinary symptoms or would she also need a cystocele repair, et cetera?
Prolapsed uterus, urinary problems. Would hysterectomy alone resolve urinary problem?
true
490
490
Patient has a prolapsed uterus and is having problems which include urinary problems. Would removal of the uterus alone resolve her urinary symptoms or would she also need a cystocele repair, et cetera?
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
491
491
There is a residential home for severely retarded adults here and he feels he would like more information on how to meet the needs of these people. Is there a group of doctors with better information on this? This was brought up because of this patient.
Would a residential home for retarded people meet the needs of this patient?
true
492
492
There is a residential home for severely retarded adults here and he feels he would like more information on how to meet the needs of these people. Is there a group of doctors with better information on this? This was brought up because of this patient.
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
493
493
Unusual presentation - patient has swelling (lymphoid tissue at base of tongue). Is this normal or should I be concerned about a tumor, et cetera?
Patient with swelling (lymphoid tissue) at base of tongue. Is this normal?
true
494
494
Unusual presentation - patient has swelling (lymphoid tissue at base of tongue). Is this normal or should I be concerned about a tumor, et cetera?
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
495
495
A laboratory technician that works at the clinic is 38 weeks pregnant and had a positive group B streptococcal test. Question is do we know enough about this test to be using it in the way we do?
Obstetric patient, 38 weeks with positive Group B streptococcus test. Do we know enough to be using this test the way we do?
true
496
496
A laboratory technician that works at the clinic is 38 weeks pregnant and had a positive group B streptococcal test. Question is do we know enough about this test to be using it in the way we do?
Should patients with osteoporosis get bone densitometry, because now we have Fosamax?
false
497
497
15-year-old boy with vomiting and diarrhea. He has a gastroenteritis but is it from food poisoning or a virus?
15-year-old boy with vomiting and diarrhea. Is it from food poisoning or a virus?
true
498
498
15-year-old boy with vomiting and diarrhea. He has a gastroenteritis but is it from food poisoning or a virus?
How should I treat polymenorrhea in a 14-year-old girl?
false
499
499
What is the cause of this rash?
What is the cause of this rash?
true
500
500
What is the cause of this rash?
How do you inject the bicipital tendon?
false