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<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 y/o male with ches pain. Pt woke up yesterday morning with pain in right upper chest, described as sharp, stabbing, constant. Pain is 5/10 but can be 8/10 with deep inspiration or with movement. Pt tried tylenol (4x yesterday) and albuterol but no relief Pt also recently had running nose, feeling febrile, and diffuse muscle pain prior to symptom onset that is resolving. Pt denies headaches, swelling in neck, SOB, abd pain, nausea vominting. ROS: negative except as above PMH: asthma Meds: albutero, tylenol Surg: none Fam: father asthma, HTN Soc: works as carpenters assistant (denies dust exposure), no smoing, occasional marjuana (last use over week before symptoms), occasional EtOh 1-2 beers 1-2x monthy, sexually active with girlfriend and consistent condom use All: NKDA. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling febrile, male, 17 y/o, recently had running nose, 8/10 with deep inspiration, asthma, ches pain, woke up yesterday morning with pain, denies SOB, albuterol no relief, sharp, stabbing, 8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 y/o M comes to the clinic for chest pain that is sudden in onset and present on the left side since yesterday morning. It is sharp pain that is 4/10 on rest and increases to 7-8/10 on deep breathing and movement. It is localized to the upper left chest. Tylenol and albuterol inhaler do not help. No relieving factors. There is no precipitating factor or trauma. He has felt warm and had nasal congestion since 3-4 days. He denies sore throat or cough/palpitation. ROS-negative except above PMH- excercise induced asthma PSH/allergy-none Med- tylenol and albuterol inhaler. last used inhaler 6 mo ago. FH- father has HLD and asthma. SH-occasional drinker. no smoking tobacco. smokes weed occasionally. Student. sexually active with GF and uses condoms regularly. monogamous.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]felt warm, M, 17 y/o, nasal congestion since 3-4 days, increases to 7-8/10 on deep breathing, excercise induced asthma, chest pain, since yesterday, albuterol inhaler do not help, sharp, 7-8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: chest pain HPI: 17 yo male with history of exercise-induced asthma treated with albuterol here today with 1 day history of sharp chest pain. Never had this pain before. Pain worse with inspiration. Has taken Tylenol and used inhaler without alleviation. Had 5 days of nasal congestion, subjective fever, and muscle aches prior to chest pain. No cough or headache, no eye or ear drainage, no loss of appetite. ROS: Negative except as above PMH: exercised induced asthma PSH:none Meds: albuterol inhaler, tylenol Q4H PRN Allergies: none FH: father with asthma and hypercholesterolemia, mother A&W, grandfather with MI 2 years ago SH: drinks beer at parties, CAGE 0/4, no tobacco, no drugs, sexually active with girlfriend and uses condoms, avid rock climber. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, male, 17 yo, nasal congestion, worse with inspiration, exercise-induced asthma, exercised induced asthma, chest pain, 1 day history, rock climber, used inhaler without alleviation, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Pt is a 17 yo male hx of exercise asthma on inhaler w 1 day history of "chest pain." He was in his usual state of health until yesterday morning when he noticed an abrupt presentation of chest pain on his left side. He said while it is present at rest, it worses with breathing and gets severe, but unable to rate it on a 1-10 scale. He says motion makes it worse. Does not radiate anywhere. He has tried Tylenol and his inhaler, but those have not helped him. He says he has never had something like this happen before. No falls/trauma, LOC Of note, he went rock climbing 3 days ago; also endorses stuffy nose, muscle aches, and "warmth" for the last 3 days. Denies headache cough, SOB, palpitations, reflux, abdominal pain, nausea, diaphoresis. PMH/PSH non contributory. FH + heart attack grandfather. No medications/allergies. 1 female sexual partner for the past year. Non smoker, social-drinker, no IVDU. Concerned about rock climbing.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]male, 17 yo, stuffy nose, worses with breathing, exercise asthma, chest pain, 1 day history, yesterday, Denies SOB, rock climbing 3 days ago, rock climbing, inhaler have not helped</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17M with a hx of exercise induced asthma who presents with chest pain. Patient is unaccompanied by mother. - Chest pain is substernal, sharp without radiation. pain is worse with deep breaths. pain staryed yesterday morning and is constant and worsening. Tylenol and albuterol has not helped the pain. First time having this type of pain. Does not feel like asthma attack - 3-4d ago, had fever (? Tm), runny nose, muscle aches. Sx have improved. No sick contacts. No cough. No sore throat. No nausea, vomiting, leg swelling, no SOB with exercion, no smoking at home, no feelins of anxiety. No ear tugging; mood is "good" - Feel safe at home - No surgery - no tobacco; social drinker; social MJ user; - No sig fam hx - Up 2 date on immunization - No recent travel hx. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, M, 17, 3-4d ago runny nose, pain is worse with deep breaths, exercise induced asthma, chest pain, Chest pain, staryed yesterday, no SOB, albuterol has not helped, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 YO M, WITH VERBAL CONSENT FROM MOTHER, C/O CHEST PAIN x 1 DAY. THE PAIN IS ON THE LEFT SIDE OF CHEST, WAS SUDDEN, CONTINOUS, 5/10 AT REST AND 8/10 INTENSITY WITH RESPIRATION, WORSENS WITH MOVEMENT. PT ALSO REPORTS LOCAL TENDERNESS ON LEFT SIDE OF CHEST THAT INCREASES ON PALPATION. PT DENIES SOB, SWEATING, ILL CONTACTS, PND, ORTHOPNEA, TRAVEL, TRAUMA AND RASH. ROS -VE EXCEPT AS ABOVE. PMH- EXERCISE INDUCED ASTHMA ON ALBUTEROL ALLERGY- NKDA FH-N/C SSH- SEXUALLY ACTIVE WITH GIRL FRIEND x 6 MONTHS AND USES PROTECTION, ETOH-NO ALCOHOL USE, DRUGS-WEED x 1 WEEK AGO, OCCUPATION -STUDENT AND CARPENTER PRT TIME . Extract phrases from this text which may help understand the patient's medical condition.[/INST]M, 17 YO, 8/10 INTENSITY WITH RESPIRATION, EXERCISE INDUCED ASTHMA, CHEST PAIN, PAIN CHEST, x 1 DAY, DENIES SOB, 8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 year old male who presents to clinic with chest pain. Pain is in left upper chest, non-radiating, sharp, 5/10 at rest, 9/10 with deep breathing or movement. Started yesterday, is constant, no change, not relieved with Tylenol or Albuterol inhaler. Reports 3-4 days ago flu symtpoms of rhinorhea, muscle aches, fever. Denies nausea, vomiting, abdominal pain, constipation, diarrhea, headache, cough, swollen lymph nodes. Medication: albuterol PRN for exercise induced Asthma, and tylenol; Allergies - no PSH: no, Family history: Father asthma, high cholesterol, grandfather MI - alive Social: Senior in high-school, lives with parents, things are "okay" at home. Sexually active with girlfriend, always use condoms. Denies tobacco and ilicit drugs, occasional beer. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, male, 17 year old, 3-4 days ago rhinorhea, Pain 9/10 with deep breathing, exercise induced Asthma, chest pain, Started yesterday, not relieved with Albuterol inhaler, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo M comes to the clinic with mothers verbal consent for a history, physical examination, and treatment, c/o chest pain. Patient refers pain occurs everytime he takes a deep breath. This started yesterday morning, it has been constant, located in the upper Lt chest. He has used tylenol, and his albuterol inhaler with no significant relief. Deep breathing and movement make pain worse. Since started pain has been the same, he recalls no precipitating event, and this has never happened before. Patient adds feeling warm, muscle aches, and stuffy nose, for which he has been feeling better recently. Patient has an active excercise regimen where he goes rock climbing for 2-3 x a week. ROS: neg exc as above PMH: ASthma excercise induced ALL: NKDA MEds: ALbuterol inhaler Hosp/surg: no FH: Father with asthma Social: student and carpenter/ no excess alcohol, smoke marijuana ocasionally. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling warm, M, 17 yo, stuffy nose, Deep breathing make pain worse, ASthma excercise induced, chest pain, started yesterday, rock climbing, used albuterol inhaler with no significant relief</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 y.o M who presents with sudden onset L-sided chest pain. Three days ago he had a stuffy nose, fever, and muscle aches. Yesterday he woke up with severe pain on inspiration. He describes it as a constant pain that worsens with inspiration and movement. He has been taking tylenol for the pain but it has not helped much. He denies abodminal pain, SOB, changes in bowel habits. He endorses muscle aches. PMH: exercise induced asthma Meds: albuterol 1-2x/week Surg: none Allergies: NKDA FHx: Dad with asthma and high cholesterol, grandfather with MI SoHx: sexually active with girlfriend, uses condoms consistently, never smoker, occasional beer at parties, has tried weed a couple times, no other illicit drug use, works as a carpenter and uses protective gear. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, M, 17 y.o, Three days ago stuffy nose, severe pain on inspiration, worsens with inspiration, exercise induced asthma, chest pain, Yesterday, denies SOB</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: KANE SMITH IS A 17 Y/O M WITH PMH OF EXERCISE-INDUCED ASTHMA WHO PRESENTS WITH 1 DAY OF CHEST PAIN TO HIS UPPER RIGHT CHEST. HE DESCRIBES THE PAIN AS SHARP AND STABBING. IT IS NONRADIATING AND WORSE WITH BREATHING AND MOVEMENT. HE TRIED TAKING TYLENOL AND ALBUTEROL INHALER BUT HIS PAIN PERSISTED. IT IS CONSTANT AND HE RATES IT AS 5/10 AT REST AND 8/10 WITH MOVEMENT OR COUGH. HE ALSO COMPLAINS OF NASAL CONGESTION AND MUSCLE ACHES THAT STARTED A FEW DAYS PRIOR AND HE FEELS WARM BUT DID NOT MEASURE A TEMPERATURE. HE DENIES CHILLS, NIGHT SWEATS, APPETITE CHANGE, WEIGHT CHANGE, PALPITATIONS, ORTHOPNEA, COUGH, SOB, WHEEZING, RASH, SKIN LESION. HE DENIES ANY RECENT TRAUMA OR INJURY TO THE CHEST. ROS: PER HPI, ALL OTHERS NEGATIVE PMH: EXERCISE-INDUCED ASTHMA, LAST EXPERIENCED SYMPTOMS 6 MONTHS AGO MEDS: ALBUTEROL, TYLENOL ALLERGIES: NONE PSH: NONE FH: MI IN GRANDFATHER, FATHER HAS ASTHMA AND HLD SH: NONSMOKER, 1-2 DRINKS/MONTH. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]FEELS WARM, M, 17 Y/O, NASAL CONGESTION, WORSE WITH BREATHING, EXERCISE-INDUCED ASTHMA, EXERCISE-INDUCED ASTHMA, CHEST PAIN, 1 DAY, DENIES SOB, TRIED ALBUTEROL BUT HIS PAIN PERSISTED, SHARP, STABBING, 8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo m comes to the office complaining of sharp L constant chest pain that worsenes with deep breaths. Pt had a stuffy nose and muscle aches 3-4 days ago but feels better. Tylenol and albuterol have not relieved his symptoms. Pt denies previous chest pain an dill contacts. Denies cough, rash, changes in urine or bowel habits, nausea/vomit, fevers and weigth/appetite changes. ROS: - except as above PMHx: exercise induced asthma Allergies: none meds: tylenol and albuterol (does not need it as much anymore) hospitalizations: none vaccines: unsure FH: father has asthma and high cholesterol; grandfather had an MI SH: senior at high school, lives with mom and dad and get along well, gets good grades in school, does rock climbing (last time 3 days ago), occasionally drinks alcohol, has tried weed at parteis (last use: weekend), no smoking, sexually active with girlfrined and uses protection.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]m, 17 yo, stuffy nose, exercise induced asthma, chest pain, rock climbing, albuterol have not relieved his symptoms, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Kane Smith is a pleasant 17 yo M with PMHx exercise-induced asthma presenting with 1 day history of acute onset CP. Pt states yesterday in the morning he woke up with CP over his left pectoralis muscle. The pain is constant, stabbing in nature and not alleviated by tylenol or albuterol. Deep breathing, movement make this pain worse. Assocaited symptoms include stuffy nose and muscle aches diffusely. Of note, pt rock climbs and climbed 3 days ago. PMHx: as above PSHx: None Rx: Albuterol prn, tylenol q4 hours PO prn for pain Allergies: NKDA FHx: Father: asthma HLD Mother: healthy, brother, healthy Social Hx: senior in high school, carpentry assistant for side work, denies Tobacco, endorses occasional drinking and marijuana use. ROS: Endorses pleuritic CP, denies SOB, Nausea, vomiting, diarrhea, constipation, diaphoresis . Extract phrases from this text which may help understand the patient's medical condition.[/INST]M, 17 yo, Assocaited symptoms include stuffy nose, Deep breathing make this pain worse, pleuritic, exercise-induced asthma, CP, CP, CP, 1 day history, denies SOB, rock climbs and climbed 3 days ago, not alleviated by albuterol, stabbing</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17y/o male c/o chest pain he woke up with the chest pain yesterday monining, it is a sharp pain that is every time when he brathes in. denies trauma. no radiation of pain. Took tylonol several times, helped a little. (-) sick contacts, cough. (+) muscle aches, NKDA. Exercise induced-asthma. Takes albuterol inhaler . Father: asthma, high cholesterol, Mother: no known diseases. Climber, lives with parents and sister and brother. (-) smoking. drinks beers on parties. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]male, 17y/o, Exercise induced-asthma, chest pain, chest pain, yesterday, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 yo M here with chest pain. He woke up yesterday with sharp chest pain localized over the L side of his chest. The pain is associated with breathing and does not radiate. He rates it as 5/10 with spikes to 8-9/10 when he takes a big breath or moves around. The pain is relatively constant. He tried tylenol and his albuterol inhaler but those did not help. He has also been experiencing "stuffy nose" and muscle aches and is feeling "hot". He is not sure if he had a flu shot this year. ROS: no headache, sore throat, palpitations, SOB, nausea/vomiting, diarrhea/constipation, no dysuria/increased frequency. no rashes. MedHx: exercise induced asthma, on PRN albuterol (last inhaler use 6 mo ago) rx: PRN albuturol, PRN tylenol allergies: NKDA surg: none Fam: dad has asthma, mom healthy, grandfather had MI Soc: drinks beer 1/month, never tobacco, never drugs, sexually active with girlfriend (always uses condoms). Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling "hot, M, 17 yo, stuffy nose, exercise induced asthma, chest pain, chest pain, yesterday, no SOB, albuterol inhaler did not help, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 year old African American male with a past medical history of exercise induced asthma who presents with one day of chest pain. He describes "very sharp" pain "like a knife" in the left side of his chest. It does not radiate or move. The pain is worse with deep breaths and with movement, and better when he rests. Tylenol and albuterol have not helped. He does report several days of stuffy nose and muscle aches. He reports some fever. He exercises often. ROS: No nausea, vomiting, diarrhea, constipation, cough, shortness of breath, changes in urination, numbness, tingling PMH: exercise induced asthma PSH: none Meds: albuterol inhaler as needed NKDA FH: Father with asthma and hypercholesterolemia, paternal grandfather with heart attack. Mother healthy SH: Senior, planning on attending college. Works for a carpenter. Reports one beer a month, no drug use, no tobacco use, sexually active with girlfiend, uses condoms. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, male, 17 year old, days of stuffy nose, worse with deep breaths, exercise induced asthma, exercise induced asthma, chest pain, pain in chest, one day of, No shortness of breath,, albuterol have not helped, sharp, like a knife</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 17 yo m c/o left-sided chest pain. It suddenly started yesterday during walking. It is constant, non-progressive, sharp, non radiating, no alleviating factors amd aggravated by movement and deep breathing. He also has subjective fever for the past 2-3 d. He had runny nose and muscle aches 1 w ago. RoS: he denies cough, SoB, weight loss, abdominal pain, sore throat, rash. PMH/PSH: he has exercise-induced asthma, well controlled w/ albuterol. Allergies: NKDA, NKA. MEds: albuterol occasionally FH: none SexH: active w/ girlfriend only for the past y, use condoms consistently. No h/o STI SH: no tobacco/EtoH socially/ marijuana 2 times.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, m, 17 yo, runny nose, aggravated by deep breathing, exercise-induced asthma, chest pain, started yesterday, denies SoB, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane Smith is a 17 yo man with history of exercise-induced asthma presenting with sharp pain on his left-mid upper chest since yesterday morning. Pain started when he woke up, noticed no preceding events. Sharp quality, severe pain when moving or taking a deep breath. Tylenol and albuterol have not helped. +stuffy nose, muscle aches, and fevers. Denies fatigue, sore throat, coach, chills, night sweats, headache, dizziness, urinary or bowel changes. PMH: asthma Meds: albuterol PRN (last use 6 mo ago), 2 tylenol pills q4h for this pain. FH: dad with asthma and high cholesterol, grandmother with heart attack. SH: no smoking or concerning drinking. no cocaine. Senior in high school, also works as carpenter assistant. Sexually active with his girlfriend and uses condoms.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fevers, man, 17 yo, +stuffy nose, severe pain taking a deep breath, exercise-induced asthma, pain chest, since yesterday, albuterol not helped, sharp pain, Sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC - chest pain HPI - 17 yo M complains of sharp consistent chest pain x 1 day. Woke up with chest pain yesterday. Worse with deep breath and movement. Tried ttylenol and albuterol without improvement of pain. Pain improves with leaning forward. Nasal congestion/rhinorrhea, body aches, subjective fever x 3 days. Denies cough, shortness of breath, breathing fast, N/V, diarrhea, constipation, headache, change vision, tingling arms/legs PMH - asthma, well controlled Meds- albuteral, tylenol q4h PRN NKDA Sh - alcohol use 2 beers/month, no tobacco or drug use. Lives with parents. Likes to rock climb. FH - grandfather myocardial infarction age 70, still living dad - asthma otherwise healthy. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, M, 17 yo, Nasal congestion, rhinorrhea, chest pain, chest pain, x 1 day, yesterday, Denies shortness of breath, rock climb, Tried albuterol without improvement, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 year old male who comes in for chest pain. It started yesterday morning when he woke up, and is located at the chenter left chest above his sternum. Its a constant pain, sharp in nature, and worsens on deep breath. It does not radiate, and the severity ranges from 4/10-8/10. He tried tylenol but it provided no relief. He has had fever. He denies cough, sweating, chills, fatigue, palpitations, shortness of breath, weight change, appatite change, nausea, vomiting, or change in bowel habits. ROS- As above PMH- exercise induced asthma PSH- none Meds- albuterol Allergies- none FH- father has asthma and HLD, grandfather had MI SH- is sexually active with girlfriend and uses protection. No hx of STIs. No smoking, drinks only at parties, and doesn't use drugs. Has not recieved flu shot. Exercises by rockclimbing. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, male, 17 year old, worsens on deep breath, exercise induced asthma, chest pain, started yesterday, denies shortness of breath, rockclimbing, sharp, 8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Patient is a 17 yo M presenting with 1 day left sided nonradiating chest pain that is worsened with deep inspiration and movement. It is described as sharp and stabbing, is constant, and not relieved by tylenol or albuterol. Patient also reports stuffy nose, fever, and muscle aches for 3-4 days. He has not recieved a flu shot or had recent travel. He reports no recent sick contacts, heartburn, SOB, wheezing, chills, fatigue, abdominal pain, diarrhea, or cough. ROS: negative except above PMH: Exercise induced asthma, car accident at young age PSH: None Medications: albuteral inhaler PRN, tylenol PRN Allergies: none FH: Asthma and hyperlipidemia in father, MI in grandfather at age 70 SH: Patient is a Philadelphia school student. He reports no usage of tobacco. He has tried marijuana, most recently 1 week ago, and drinks 1-2 beers when he attends parties, less than once a month.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, M, 17 yo, stuffy nose, worsened with deep inspiration, Exercise induced asthma, chest pain, 1 day, no SOB, not relieved by albuterol, sharp, stabbing</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 YO M came to Clinic with consent from parents, he has been having Chest pain from yesterday,its sharp stabbing pain,which started suddenly when he woke up,gradually worsening,aggrav by deep breath and allev by nothing, he also Reports FEVER from last 3-4 days he didnt checked,and he is having body aches, he feels fatigued. Denies SOB,Vomittings,wheezing, headache,weakness in body parts,abd pain. ROS neg except abv PMH excercise induced asthma, Meds Albuterol,advil,tylenol PSH/HOSP none, NKDA SH work as corporate,lives with parents and siblings,drinks 1-2beers/months,no smoking,Drugs weed occasionally,last weknd was last time he took. sexually active w girl frind,uses protection. Extract phrases from this text which may help understand the patient's medical condition.[/INST]Reports FEVER, M, 17 YO, aggrav by deep breath, excercise induced asthma, Chest pain, Denies SOB, sharp, stabbing</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo male presents with sharp acute chest pain since yesterday - pain strated since yesterday while patient wokeup - pain is not radiating, while sitting 5/10 - when moving pain worsens to 9/10 - no SOB, headache, cough, palpitations ROS: negative except as above PMH: Asthma PSH: none Allergies: NKA Medication: Albuterol FH: father: Astham, grandfather: MI SH: denies smoking, occasional alcohol, tried weegd otherwise no drugs, sexual active with girlfrined using condoms. Extract phrases from this text which may help understand the patient's medical condition.[/INST]male, 17 yo, chest pain, since yesterday, since yesterday, no SOB, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo male Hx of Exercise Induced Asthma with c/o L sided Chest pain -started yesterday, sharp in quality, nonprogressive, constant, nonradiating, aggravated by deep breathing and movement, relieved by nothing, took tyelonol which did not help -reports having fever, stuffy nose, muscle ache for the past 3-4 days, did not take anything for it -denies racing of heart, sweating, recent trauma, appetite loss or weight loss, bowel or bladder movemnt changes PMH-Exercise induced Asthma took albuterol inhaler MEDS-TYELONOL, FH- Father had Asthma and hypercholesterolemia, Grandfather had heart attack once ALL/PSH-None SSH-sexaully active with girlfriend for 1 yr, drinks etoh occ, denies smoking, smokes weed , last use last weekend. Extract phrases from this text which may help understand the patient's medical condition.[/INST]reports having fever, male, 17 yo, stuffy nose, aggravated by deep breathing, Exercise Induced Asthma, Exercise induced Asthma, Chest pain, started yesterday, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: - 17yr male with L sided sharp chest pain with deep breaths. Also endorses stuffy nose and myalgias. Pain does not radiate and is a 4/10 at rest and 7/10 with deep breaths - Pt also has "felt warm" at home, but not measured temp. Sxs serious enough for him to call out from work as a carpentry assistant - Tylenol does not help and albuterol inhaler has not helped sxs - PMH: exercise-induced asthma, never hospitalized; No PSH - Med: albuterol inhaler prn, tylenol for pain; NKDA - FH: Dad with asthma and HLD, Grandfather with MI at age 81 - SH: Lives at home with parents, senior in high school, works as carpentry asst, rock climbs for hobby, never smoker, occasional social beer, has tried marijuana on some occasssions at parties, sexually active with girlfriend and uses condoms, denies depressive sxs - ROS: neg except noted. Extract phrases from this text which may help understand the patient's medical condition.[/INST]felt warm, male, 17yr, endorses stuffy nose, chest pain with deep breaths, 7/10 with deep breaths, exercise-induced asthma, chest pain, rock climbs, albuterol inhaler has not helped, sharp, 7/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr Smith is a 17 y/o M who presents for chest pain. He reports the pain started yesterday morning without any precipitating factor. Since then the pain is sharp in nature, 5/10 at rest and 8/10 when worsened by deep breathing or movement. He reports little improvement with albuterol and tylenol. The pain does not radiate. He also reports a 3-4 day history of mild warmth, myalgia and stuffy nose. Denies any burning sensation in the epigastrum, shortness of breath, wheezing, palpitations or cough. Denies any recent sick contacts or travel. ROS negative except as above. PMH excercise induced asthma Medications albuterol rarely and 2 tylenols q4hr PSH no surgeries Social history - Is a senior at school and a carpenter. Drinks 1-2 beers at parties, denies tobacco use. Occasional marijuana use. Sexually active with 1 female partner in the past year and uses condoms. Family history - asthma in the father, grandfather had MI. Extract phrases from this text which may help understand the patient's medical condition.[/INST]warmth, M, 17 y/o, 3-4 day history of stuffy nose, worsened by deep breathing, excercise induced asthma, chest pain, started yesterday, Denies shortness of breath, little improvement with albuterol, sharp, 8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: Pt. is a 17y/o male who is complaining of left sided chest pain for the last 1 day. The chest pain is unprovoked, and occured when he woke up. Described as sharp, 4/10 intesnsity, but 7/10 intensity when breathing in deep. Deep inspiration and movement worsen the pain. The pain is not worse when supine, or when leaning forward. Tylenol does not improve the pain. He has a subjective fever, and associated malaise and nasal congestion for the past 3 days. He is unsure of his vaccine status, and did not recieve an influenza vaccine this year. He denies palpitations, dyspnea, and trauma to his chest. ROS: Negative. Meds: Albuterol inhaler, Tylenol Allergies: NKA PMHx: Exercise induced asthma 4 years. PSurg Hx: None. Fam hx: Dad - asthma, hypercholesterolemia, Grandfather - MI Social Hx: Never smoker, drinks occassional beer at parties, denies drug use. Sex with girlfirend only, uses condoms. Carpenters assistent. Rock climbs.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, male, 17y/o, nasal congestion for the past 3 days, 7/10 intensity when breathing in deep, Deep inspiration worsen the pain, Exercise induced asthma, chest pain, chest pain, for the last 1 day, Rock climbs, sharp, 7/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo male with CP that started yesterday morning and has worsened. Now 8 or 9/ 10 pain. Worse with inspiration and movement. Denies trauma, SOB, N/V. Tried albuterol inhaler and tylenol but did not relive pain. 3-4 days ago experienced nasal congestion and muscle aches. Those symptoms resolved. PMHx- exercise induced asthma (well controlled w/ inhaler) Meds- albuterol inhaler and tylenol PSHX- none PFamHx- grandpa MI age 70yo Soc HX- lives with parents and older brother, drinks 1-2 beers per month, used weed 3x in life, does not smoke or vape, senior in highschool, works as carpenter assistent NKDA . Extract phrases from this text which may help understand the patient's medical condition.[/INST]male, 17 yo, 3-4 days ago nasal congestion, Worse with inspiration, exercise induced asthma, CP, started yesterday, Denies SOB, albuterol inhaler did not relive pain, 8 or 9/ 10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yr old male c/o sudden, sharp, pleuretic left chest pain that started yesterday, after a recent URI when he experienced nasal stuffines, rhinorrhea, for 3-4 days. Chest pain is aggrevated and triggered by sudden positional changes, and deep breaths and alleviated by shallow breathing. Tylenol and albuterol did not alleviate the pain. H/O subjective fever. The patient denies any previous similar episodes, palpatations, trauma, rash, weight or appetite changes, dyspnea, bowel or urinalry changes neck swellings or pain or abdominal discomfort. PMHX: Exercise induced asthma, for 4 yrs stopped medications PSH: none. MEds: Tylenol and albuterol yesterday only ALL: nka FHX: NC Social HX: Part time carpenter, College student, Non smoker, drinks occassionally at parties, and smokes marijiuana at social events/parties. Exercises at the gym.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, male, 17 yr old, recent URI, nasal stuffines, rhinorrhea, for 3-4 day, pleuretic, aggrevated by deep breaths, Exercise induced asthma, chest pain, Chest pain, started yesterday, albuterol did not alleviate the pain, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: a 17-year-old male, has come to the outpatient clinic with chest pain -began yesterday morning, suddenly, woke him up, constant, staying the same, no previous episodes -left side, no radiation, 5/10 when sitting, 8/10 when taking deep breath, no trauma or injury, sharp pain -has nasal congestion, muscle ache, and fever for 4 days -denies dyspnea, nausea, vomiting, palpitation, dizziness, diaphoresis, cough, weight/appetite/sleeping changes, sick contact, night sweats -alleviated by nothing, aggravated movement and deep breath PMH: exercise induced asthma for 4 years PSH: none Meds: ibutoral inhaler, Tylenol All: NKDA FH: father has asthma and hypercholesteremia, grandfather has myocardial infarction SH: denies smoking, uses weed, last use was last weekend, drink etOH once a while, monogamous with girlfriend, exercises regularly, twice/week, high school student. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, male, 17-year-old, nasal congestion, 8/10 when taking deep breath, exercise induced asthma, chest pain, began yesterday, denies dyspnea, 8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo M who complains of sharp, L sided pleuritic chest pain over the anterior chest since yesterday morning when he woke up. THe pain is worse with changes in position and walking and Tylenol q2-4 hrs and albuterol inhaler have not helped with the pain. He reports that the pain may be slightly improved with leaning forward. He reports 3-4 days of congestion, rhinorrhea, muscle aches and subjective fevers. He denies cough, congestion, abdominal pain, SOB, chest pain with exertion N/V/D. He denies sick contacts. He is most worried about being able to get back to rock climbing. PMHx: exercise-induced asthma, takes albuterol inhaler (last needed 6 months ago) no allergies, PSHx or other meds FMHx: father has asthma and and HLD. grandfather survived MI few yrs ago Social: lives at home with mom and dad. senior in high school, likes to rock climb. Drinks 1-2 beers with friends once/month, denies tobacco, drugs. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fevers, M, 17 yo, congestion, rhinorrhea, pleuritic, exercise-induced asthma, chest pain, since yesterday, denies SOB, rock climbing, rock climb, albuterol inhaler have not helped, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane Smith is a 17 year old male who presents with chest pain that began yesterday morning when he woke up. Consent from mother. It is a left sided, sharp stabbing pain worse with deep inspiration and movement. Unrelieved with tylenol q 4 hours as per bottle. Reports subjective fever, congestion, myalgias. Denies history of trauma, SOB, angina, numbness, nausea, vomiting, diarrhea, dysuria, abd pain, chest pressure, sick contacts. Senior in high school. Works as carpenter's assistant. Enjoys rock climbing. Participated in both in the last 2-3 days, lots of heavy lifting. PMH of exercise induced asthma controlled with albuterol prn, last used 6 months ago. NKDA. No surgeries. Lives at home with parents. Reports occasional beer and marijuana at parties. No drug use otherwise. Concerned about missing school and what the pain could be. Permission to speak with mother.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, male, 17 year old, congestion, worse with deep inspiration, exercise induced asthma, chest pain, began yesterday, Denies SOB, last 2-3 days heavy lifting, sharp, stabbing</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Kane Smith is a 17-year-old male presenting with chest pain since yesterday. He does not recall any precipitating events, including trauma. The pain is primarily located on the left parasternal border and does not radiate anywhere. He describes the pain as sharp and stabby. It is worse when he takes a deep breath and when he moves around. Better with rest. He has tried tylenol and his albuterol inhaler with no relief. Of note, he states that he recently had a stuffy nose and some muscle aches, about 4 days ago. He has been feeling warm for the past several days. ROS: Denies exertional dypnea, nausea/vomiting, and diaphoresis. Denies changes in bowel habits. PMH: Exercise induced asthma Meds: Albuterol inhaler NKDA FH: HA in grandfather at age 70. SH: Non-smoker. Drinks 1-2 beers occasionally at parties. Has tried marijuana, but no other illicits. SEnior in high school. Works in woodworking. Rock-climbs.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling warm, male, 17-year-old, stuffy nose, worse when he takes a deep breath, Exercise induced asthma, chest pain, since yesterday, Denies exertional dypnea, Rock-climbs, albuterol inhaler with no relief, sharp, stabby</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo Male with sharp L sided chest pain for 1 day. worse with deep inspiration. Took tylenol and albuterol inhaler and did not help. Located broadly around the L chest area. PMH includes excersize induced asthma. medications are albuterol inhalor for asthma. no allergies, no hospitilizations, no GI symptoms, no Urinary symptoms, no surgeries. Endorses a stuffy nose and muscle aches 3-4 days ago. Denies tobacco use, some EtOH use socially, denies any drug use. Senior high school student also works as carpenter assistant, lives at home with parents. Will need doctors note for school today. Has been feeling warm/feverish, no weightloss or gain, no night sweats.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling warm, feverish, Male, sharp, 17 yo, Endorses a stuffy nose 3-4 days ago, worse with deep inspiration, excersize induced asthma, chest pain, for 1 day, albuterol inhaler did not help</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Patient is a 17-year-old man presenting with sharp chest pain that began yesterday morning. He describes the pain as sharp like a knife and occurs every time he takes a depp breath. The pain is located in his left anterior chest and does not radiate. He has tried Tylenol and using his albuterol inhaler without relief. The only aggravating factor is taking a deep breath - he denies the pain being worse or better when leaning foward. Notably, he has had 3-4 days of feeling warm, stuffy nose, and muscle aches. He denies any shortness of breath, racing heart, weight loss/gain, change in bowel movements or urinary frequency/urgency. Past medical history: exercise-induced asthma, uses inhaler every 6 months Past surgical history: none NKDA Family history: dad - asthma, paternal grandfather - MI, mom - healthy, older brother - allergies Social history: no tobacco use, alcohol 1x/month, no illicit drug use, lives with Mom and Dad. Extract phrases from this text which may help understand the patient's medical condition.[/INST]man, 17-year-old, 3-4 days stuffy nose, aggravating factor taking a deep breath, exercise-induced asthma, chest pain, pain chest, began yesterday, denies shortness of breath, albuterol inhaler without relief, sharp, sharp, like a knife</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane smith, 17 yo M presents with Left chest pain, sharp, 5/10 at rest, 9/10 during deep inspiration that started yesterday morning. Pain does not radiate. Deep breaths makes pain worse. Nothing makes it better. Rhinnorhea muscle aches and feeling warm for past 3-4 days with possible URI. Used tylenol and albuterol yesterday for pain but did not help; -cough; -headache; -sore throat; -racing heart ROS: all other ros neg allergies: nkda PMH: exercise induced allergies Meds: Albuterol prn; tylenol prn PSH: None SH: 1-2 etoh drinks per month; occasional weed use, used last week; no tobacco use; lives at home with mother, father and 21 yo brother; senior is high school; works part time at carpenter; sexually active with GF; 1 partner in past year; uses condoms; never screened for sti; FH: Father - asthma and hypercholesterimia; Mother healthy; brother healthy . Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling warm, M, 17 yo, Rhinnorhea, URI, Deep breaths makes pain worse, chest pain, started yesterday, albuterol did not help, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 yo male presentign with chest pain. Pain started acutely yesterday, described as sharp chest pain that worsens with breath and movement. No radiation. He has tried tylenol (2 pills every 4 hours) and albuterol inhaler with no relief. Does not know if pain improves with leaning forward. He has had muscle aches, stuffy nose and subjective fever for the past 3-4 days. Denies any N/V, palpitations, abdominal pain, wheezes, headaches. ROS negative except for above PMH: exercise induced asthma, Allergies: NKDA, Medications: Albuterol inhaler, PSH: none Fam Hx: dad has asthma, high cholesterol, mom is healthy, grandpa had heart attack Sexual Hx: Is sexually active with girlfriend, uses condoms, no hx of STIs Social Hx: Does not smoke or use illicit drugs, drinks beer 1 a month at social occassions. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, male, 17 yo, stuffy nose, worsens with breath, exercise induced asthma, chest pain, yesterday, albuterol inhaler with no relief, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 y/o M with left sided chest pain patient complaining of left sided chest pain that he woke up with yesterday morning. At rest it is 5/10 intensity, with movement or palpation 7/10. Tried tylenol, no relief. Deep breath causes intense pain too. No trauma to area, no travel, no sick contacts , no cough, no fever but patient feels warm, no nausea vomiting or diarrhea, no weight loss, no dizziness, no sore throat or oltagia. Pain stays localized in same spot. never happened. rock climber 4 days ago. PMHx: History of excercize induced asthma, but has not needed inhaler for 6 months. Uses albuterol PRN and tylenol OTC. No allergies. No surgeries. FHx of paternal asthma and HTN, and grandfather had MI at age 70. Does not smoke, occasional beer, uses marajuana (last one week ago). Denies cocaine use. Lives w/ parents and brother, works as carpenter assistent lifting heavy items. + sex, monogamous, w/ women, uses protection.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feels warm, M, 17 y/o, Deep breath causes intense pain, excercize induced asthma, chest pain, chest pain, woke up with yesterday, rock climber 4 days ago, carpenter assistent lifting heavy items, 7/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 17 YO M C/O LT SIDE CHEST PAIN SINCE YESTERDAY. - STARTED SUDDENLY, STAY THE SAME, SHARP, NOT RADIATING, INCRSEAE BY MOVEMENTS AND DEEP BRATHING, ALLEVIATED BY TYLENOL - ASSOCIATED WITH FEVER 100 F, - HAS STUFFINESS OF NOSE AND MUSCLE ACHES 4 DAYS AGO - DENIES COUGH, SOB, PALPITATIONS, DIZZINESS, URINE/WEIGHT/BOWEL HABITS CHANGES, SIMILAR PAIN BEFORE -ROS: AS IN HPI PMH: EXERCISE INDUCED ASTHMA X 4 Y ALLERGY: NKDA MEDS: INHALOR, TYLENOL FH: FATHER ASTHMA AND HIGH CHLOESTEROL SH: HIGH SCHOLL STUDENT, WORK AS CARPENTER ASSISTANT. DRINKS ONCE IN AWHILE. MONOGAMUS .. Extract phrases from this text which may help understand the patient's medical condition.[/INST]ASSOCIATED WITH FEVER, M, 17 YO, STUFFINESS OF NOSE, INCRSEAE BY DEEP BRATHING, EXERCISE INDUCED ASTHMA, CHEST PAIN, SINCE YESTERDAY, DENIES SOB, SHARP</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo male seen with verbal parental consent. He states that he has been having chest pain with deep breathing for the past 2 days. Pain is accompanied by muscle aches, nasal congestions, and subjective fevers. Pain was not relieved by tylenol or albuterol inhaler. Denies cough, weight loss, chest pain, falls, recent trauma, or drug use (e.g. cocaine). Denies sick contacts or recent travel. PMH: Exerxcise induced asthma Medications: albuterol PRN for asthma, last use 6 months ago. NKDA Family hx: father with asthma and hyperlipidemia, grandpa with MI at 70 yo, denies hx of sickle cell, marfans, or ehler danlos Social hx: Senior in high school applying to college, works as carpenter assistant, rock climbs 2-3 times per week and stays active (denies falls), sexually active with one female partner uses condoms, drinks 1-2 beers & smoke 1-2 joints monthly at parties, denies tobacco or other drugs (e.g. cocaine, methamphetamine, MDMA). Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fevers, male, 17 yo, nasal congestions, pain with deep breathing, Exerxcise induced asthma, chest pain, rock climbs, not relieved by albuterol inhaler</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane Smith, a 17-year-old male, has come to the outpatient clinic with chest pain. Mr. Smith's mother has given verbal consent for a history, physical examination, and treatment. New onset of sharp chest pain , first 5-6 /10 but now is getting worse 7-9/10 in severity He is a Carpenter assistant and lifting heavy materials The pain is worse with movements and deep breathing No Nausea , Vomiting , SOB, Bowel or urinary troubles PMHx Exercise induce Asthma Meeds Albuterol As needed Alergies none Pshx : none Fhx DAd Asthma , mother healthy , grandfather MI Sexually active use condoms always No Drugs , Alchol ocassional , tobacco. Extract phrases from this text which may help understand the patient's medical condition.[/INST]male, 17-year-old, worse with deep breathing, Exercise induce Asthma, chest pain, chest pain, No SOB, lifting heavy materials, sharp, 7-9/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr SMith is 17yo male who presents with 1 day of acute onset left-sided chest pain. Described as constant sharp stabbing pain that is worsened with deep breathing and movement. Not alleviated by tylenol or albuterol inhaler. He states that he woke up yesterday morning with this pain. At rest this pain is 5/10 but with breathing is 8-9/10 in severity. He also endorses recent fever, muscle aches, and stuffy nose 3-4 days ago. Denies dyspnea, heartburn, change in weight or appetite, cough. ROS; negative except as above PMH: exercise induced asthma diagnosed 4y ago PSH: none Meds: albuterol inhaler last needed 6mo ago Allergies: NKDA FH: Father has asthma and hyperlipidemia, grandfather had MI 2y ago SH: Senior in high school, carpenter's apprentice. Denies smoking. Drinks beer once a month. Has tried marijuana, but denies other drugs. Sexually active with girlfriend, uses condoms. Active with good diet.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, male, 17yo, stuffy nose 3-4 days ago, worsened with deep breathing, pain with breathing, exercise induced asthma, chest pain, 1 day of, woke up yesterday with this pain, Not alleviated by albuterol inhaler, sharp, stabbing, 8-9/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Case of 17 y/o M comes to the clinic because chest pain. Patient report he wake up this morning with pain in his Left chest pain. Pain is sharp, constant, worse with movements, improve if sit still, does not radiates. Patient also report fever, runny nose with with/yelllow mucous, no odor and some muscle pain since 2 days ago. Denies N/V, dizziness, cough, changhe in bowel movements, change in urinary habits, loss of weight, headache. ROS: negative except as above PMH: asthma. Meds: albuterol PRN, tylenol. NKDA PSH/ hospitalization/surgeries: none FMH: noncontributory SH: senior student, work as a carpenter assistant and do rock climbings. EtOH social, Weed social last time last week, no smoke. Sexually active with girlfriend use condoms.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, M, 17 y/o, runny nose since 2 days ago., asthma, chest pain, chest pain, report this morning with pain, rock climbings, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane Smith, a 17-year-old male, has come to the outpatient clinic with chest pain. Patient describes sharp CP, onset yesterday morning, that is worse with deep inspiration. Tyelonol has not helped the pain. Associated subjective warmth, no chills. Has never had pain like this before. Denies recent trauma, headaches, cough, SOB, sore throat, abdominal pain. Patient has had recent /associated "stuffy nose"/congestion and muscle aches last 3-4 days. Denies sick contacts. ROS: per HPI PMHx: Asthma (exercise-associated). No hospitalizations. Unsure immunizations hx. No trauma, surgeries. Allergies: NKDA Meds: Albuterol prn. Tyelonol prn. FHx: Father with asthma and HLD, mother healthy. Grandfather had MI, currently better. Social: nonsmokers, rare etoh use, does use marijuana occasionally. No IVDU. Sexually active with female partner, uses condoms. Enjoys rockclimbing.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective warmth, male, 17-year-old, stuffy nose, congestion, worse with deep inspiration, Asthma exercise-associated, chest pain, Denies SOB, rockclimbing, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 year old male here for a chief complaint of "very sharp chest pain every time I breathe." The pain is located in the upper left chest wall and does not radiate. The patient's pain began yesterday upon waking up, and was rated 5/10, but can become a 8-9/10 with breathing. The pain is constant, exacerbated by movement and deep breathing. The patient attempted to alleviate his pain with tylenol and albuterol however this did not alleviate his pain. The patient is a senior in high school, and is unsure of his vaccination history. ROS:The patient denies any fever, sob, cough, nausea or vomiting. Allergies: none medications: albuterol PRN, tylenol past medical history: exercise induced asthma past surgical history: none Social history: denies tobacco or ilicit drug usage, drinks 1-2 beers per month, works as carpenter assistant Family history: Paternal (asthma, hyperlipidemia), grandfather (MI). Extract phrases from this text which may help understand the patient's medical condition.[/INST]male, 17 year old, pain every time I breathe, exacerbated by deep breathing, exercise induced asthma, chest pain, yesterday, denies sob, albuterol did not alleviate his pain, sharp, 8-9/10 with breathing</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17yr m with mother's consent, c/o sharp chest pain since yeterday. The pain started gradually, constant, non radiating, exacrebated with deep breaths, movement, walking, relieved with rest however he tries tylenol and albuterol but did not help. He also c/o fever, nasal stuffiness and malaise since 3days. He exercises regularly at an indoor rockclimbing arena, last time was 3 days ago. He denies any cough, dyspnea, palpitaions, change in weight or appetie, change in urinary or bowel habits. ROS - neg except as above PMH - Exercise induced asthma for 4yrs, takes Albuterol PSH - none Meds - as above SSH - senior in school, works as carpenter assistant, Occasional EtOH , weed, no smoking. Sexually active with girl friend , uses condoms. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]c/o fever, m, 17yr, nasal stuffiness, exacrebated with deep breaths, Exercise induced asthma, chest pain, since yeterday, denies dyspnea, rockclimbing 3 days ago, albuterol did not help, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 year male with a past medical history of exercise induceed asthma who presents today for evaluation of chest pain. He says that the pain began yesterday with a sharp stabbing pain that worsens with inspiration. He rates it aboust 5/6 at rest but can increase to a 7, 8, or 9 with deep inspriation. He tried some Tylenol 1-2 over 4 hours but it did not improve. He also used his inhaler without relief. He previously had runnose and muscle aches. He says he felt warm but denies fever, chills, nights sweates, SOB, or palpiations. ROS: Negative unless otherwise stated in HPI PMH: exercised induced asthma PSH: none Meds: 1-2 tablets of tylenol but stopped, Albuterol inhaler stopped taking 6mo ago until now Allergies: none Socal Hx: senior in hight school, denies tobacco, drinks somes (CAGE:0/4), deneis illicits substnace use Fam: Father alive asthma HLD, mom healthy, grandfather MI a few years ago. Extract phrases from this text which may help understand the patient's medical condition.[/INST]felt warm, male, 17 year, worsens with inspiration, exercise induceed asthma, exercised induced asthma, chest pain, yesterday, denies SOB, used his inhaler without relief, sharp, stabbing</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane is a 17 yo male here today complaining of chest pain that began yesterday morning. He reports the pain is sharp and isolated to the left side and does not radiate. No Trauma. Reports it is ok when he is sitting but worsens when takes a deep breath and with exercise. Endorses recent fever, stuffy nose, and muscle aches that began 3-4 days ago. Denies joint pain and cough. Reports the pain is constatnt and does not improve with tylenol or albuterol. Pt has a a history of exercise induced asthma and last used his inhaler 6 mos ago for this. His current medications are albuterol and motrin. Denies hospitalizations or surgeries in past, denies urinary frequency, urgency, burning, denies abdominal pain, changes in frequency/'color of bowel movements. Does enjoy rock climbing, lives at home with mom, is senior in High school. Does not use tobacco but does have beer 1x per month. Denies anxiety, useweed occasionally, sex with gf, condoms.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, male, 17 yo, recent stuffy nose, worsens when takes a deep breath, exercise induced asthma, chest pain, began yesterday, rock climbing, does not improve with albuterol, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 y/o male who presents with a 1 day history of chest pain. The pain began yesterday morning awakening the pt from sleep. Movement and breathing makes the pain worse, nothing makes it better though he tried tylenol and albuterol. Pain is 5/10-9/10 sharp constant pain with no radiation. Located on left sided chest. No previous episodes of chest pain. Pt reports fever but no night sweats or chills. stuffy nose and muscle aches since 3-4 days ago. No ill contacts. Denies headache and cough. PMH: exercise-induced asthma PSH: none MEDS: tylenol 2x every 4 hours yesterday, albuterol as needed (last took yesterday morning) ALL: NKDA Social: social drinking, no tobacco, infrequent marijuana use (last took last weekend). Sexually active with girlfriend, consistent condom use. No prior STDs. Exercises by rock climbing , last exercised 3 days ago.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, male, 17 y/o, stuffy nose 3-4 days ago, breathing makes the pain worse, exercise-induced asthma, chest pain., 1 day history, began yesterday, rock climbing 3 days ago, nothing makes it better tried albuterol, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Patient is a 17 year old male with a PMHx of asthma complaining of chest pain onset yesterday morning. He describes the chest pain as sharp, non-radiating, and exacerbated by deep inspiration and movement. He notes that the pain has worsened since the onset. He denies SOB, palpitations, nausea and vomiting. Pt confirms a recent illness with myalgias and nasal congestion for three days. ROS: negative except stated as above PMHx: exercise-induced asthma Medication: albuterol as needed Allergies: none PSHx: none FHx: asthma (father), HLD (father), CAD (grandfather) Social: non-smoker; occasional alcohol; no illicit drug use. Extract phrases from this text which may help understand the patient's medical condition.[/INST]male, 17 year old, nasal congestion for three days., exacerbated by deep inspiration, asthma, exercise-induced asthma, chest pain, chest pain, onset yesterday, denies SOB, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane is 17yoM who presents with 1 day of chest pain assocaited with breething and reproducible on palpation. He says that he woke up yeswterday with pain in left center chest and has tried tylenol and his inhaler to no avail. The pain is 5/10 at rest but 9/10 with movement or deep inspiration. He denies a positional quality to the pain and it does not radiate. He denies SOIB, palpiations or worsening of pain with exertion. He mentioned that he has been having runny nose, muscle aches, fevers/chills/night sweats over the past few days. PMH: exercis induced asthma PSH: none Meds: albuterol PRN All: None FamHx: HLD and asthma (dad), Mi (grandpa) SHx: Senior in HS, carpenter assistant, No tobacco or drugs, occacsional alcohol, sexually active with GF with condoms ROS: As per HPI, otherwise negative . Extract phrases from this text which may help understand the patient's medical condition.[/INST]M, 17yo, runny nose over the past few days, assocaited with breething, 9/10 with deep inspiration, exercis induced asthma, chest pain, pain chest, 1 day of, woke up yeswterday with pain, denies SOIB, inhaler to no avail</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane is a 17yo male with a history of exercise-induced asthma who presents with one day history of chest pain. He describes the pain as deep that is worse with deep breaths. He does not notice a difference in symptoms with change in position such as leaning forward. He also notes 3-4 days of stuffy, runny nose, muscle aches, and subjective fever. No recent travel history. ROS: as per HPI; no wheeze, SOB, abdominal pain, heartburn, N/V, cough PMH: exercise-induced asthma Meds: Tylenol every 4 hours PRN for chest pain; albuterol Allergies: none Surgical history: none SH: student; EtOH 1 beer 1 time per month; no smoking, no drug use; rock climbs FH: HLD, asthma (dad); MI in 70s (grandfather). Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, male, 17yo, stuffy, runny nose, worse with deep breaths, exercise-induced asthma, exercise-induced asthma, chest pain, one day history, no SOB, rock climbs</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17yo male c/o of chest pain since yesterday. The pain began abruptly is a sharp pain 5/10 at rest but reaching 8-9/10 on inspiration. Movement also exacerbates the pain. Tylenol and Albuterol has not helped but staying still does. He has also noted stuffy nose and muscle aches for the 3-4 days and a subjective fevr though he has not taken his temperature. ROS: Denies cough, SOB, night sweats, chills, nausea, vomting, diarrhea, weight loss, palpitations, prior cardiac issues, or sleep disturbance PMH: Exercise induced Asthma Medications; Albuterol; 2 tylenol q4h PSH: None NKDA FHx: Granfather had MI, father has asthma and high cholesterol SHx: Ptx denies tobacco abuse, drinks beer 1X a month, and smokes marijuana socially. He is monogamous with his girlfriend and uses protection regularly. Uncertain vaccination history, though recieved childhood vaccines . Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fevr, male, 17yo, stuffy nose, pain 8-9/10 on inspiration, Exercise induced Asthma, chest pain, since yesterday, Denies SOB, Albuterol has not helped</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 YO MALE C/O CHEST PAIN SINCE YESTERDAY. PAIN IS IN LEFT SIDE, SHARP, SUDDEN ONSET, CONSTANT, 5/10 WHILE SITTING STILL, 8/10 WHILE DEEP BREATING AND MOVING, NON RADIATING, AGGRAVETED BY DEEP BREATH AND MOVEMENT, ALLEVIATED BY SITTING STILL. ASSICIATED WITH FEVER, RUNNY/STUFFY NOSE ANFD MUSCLE SORENESS. HE HAS H/O FLU 3-4 DAYS BACK. HE DENIES SOB, PALPITATION, RASH, TRAUMA, SICK CONTACT, RECANT TRAVEL, COUGH, NIGHT SWEAT. NO APPETITE, WEIGHT, MMOD, SLEEP, BOWEL/ URINARY HABITS, MOOD CHANGES. ROS: _VE EXCEPT AS ABOVE PMH: EXCERSISE INDUCED ASTHMA, MEDS ALBUTEROL.NHDA FH: ASTHMA SH: NO SMOKE, ETOH. DRUG: WEED LAST USE: LAST WEEKEND SXH: MONOGAMOUS . CONDOM USE CONSISTANTLY . Extract phrases from this text which may help understand the patient's medical condition.[/INST]FEVER, MALE, 17 YO, RUNNY/STUFFY NOSE, AGGRAVETED BY DEEP BREATH, EXCERSISE INDUCED ASTHMA, CHEST PAIN, YESTERDAY, DENIES SOB, SHARP, 8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo male with chief complaint of chest pain that began yesterday when he woke up. he states no other similar episodes. he took 2 tylenol yesterday and his albuterol inhaler for relief but it did not work. he state this pain is a sharp stabbing pain that occurs in his left chain that is worse with movement and deep breathing. better with rest.He states the pain is a 5/10 at rest and a 8/10 with movement. He states the pain does not radiate anywhere. He has been feeling "hot" for past 3,4 days ROS negative unless stated above. denies any weight loss, nausea vomiting, Medications: albuterol, tylenol allergies: none PMH exercise induced asthma PSH no surgeries Fhx dad asthma, high cholesterol. grandpa died of heart attack, mom healthy, older brother allergies Shx, senior in highschol works as a carpenter. tried marijuana. denies any tobacco products, sexually active uses condoms. is a rock climber. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling "hot", male, 17 yo, worse with deep breathing, exercise induced asthma, chest pain, began yesterday, rock climber, albuterol inhaler for relief but it did not work, sharp, stabbing, 8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo M with a hx of recent chest pain. Began yesterday morning; has not changed in serverity since. Pain is over the left upper chest for the 24 hrs. Described as constant, sharp, stabbing pain that is brough on by deep inhalation and movement. Tried tylenol and albuterol, but didnt help. At rest pain is 5/10, on movement or deep inhalation is a 8-9/10. No relation to meals, no SOB, no tachycardia or palpitations, no sudden diaphoresis, no skin or hair changes, no rashes, no blood disorders, no cough, no nausea/vomiting. Does endorse nasal congestion, muscle aches for last 3-4 days as well. PMH significant for exercise induced asthma. FamHx: dad - asthma and HLD, Grandpa- MI, now doing well. Current a senior in high school, also works as a carpenter assistant (wears mask at work), lives with parents, 1 beer/month, no tobacco, Marijuana a few times, Sexually active with GF, uses condoms consistently. Extract phrases from this text which may help understand the patient's medical condition.[/INST]M, 17 yo, congestion for last 3-4 days, brough on by deep inhalation, on deep inhalation is a 8-9/10., exercise induced asthma, chest pain, Pain chest, Began yesterday, no SOB, albuterol, but didnt help, sharp, stabbing</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 yo M here today complaining of L sided deep chest pain that started yesterday morning. He does not recall an inciting event and denies any trauma to the area. He sys the pain is sharp and gets worse with deep breaths. He also admits to feeling warm recently but denies chills, night sweats, and cough. He says he has had a stuffy nose and muscle aches for the last 3-4 days. He says he has been taking tylenol every four hours for the pain and has tried his albuterol inhaler but neither have helped. ROS: Negative except as above PMH: Exercise induced asthma, has never been hospitalized for it and rarely uses his inhaler anymore Surgeries: none Hospitalizations: none Meds: Tylenol q4hr for pain FH: Father asthma, high cholesterol; Mother healthy, Bro allergies; Grandpa MI SH: Alcohol once per month, no tobacco, uses marijuana occasionally, last time 4 days before the weekend. Works as carpenter. Likes rock climbing. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling warm, M, 17 yo, stuffy nose, worse with deep breaths, Exercise induced asthma, chest pain, started yesterday, rock climbing, tried his albuterol inhaler but neither have helped, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 17yo M comes to the office complaining of left chest pain since yesterday. The pain is sharp, mild-intensity, constant, and without further progression. No radiation. It increases with movements and deep breaths. He had an episode of an upper tract respiratory infection 4 days ago, with nasal congestion. No recent chest trauma. He feels warm. He negates rapid palpitations, cough, SOB, fatigue, weight loss, decreased appetite, nausea, vomiting, constipation, diarrhea, and changes in urination. ROS: negative except for above. PMH: asthma, well controlled. PSH: none. Allergies: NKA. Medications: tynelol and asthma inhaler. SH: high school student. No tobacco. Drinks 1 beer per month. Patient have tried marijuana at parties, no other drugs.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feels warm, M, 17yo, upper tract respiratory infection, increases with deep breaths, chest pain, since yesterday, He negates SOB, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane Smith, a 17-year-old male, presents with a 1-days hitory of chest pain that occurs with inspiration. Pain started yesterday morning and is left-sided, worsens with deep breaths. Pain is 5/10 at rest and 8-9/10 with isnpiration. Patient also endorses 3-day hx of stuffy nose, muscle aches, and subjective fever. Denies recent trauma. Tylenol and albuterol inhaler have not alleviated the pain. Pain is not associated with difficulty breathing, cough, weight loss, chills, shortness of breath. PMH - exercise induced asthma, last inhaler used 6 months ago. Surgical hx - none. Meds - albuterol inhaler, q4 hour tylenol yesterday. Allergies - none. Social - alcohol occasionally; expressed interest in future counseling. No drugs or tobacco. Family hx - dad has asthma, grandfather had cardiovascular event at age 70. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, male, 17-year-old, stuffy nose, worsens with deep breaths, exercise induced asthma, chest pain, 1-days hitory, started yesterday, not associated with shortness of breath, albuterol inhaler have not alleviated the pain</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo m c/o left sided chest pain since yeterday morning x 2 days, started suddenly, the pain is continuous, progressively worseing, 5/10 with rest and goes up to 8/10 with deep breathing and movement alleviated partially with tylenol , associated with low grade continuous fever without rigors/ chills, he has a flu like illness with nasal stuffiness and myalgia 3-4 days before which has resolved, he denies chest wall trauma, dyspnea, palpitations, heart burn and metallic taste, change in appetite, weight, energy level. ROS: -ve except as above PMH,MEDS: ashtma treated with albuterol inhaler last use 6 months ago. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, m, 17 yo, nasal stuffiness 3-4 days before, 8/10 with deep breathing, ashtma, chest pain, since yeterday, 8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo m c/o L chest pain for 1d, + sudden onset, constant, L middle chest pain, sharp, 5/10 when sitting still, 8/10 when move or taking deep breath, aggrav by movement, deep breath + nasal congestion, muscle ache and fever for past 3-4 d, ros: no sore throat, dyspnea, palpitation, injury, cough, leg swelling pmh: exercise-induced asthma, well-controlled meds: albuterol when needed, tylenol no relieve. NKDA FH: FATHER W/ ASTHMA, GRANDFATHER W/ HEART ATTACT SH: STUDENT, wock as charpner , wear mask no smoking, beers occ, use majuana occ. last use 1wk ago. sexually active w/ f, use condom. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, m, 17 yo, nasal congestion for past 3-4 d, 8/10 when taking deep breath, aggrav by deep breath, chest pain, chest pain, for 1d, sharp, 8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane Smith, a 17-year-old male, has come to the outpatient clinic with chest pain. 2-3 days ago the pt had stuffy nose and muscle ache. He has exercise-induced asthma, but the inhaler has not helped with the pain. Tylenol has not helped muxh either. The pain goes from 4/10 with resting to 7-8/10 with deep breathing. Pain has been constant, sharp, and has not improve; PMHx: astham Allergies none all else none . Extract phrases from this text which may help understand the patient's medical condition.[/INST]male, 17-year-old, 2-3 days ago the pt had stuffy nose, 7-8/10 with deep breathing, exercise-induced asthma, astham, chest pain, inhaler has not helped, 7-8/10, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 yo male presentign with a "sharp chest pain." The chest pain has been present since this morning, and is located in his upper left chest. The pain is constant and described as stabbing and it does not radiate. Taking a deep breath and any movement worsens the pain. The patient has tried tylenol and albuterol inhaler but it has not helped. The patient also reports rhinorrhea, and myalgia for the past 3 days. He has also "felt warm" today. ROS: Negative for coughing, sputum production, headache, nausea/vomiting PMH: exercised induced asthma Surgical hx: none Allergies: None Medicine: albuterol inhaler PRN FH: Father- asthma and hyperlipidemia; Grandfather: MI SH: Senior in high school. Denies tobacco use. Patient has tried marijuana in the past. Reports only drink few beers at parties.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]felt warm, male, 17 yo, rhinorrhea, Taking a deep breath worsens the pain, exercised induced asthma, chest pain, albuterol inhaler has not helped, sharp, stabbing</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo m c/o left sided chest pain x 1 day. Pt reports to have sudden onset of left sided sharp pain x yesterday, non progressive, non radiating, aggravated with deep inspiration and movement no alleviating factors. It is associated with nasal stuffiness x 3 days, low grade fever/ 100 f. Pt reporst to have muscle aches x 3 days. Pt reports to have SOB on exertion and relievd by rest. Pt denies travel/trauma/sweating/pedal edema/urianry and bowel habit chnages/weight and appetite changes/nausea/vomitnig/sweating. ROS:-ve xcept as above. PMH:exercised induced asthma/using albuterol inhaler for it. PSH/ALLERGIES:none. FH:N/C. SSH:no smoking/ocassional Etoh use/ocassional marjuana intake last intake was 1 week ago. Sexually active with GF/using condoms.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]low grade fever, m, 17 yo, nasal stuffiness, aggravated with deep inspiration, exercised induced asthma, chest pain, x 1 day, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 YOM C/O CHEST PAIN X 1 DAY. IT WAS ACUTE IN ONSET, INTERMITTENT,AT THE LEFT CHEST, SHARP STABBING TYPE,NON RADIATING AGGRAVATED BY DEEP BREATHING AND CHEST MOVEMENTS;AND NOT RELIEVED BY TYLENOL AND ALBUTEROL.HE REPORTS FEVER, NOT DOCUMENTED, AND HX OF STUFFY NOSE, FLU LIKE SYMPTOMS 3-4 DAYS AGO. HE DENIES TRAUMA, COUGH, SOB,CHILLS , RIGORS, HEADACHE, FACE PAIN, PAIN IN THE BELLY, SLEEP/APPETITE IS NORMAL.NO WEIGHT CHANGES. ROS:NEGATIVE EXCEPT AS ABOVE PMH/PSH:EXCERISE INDUCED ASTHMA MEDS:ALBUTEROL, TYLENOL FH:GRANDFATHER DIED OF MI, FATHER HAVE DM, HIGH CHOLESTEROL SH:MONOGAMOUS, NON SMOKER, NO ETOH USE, SMOKED WEED IN PARTY LAST WEEKENDS. Extract phrases from this text which may help understand the patient's medical condition.[/INST]REPORTS FEVER, M, 17 YO, HX OF STUFFY NOSE, AGGRAVATED BY DEEP BREATHING, EXCERISE INDUCED ASTHMA, CHEST PAIN, X 1 DAY, DENIES SOB, NOT RELIEVED BY ALBUTEROL, SHARP, STABBING</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane Smith is a 17 yo M who presents with acute onset of chest pain. Pain began yesreday morning after he woke up with no prior inciting event. He has sharp pain the left upper part of anterior chest that is 5/10 at rest and can increase to 7-8/10 sharp pain with inspiration, movement, and whenever something touches the area. He has tried his albuterol inhaler and tried tylenol 4 hours for the pain yesterday but this did not help. Of note, he does endorse 3-4 days of feeling warm (did not check temp), runny nose, muscle aches before onset of chest pain. He denies any sick contacts. He denies shortness of breath, N/V/C/D, lumps/bumps, abdominal pain ROS - negative except as above PMH - exercise induced asthma Meds - albuterol prn, tylenol yesterday Surg - none Fam - dad has asthma and high cholersterol, PGF had an MI Soc - senior in high school, non smoker, drinks 1-2 beers a month, is sexually active w 1 F partner uses condoms. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling warm, M, 17 yo, 3-4 days of runny nose, pain with inspiration, exercise induced asthma, chest pain, pain chest, chest pain, began yesreday, denies shortness of breath, albuterol inhaler did not help, sharp, 7-8/10, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 m with exercise-induced asthma with c/o one day of stabbing L chest pain. He describes it as sharp and constant, in the L thorax, without radiation, at a severity of 7/10. It is worse with inspiration and movement. Tylenol and his albuterol didn't help. He has also had nasal congestion and muscle aches, and feeling feverish. He is generally active and doesn't remember any trauma or overactivity. He has not had a cough, abdominal pain, change in sleep, weight, bowel, or bladder. ROS: negative except as above. Meds: albuterol inhaler when needed, tylenol for the chest pain. No allergies Med Hx: exercise induced asthma Surg Hx: none Fam Hx: P grandpa had MI, dad with hyperlipidemia and asthma Social Hx: high school senior, carpentry assistant, drinks 1-2 per month, no tobacco use, occasional marijuana. Sexually active with girlfriend, uses condoms.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling feverish, m, 17, nasal congestion, exercise-induced asthma, exercise induced asthma, one day, "albuterol didnt help", stabbing, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17yo male presents with chest pain and minor fever. chest pain with deep btreath and movement - started yesterday morning - constant, left upper chest, no radiation, 5-6 without movement, 9/10 with it. Tried tylenol and albuterol without help. wopke up with chest pain. Non posititional. He endorses runny nose and fever. He denies left arm pain, sorethroat, abdominal pain, bowle and bladder habit chagnes, Nausea and vomiting, SOB, tingling in figners or toes, headache, cough, wheeze, or skin changes. His PMH is significant for exercise induced asthma for which he takes albuterol but hsnt had to use in 6 months. He deneis surgery, NKDA, no tobacco, 1-2 beers at parties, no recreational drugs, lives with parents and brother in ATL, is sexually active with girlfriend and uses condoms, likes to rock climb. Fh of dad with asthma and high cholesterol. MI in grandfather. Patient wants a note for his school. Extract phrases from this text which may help understand the patient's medical condition.[/INST]minor fever, fever, male, 17yo, runny nose, pain with deep btreath, exercise induced asthma, chest pain, chest pain, chest pain, started yesterday, denies SOB, rock climb, Tried albuterol without help</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo c/o substernal constant chest pain that started yesterday morninh, no progressive, no radiating , worsening with movement and deep breath, no alleviating factors, he takes tynolol and albuterol to help the pain goes away but no success , he also report muscle ache / stuffy nose and fever X 3 to 4 days ,he denies cough, phleghm, ill contact , no bowel movement change , no change in urinary habits, the patient feel scared , denies tremor, sweating, sleeping problem , weigh loss, changing in diet /appetite ros : -ve excpt as above pmh: execise induced asthma psh : none meds: albuterol, tynolol for the actual chest pain allergy: nkda fh : dad had asthma , grandfather had myiocardial infarction sh: no smoker, occational etoh on week ends, smokes matrijuana , sexually active with girl friend. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, 17 yo, stuffy nose, worsening with deep breath, execise induced asthma, chest pain, started yesterday, takes albuterol to help the pain goes away but no success</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: chest pain HPI: 17 yo m presents with one day history of sharp chest pain, worse with deep inspiration, Of note he has been experiencing muscle aches and stuffed nose for the past 3-4 days alond with a mild subjective fever. Pain is worse with movement. Took tylenol (2 pills q 4 hrs) yesterday without relief. Also tried his albuterol inhaler this AM without relief. No known trauma to the area. Denies chills, shortness of breath, or other areas of pain. No sick contacts. ROS: negative except as above PMH: asthma Meds: albuterol inhaler, tylenol Allergies: NKDA PSH: none FH: father with high cholesterol and asthma, grandfather dies of heart attack SH: Senior in high school and works as carpenter. Sexually active with girlfriend. Uses condoms and no concerns for STIs. Uses alcohol and smokes marijuana occasionally.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, m, 17 yo, stuffed nose, worse with deep inspiration, asthma, chest pain, one day history, Denies shortness of breath, tried albuterol without relief, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo M complains of left chest pain, sharp in character, non-radiating, not alleviated by anything and exacerbated by deep breathing and moving. Onset was yesterday morning. Tylenol and Albuterol inhaler did not relieve pain. He reports having a stuffy nose and muscle aches 3-4 days ago. No palpitations, no cough, no fever, no nausea or vomiting nor dizziness. No recent stressor, no h/o trauma. No changes in urination or bowel movements, no appetite changes. ROS: negative except as above Allergies: none Medications: Tylenol, Albuterol PMH: Exercise-induced Asthma for 4 years now PSH: none SH: no smoking, occasional beers on parties; takes weed occasionally, last intake was last weekend; works as a carpenter's assistant; sexually active with 1 partner; does rock-climbing FH:. Extract phrases from this text which may help understand the patient's medical condition.[/INST]M, 17 yo, stuffy nose 3-4 days ago, exacerbated by deep breathing, Exercise-induced Asthma, chest pain, Onset was yesterday, rock-climbing, Albuterol inhaler did not relieve pain, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17yr old M (whose mother gave consent for a history, physical examination, and treatment) is presenting with 1 day history 5-8/10 sharp left chest pain. He states that it is worsened with inspiration and movement and has not been relieved with tylenol or albuterol use. The pain does not radiate. He states that he went to a rock climbing gym 3 days ago and that he has had an improving illness involving stuffy nose and muscle aches for the last 3-4 days. ROS: negative except as above PMH: Exercise induced asthma (last needed inhaler use 6 months ago) PSH: none Allergies: NKDA Meds: albuterol, tylenol Social: Denies tobacco use. Once monthly alcohol use. Endorses 2 occasions where he used marijuana at a party most recently 5 days ago. Denies other drug use. He is a carpenter's assistant.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]M, 17yr old, stuffy nose for the last 3-4 days, worsened with inspiration, Exercise induced asthma, chest pain, 1 day history, rock climbing gym 3 days ago, not been relieved with albuterol, 8/10, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 y/o M that comes to the office c/o chest pain that started yesterday morning. Described as constant, located on the left side, gets worse with inspiration, does not irradiate, 5/10 intensity when in rest, 8/10 intensity whith inspiration. Took tylenol and albuterol, but didn't alleviate the pain. Denies previous episodes. Also complains of feeling warm, having a runny nose, with whitish yellowish secretions and muscle ache for the last few days. Denies V/V, changes in stool, changes in urination, weakness, head aches, abdominal pain, or any other discomfort. ROS: negative, except as above PMH: Asthma with exercise Med: Tylenol and albuterol PSH: None All: NKDA FH: Dad has asthma and grandfather had MI SH:Denies smoking. Uses marijuana, last time a week ago. Drink beer ocasionally. Sexually active with girlfriend, uses condoms. Is a senior in high school, also a carpinter asistant and rock climbs as hobby.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling warm, M, 17 y/o, runny nose, with whitish yellowish secretions, worse with inspiration, Asthma with exercise, chest pain, yesterday, rock climbs, "albuterol didnt alleviate the pain", 8/10 intensity</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: my chest hurts HPI: 17 yo student c/o of acute chest pain that started yesterday morning. Pain is constant 7-8/10 severity, not associated with arm pain, does not radiate anywehere. Pain is worse with brreathing or moving. Pt tried to alliviate pain with tylenol q4 hours and albuterol but pain did not improve. Pt has had congested sinuses for 4 days that are improving. Pt had muscle aches for 4 days. No cough. ROS: pt denies: headaches, weight changes, appetitie chages, diet changes, urinary changes, constipation, diarrhea Pt + for 2 days of feeling feverish, nasal congestion, muscle aches PMH: exercise induced asthma Allergy-NKDA Meds- albuterol for asthma FH: dad-asthma, high scholesterol, grandfather MI SH: denies: smoking, traveling; occasional etoh use, tried marijuana, student and works as carpetner assistane, rock climbs, sleeps well . Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling feverish, 17 yo, congested sinuses for 4 days, 2 days of nasal congestion, worse with brreathing, exercise induced asthma, chest hurts, chest pain, started yesterday, rock climbs, albuterol but pain did not improve, 7-8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17yo M w/ excerise induced asthma (no hospitalizations, last use inhaler 6m ago) coming in with L chest pain starting 1 day ago. Woke up with pain, worse w/ inhalation or movement, improves when sitting still. Describes pain as sharp. Tried tylenol q4h yestreday with no relief. Has also experienced "stuffy nose" and muscle pains for past several days, and endorses feeling warm with no objective fever and denies night sweats, chills, diarrhea, throat pain, constipation, change in urinary symptoms. Of note, patient is an avid rock climber. Was in car accident as kid ROS: see above: PMH: exercise induced asthma PSH: none Meds: none Alg: none FHx: grandfather MI at age 70 SHx: never smoker, drinks beer ~1x/month, weed 3-4x in lifetime.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling warm, M, 17yo, stuffy nose for past several days, stuffy nose", "stuffy nose", "stuffy nose" for past several days, pain, worse w/ inhalation, worse w/ inhalation, excerise induced asthma, chest pain, starting 1 day ago, rock climber, pain as sharp, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17-year-old male, has come to the outpatient clinic with chest pain. it started yesterday morning. the pain is located in the right chest , intensity is 5/10, the pain is aggravated by physical activity and relieved by nothing. he had nasal stuffiness and body aches the day before. pain increased on breathing. pt had subjective fever. not relieved with tylenol the pt denies cough, phlegm, sob, nausea, vomiting, bowel changes and sleep disturbances, no recent weight changes.no trauma and recent travel ros: negative except as above pmh: has exercise induced asthma psh: none meds: tylenol and albuterol allergy: nka no hospitalisations ssh: sexually active with partner x 6 months and uses protection. denies smoking/EToH/illicit drug use. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, male, 17-year-old, nasal stuffiness, exercise induced asthma, chest pain, started yesterday, denies sob</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Patient is a 17 yo Male with PMHx of exercise induced asthma presenting in the ED for chest pain since yesterday morning. Mother gave permision to exam son over phone. Patient reports baseline sharp generalized chest pain since yesterday morning rating 5/10 in severity at rest and worsening to 8-9/10 in severity with exertion or changing position. Patient reports trying albuterol inhaler yesterday and 2 tablets of tylenol every 4 hours yesterday with minor relief in chest pain. Patient reports congested nose with rhinorrhea starting 3-4 days ago productive of white-yellow mucus without blood. Patient reports muscle aches and subjective fevers with onset of rhinorrhea but those symtpoms are improving. Pateint denies sick contacts. No surgical hx. Med: Albuterol last used yesterday and 6 mo prior Allergies: NKDA Social: 1 beer per month, denies tobacco or other drug use. feels safe at home Family: Dad- HLD, asthma, GF- MI. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fevers, Male, 17 yo, congested nose with rhinorrhea starting 3-4 days ago, exercise induced asthma, chest pain, chest pain, chest pain, since yesterday, since yesterday, albuterol inhaler with minor relief, sharp, 8-9/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 Y O MALE PRESENTED WITH COMPLAIN OF LEFT SIDED CHEST PAIN FOR LAST 1 DAY, CONSTANT, NON RADIATING, SHARP TYPE AGGRAVATED BY DEEP BREATHING AND MOVEMENT, RELIEVED BY LYING STILL. HE COMPALINS OF FEELING WARM FOR LAST FEW DAYS. HE ALSO REPORTS OF RUUNY NOSE AND MUSCLE ACHE FEW DAYS BACK. HE TOOK TYLENOL FOR HIS PAIN YESTERDAY BUT IT DIDNT RELIEVED THE PAIN. HE DENIES ANY SOB, DIZZINESS, COUGH, SWELLING OF LIMBS, SWEATING, RACING OF HEART, RECENT ILL CONTACT. ROS: NONE EXCEPT ABOVE PMH: DIAGNOSED AS EXERCISE INDUCED ASTHMA UNDER INHALATION ALBUTEROL AS REQUIRED MEDICATION: INHALTION ALBUTEROL AS REQUIRED FH: FATHER HAS ASTHMA, HYPERLIPIDEMIA, GRADFATHER DIED OF HEARTATTACK SH: SEXUALLY ACTIVE 1PARTNER, USES CONTACEPTION. USES MARIJUWANA LAST USED 1 WEEK BACK, NON SMOKER, NO ETOH USE PSH: NONE ALLERGIES: NKA. Extract phrases from this text which may help understand the patient's medical condition.[/INST]FEELING WARM, MALE, 17 Y O, RUUNY NOSE FEW DAYS BACK, AGGRAVATED BY DEEP BREATHING, EXERCISE INDUCED ASTHMA, CHEST PAIN, FOR LAST 1 DAY, DENIES SOB, SHARP</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane Smith is a 17 yo M who presents with sharp, pleuritic L sided chest pain that is not position dependent that began yesterday morning. Notes that he has been sick with a stuffy nose and muscle aches for the past 3-4 days. States albuterol and Tylenol have not helped. Worse with deep breathing and movement. Denies trauma to chest. Notes he feels warm but denies chills, night sweats, SOB, orthopnea, abd pain, nausea, vomiting, blood in stool, constipation, diarrhea, or numbness or tingling. PMH: exercise-induced asthma PSH: none Allergies: none Meds: Albuterol, Tylenol FH: Dad - asthma, high cholesterol, Grandpa - MI Denies tobacco or cocaine usage, EtOH: occasionally Sex: with girlfriend, uses condoms Healthy diet Exercise: rock climbing Occupation: Senior in high school, carpenter assistant. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feels warm, M, 17 yo, stuffy nose, pleuritic, Worse with deep breathing, exercise-induced asthma, chest pain, began yesterday, denies SOB, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: Chest pain HPI: Patient has had a 1 day history of chest pain. The pain is localized to one location on his L chest, and is tender to touch. The pain is also worse when he takes in a deep breath. The pain is not associated with food intake. The pain is non-radiating and constant throughout the day, and is described as soreness. He also describes a 3-4 day history of stuffy nose, muscle aches, and feeling "warm." He is also a regular rock climber, and goes often (2-3x/week). He has no SOB outside of difficulty with deep inspiration, and denies any other symptoms. ROS: Otherwise negative PMH: Exercise induced asthma PSH: None Meds: Inhaler, Tylenol Allergies: None SHx: Alcohol 1x/month, non-smoker, no illicit drug use. Sexually active with girlfriend. Senior in HS, works as a carpenter assistant, goes rock climbing at least 2-3x/week. FHx: Grandpa survived HA. . Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling "warm, history of stuffy nose, worse when he takes in a deep breath, Exercise induced asthma, Chest pain, chest pain, 1 day history, no SOB, rock climber, rock climbing</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17yo M presents with 1 day of sharp L sided CP worse on inspiration and movement. Tylenol and albuterol did not relieve the pain. He reports a recent viral URI for the past 3-4 days accompanied by subjective fever. He denies SOB, N/V, cough, changes with food intake, odynophagia, stomach pain, rashes, joint pains, bowel or urinary changes. He has a history of exercise-induced asthma for which he uses an albuterol inhaler as needed, but states that this pain feels completely different. The patient requests a school excuse note. ROS: (-) except as above PHx: exercise induced asthma FHx: dad- asthma and hypercholesterolemia; grandpa- MI Surgical HX: none Meds: albuterol inhaler PRN Allergies: none SoHx: EtOH: 1-2 beers 1x mo; tobacco (-); illicit drugs: THC <1x/mo. The patient is sexually active with his girlfriend and uses condoms for protection.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, M, 17yo, recent viral URI, worse on inspiration, exercise-induced asthma, exercise induced asthma, CP, 1 day of, denies SOB, albuterol did not relieve the pain, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 17 yo M, c/o left parasternal chest pain, that started suddenly yeasterday morning,the pain is sharp in quality it is always there, not progressive, aggravated by deep breathing and movement, alleviated by rest, the pain is not radiating. he denies any cough or SOB, used pain relief but it didnt help. he usually do climbing in his free time but he doesn't recall any stress on his muscles or History of trauma, patient also had Common cold and stuffy nose 3 days ago an it is getting better. he denies any swelling or tenderness at his calf, no palpitation, neck swelling, hurtburn, no nausea, vomiting, bowel or urinary habits change, no change in weight or appetite, sweating more than usual. ROS: - except as above PMH: exercise induced asthma but he is off inhalers now as it is improved FH: father has asthma, grandfather had MI SSH: no smoking. social EtOH, smoking weed occasionally last time last weekend. Extract phrases from this text which may help understand the patient's medical condition.[/INST]M, 17 yo, Common cold and stuffy nose, aggravated by deep breathing, exercise induced asthma, chest pain, yeasterday, denies SOB, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: "I've had this very sharp pain in my chest and it hurts when I take a deep breath." HPI: Patient is a 17yo who presents with sharp, pleuritic, non-radiating left sided chest pain since yesterday morning. The pain is a 5-6/10 at rest and worsened with movement and deep breaths to a 7-9/10. Denies any precipitating factors. He recently had a runny nose and muscle aches. Has been feeling warm. Has taken Tylenol w/ no relief. Denies shortness of breath, palpitations, nausea, vomiting, abdominal pain, cough, weakness, wheezing, sick contact, headache. No history of blood clots and no recent travel. No leg pain. ROS: negative except as in HPI PMH: exercise-induced asthma PSH: denies FH: Dad w/ asthma and HLD; Paternal grandfather w/ MI years ago All: denies Med: Tylenol; albuterol inhaler SH: denies tobacco use; drinks a couple of beers at parties; denies drug use; sexually active w/ girlfriend; uses condoms; no history of STD. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling warm, 17yo, recently had a runny nose, hurts when I take a deep breath, pleuritic, worsened with deep breaths, exercise-induced asthma, pain in my chest, chest pain, since yesterday, Denies shortness of breath, sharp, sharp, 7-9/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: patient is a 17 year old man presenting with 2 days of chest pain. The pain began yesterday morning when the patient woke. It is located to the left of the patients sternum. The pain is made worse with deep breathing, and has not been relived with tylenol or albuterol. He also reports that for the 3-4 days prior, he had nasal congestion, subjective fevers, and muscle aches. ROS: denies headaches, shortness of breath, abdominal pain, back or joint pain, changes in urinary or bowel habits PMH: exercise induced asthma Meds: albuterol, tylenol Allergies: none PSH: none FH: father with ashtma and hyperlipidemia, grandfather with a recent MI Soc: no tobacco, alcohol one drink per month, no drug use. Participates in rock climbing. Sexually monogamous with girlfriend, uses condoms. Works part time as carpenter.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fevers, man, 17 year old, nasal congestion, worse with deep breathing, exercise induced asthma, chest pain, began yesterday, denies shortness of breath, rock climbing, not been relived with albuterol</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: 17 yo M c/o RUQ chest pain when he woke up yesterday morning. pain is worse with deep breaths, sharp , 5-6/10 when sitting, 7-9/10 when deep breathing. no radiation of pain . pt used tylenol and albuterol which did not help, while moving and deep breathing makes it worse. he has also had a runny nose and muscle aches 3-4 days ago. no associated N/V, weight loss, or recent travel. he has had a mild fever but no chills. ROS: negative except as above PMH: evercised induced asthma allergy: NKDA meds: tylenol OTC for pain FH: Dad- asthma , hypercholesterolemia ; Grandad- heart attack SH: non smoker, 2 beers/ month, no recreational drug use, sexuially active with gf only, condom use , 1 partner over the past 1 yr. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, M, 17 yo, runny nose 3-4 days ago, pain is worse with deep breaths, 7-9/10 when deep breathing, deep breathing makes it worse, evercised induced asthma, chest pain, when he woke up yesterday, albuterol did not help, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: HPI: This is a 17 y.o M who presents with sharp chest pain that started suddenly yesterday and has been constant since then. The pain is worse with movememnt and is pleuritic in nature, improving with leaning forward adn worse with deep breaths. nothing makes the pain better, treid tylanol and albuterol inhaler that did not help. No radiation of pain. Pt admits for feeling a little warm but denies SOB, palpitations, shoulder pain, N/V, sweating, heat intolerance, increased anxiety, or abnormal skin or hair changes, or any LE edema, or recent travel. pt had recent URI recently for 4 days with stuffy nose ROS- otehrwise WNL PMH - exercise-induced asthma PSH - none Meds; albuterol, tylanol as needed. NKDA FH - asthma and hyperlipidemia in father. and MI in GF at 70 SH - eats regular diet, exercises by climbinng often., no EToh, tobacco, street drug use. Sex active with GF - uses condoms. no recent travel. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feeling a little warm, M, 17 y.o, recent URI, stuffy nose, pleuritic, worse with deep breaths, exercise-induced asthma, chest pain, started yesterday, denies SOB, albuterol inhaler did not help, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo m c/o L upper chest pain for 1 day that started suddenly. It is sharp, constant, nonradiating,exacerbated by movements and taking deep breath, alleviated by nothing. 3-4 days ago he had flu like symptoms.Associated with fever but did not measure. He has been doing exercises and at last he did 3 days ago. He denies SOB, weakness, cough, previous episode, any trauma, sore throat. ROS:Negative except as above Allergies:NKDA Medication:tylenol but did not relieve pain PMH:exercise induced asthma PSH:None SH:sexually active with girlfriend, uses condom regularly, no smoking, once in a while uses ETOH, uses weed sometimes FH:F:HLD, asthma . Extract phrases from this text which may help understand the patient's medical condition.[/INST]Associated with fever, m, 17 yo, flu like symptoms, exacerbated by taking deep breath, exercise induced asthma, chest pain, 1 day, denies SOB, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Patient with a history of L chest pain for 24 hours, worse with inspiration. Patient woke up with severe pain in L chest, describes difficulty with movement and worse on inspiration. Patient works as a carpenter and does a lot of lifting. Did not work yesterday. Avid rock climber, went rock climbing the day before onset of pain but denies trauma or fall. Describes some rhinorrhea and congestion, muscle aches, subjective warmth though did not take temperature at home. No sick contacts. History of exercise induced asthma, however rarely uses inhaler, albuterol did not help symptoms. - smoking, alcohol, drugs.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective warmth, rhinorrhea and congestion, worse with inspiration, worse on inspiration, exercise induced asthma, chest pain, pain in chest, for 24 hours, works as a carpenter and does a lot of lifting, rock climbing, albuterol did not help</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: Chest Pain HPI: Mr. Smith is a 17 year old male with a one day history of chest pain. Localizes t the left side of chest. Says that it is a sharp pain that is worse with breathing. Tried tylenol and albuterol inhaler which did not help. Deep breathing makes it worse. Slightly better with leaning forward. No specific time of the day. Very severe. Also reports a URTI over the past 3-4 days with nasal congestion ROS: Has had fever, and chest pain. No shortness of breath, no nausea, vomitting, consipation, diarrhea. PMH: Exercise induced asthma, no surgeries, no allergies, takes tylenol and albuterol inhaler as needed. PSH: No smoking, alcohol occasionally, no drug use, is sexually active with GF. Uses condoms consistenly. No STD. Exercises regularly. Normal balanced diet. FH: Mom healhy, Dad asthma and HLD, GPA MI. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, male, 17 year old, URTI over the past 3-4 days, worse with breathing, Deep breathing makes it worse, Exercise induced asthma, Chest Pain, chest pain, chest pain, chest pain, one day history, No shortness of breath, albuterol inhaler which did not help, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 yo M w/PMH of asthma who presents with 1 day of deep chest pain in the left upper quadrant that began when he awoke yesterday. The pain is 6/10 at rest and 7-9/10 with breathing. He denies cough or sputum or recent trauma. He has tried tylenol for the pain which has provided little relief. He has never had symptoms liks this. He has also felt warm and had a runny nose for 3-4 days. Pt denies N/V, chills, night sweats, abdominal pain, radiating pain down arms or into jaw, illegal drug use, or changes in bowel or uniary habits. ROS: negative except as noted above PMH: Exercise induced Asthma diagnosed 4 years ago PSH: none FH: Father - asthma, HLD, Grandfather - MI SH: Drinks EtOH occasionally, non smoker, does not use illegal drugs, sexually active w/girlfriend of 6 months. Meds: Tylenol, Albuterol Allergies: NKDA. Extract phrases from this text which may help understand the patient's medical condition.[/INST]felt warm, M, 17 yo, runny nose, Exercise induced Asthma, chest pain, 1 day</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane smith, 17 yo old male presented with chest pain of one day history, there is no previous episodes. The pain is in his left chest and does not radiate. Patient mentioned he woke up yeterday and suddening starting having the pain. Patient could not quantify the amount of pain but admits its sharp in nature, associated with stuffy nose, muscleache and worsened by deep breath. Patient tried taking tylenol but does not alleviate the pain. ROS all negative except for the ones listed above. PMH: exercise induced asthma no surgical or hospitalizations Meds: tylenol for the pain since yesterday, asthma inhaler FH: ashsma, hypercholestle in father. Grandfather w/ previous history of MI SH: works as carpentor assistant. sexually active with one girlfriend, use of condoms. Does not smoke, social ethanol use no illict drug use.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]male, 17 yo old, stuffy nose, worsened by deep breath, exercise induced asthma, chest pain, pain is in his chest, one day history, yeterday, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Kane Smith is a 17 y/o male who presents with constant, left sided chest pain since yesterday morning that worsens with deep inspiration associated with a subjective fever. He has tried Tylenol and Albuterol inhaler with no relief. He denies the pain radiating anywhere. He can't think of any inciting events and has no prior hx of such pain. Of note, he states that he has 3-4 days of stuffy nose and muscle aches. He denies sick contacts, recent travel, or trauma to chest. No family hx of sudden cardiac death and denies drug use apart from marijuana every "blue moon." ROS: Neg except as stated above PMH: Exercise induced asthma FH: Dad-asthma Surgeries: None Meds: As stated above Allergies: None Beer: 1x/month. Rarely smokes marijuana. Denies other drug use. No tobacco use Senior in high school with good grades. Lives with mother, father and older brother. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fever, male, 17 y/o, 3-4 days of stuffy nose, worsens with deep inspiration, Exercise induced asthma, chest pain, yesterday, Albuterol inhaler with no relief</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17yo m presents with 1 day h/o sharp chest pain. Intensity 7-8/10 with deep breath or movement, pain localized to left upper chest does not radiate, began when pt woke up yesterday and has not changed since onset. No recent h/o trauma or injury. Recent URI 3-4 days ago with congestion and myalgias. ROS: negative for sore throat, chills, N/V, diarrhea, constipation, lymphadenopathy PMH: exercise induced asthma, well controlled Medications: Tylenol yesterday for pain, Albuterol for asthma (not needed in 6 months) FH: Father HTN and asthma, grandfather MI SHx: Pt is avid rock climber, no tobacco use, occasional EtOH use at parties, tried marijuana a few times consumed via smoke inhalation.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]m, 17yo, URI 3-4 days ago with congestion, 7-8/10 with deep breath, exercise induced asthma, chest pain, pain chest, 1 day h/o, began yesterday, rock climber, sharp, 7-8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: Mr. Smith is a 17 year old male presenting to clinic with sharp left sided chest pain since yesterday morning that has been constant. Pain does not radiate and and is worse with deep breathing and movement. He has never felt this before. He denies SOB, N/V, diarrhea, palpitations, or a sore throat. Denies difficulty urinating. Tried albuterol and tylenol without any relief. PMHx: Exercise induced asthma controlled with albuterol FHx: Dad has asthma and hyperlipidemia. Grandfather had MI and is alive No meds other than albuterol No surgeries or allergies Denies smoking tobacco. Drinks once per month socially. Smokes marijuana rarely. Lives with parents and works as a carpentry assistant for a few months.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]male, 17 year old, worse with deep breathing, Exercise induced asthma, chest pain, since yesterday, denies SOB, Tried albuterol without any relief, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: THE PATIENT IS A 17 YEAR OLD MALE THAT COMPLAINS OF CHEST PAIN. THE PAIN STARTED A DAY AGO AND THE PAIN IS OVER THE LEFT CHEST WALL AND CAUSES DECREASED RANGE OF MOTION IN THE LEFT ARM. THE PAIN INCREASED WITH DEEP BREATHS AND DECREASED WITH REST THE PATIENT HAD AN UPPER RESPIRATORY INFECTION 4 DAYS AGO THAT WAS UNTREATED ROS: SAME AS HPI PMH: EXERCISE INDUCED ASTHMA TREATED WITH ALBUTEROL MEDS: ALBUTEROL, TYLENOL FH: HIS DAD HAS ASTHMA AND HIS GRANDFATHER HAD A HEART ATTACK. Extract phrases from this text which may help understand the patient's medical condition.[/INST]MALE, 17 YEAR OLD, HAD AN UPPER RESPIRATORY INFECTION 4 DAYS AGO, INCREASED WITH DEEP BREATHS, EXERCISE INDUCED ASTHMA, CHEST PAIN, PAIN CHEST, STARTED A DAY AGO</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 year old male presenting with sharp stabbing chest pain on left side that started yesterday morning. It's a constant pain but doesn't radiate. It's worse with taking a deep breath or moving, and he tried taking Tylenol and using his inhaler but it didn't help. No previous similar pain. Associated symptoms include stuffy nose and muscle aches for past 3-4 days, feels warm but hasn't checked temperature. Denies nausea, vomiting, dyspnea, changes in urine or bowel function, night sweats, chills. Past medical history: exercise induced asthma diagnosed 4 years ago, uses inhaler as needed, last use 6 months ago. No surgeries, no medications daily, no allergies. Family history: father has asthma and HTN, grandpa had MI. Drinks beer at parties 1x/month, never smoked cigarettes, smokes weed at parties. Sexually active with girlfriend, uses condoms, never tested for STIs.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]feels warm, male, 17 year old, stuffy nose for past 3-4 days, worse with taking a deep breath, exercise induced asthma, chest pain, started yesterday, "inhaler didnt help.", sharp, stabbing</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo male complains of chest pain that started yesterday accompanied by stuffy nose and muscle ache, no runny nose or throat pain descibes a sharp pain, constant, mid sternal pain, worsened after deep breathing , was not relieved by tynelol or albuterol no similar pain in the past mentions rock climbing 3 days ago denies palpitations, sweating, cough, shortness of breath no recent long flight or travel ROS - felt warm, no chills, no nausea or vomiting, no abdominal pain, no change in bowel habits or urinary habits PMH - exercised induced asthma diagnosed 4 yers ago medication - albuterol as needed allergies - none SH - senior class student, brother and sisters, parents are married, no h/o smoking or drugs, drinks beers occasionally at parties, sexually active with girlfriend uses condoms FH - father with asthma and cholesterol, mother healthy. Extract phrases from this text which may help understand the patient's medical condition.[/INST]felt warm, male, 17 yo, stuffy nose, worsened after deep breathing, exercised induced asthma, chest pain, started yesterday, denies shortness of breath, rock climbing, not relieved by albuterol, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 y.o patient presents w/ c/o chest pain started yesterday morning on awakening. Pain is localized to Left chest wall (T2-T4) and is sharp and non radiating. IT is worse with deep breathing and movement and the pain has been constant. He tried telenol and his inhaler which did not help and change in position does not affect pain (eg leaning forward). The pain is the same as when it started and he did not experience any trauma but does heavy lifting at work. He has had a stuffy nose and body aches for the past 3-4 days which is better today. ROS (-) PMH: exercise induced asthma Allergies: NKDA MEds: albuterol inhaler and tylenol q 4 hours yesterday PSH: none FH: father asthma and HLD, grandfather had MI SH: drinks beer on occasion, nonsmoker, uses marijuana at parties last used last week, sexually active with Girlfriend and uses contraception, no STI screens.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]17 y.o, stuffy nose, worse with deep breathing, exercise induced asthma, chest pain, started yesterday, heavy lifting at work, tried inhaler which did not help, sharp</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo male presents with chest pain since yesterday morning. Patient awoke with left-sided chest pain, described as diffuse, non-pinpoint, and like a 'sharp knife stabbing him.' Pain is constant, 5/10 when not moving but 8/10 with deep breath or movement. Tried taking Tylenol and albuterol inhaler with no relief. Also had congestion, rapid onset of diffuse muscle aches, and subjective fevers for multiple days before. Denies sick contacts, shortness of breath, nausea/vomiting, sore throat, cough. ROS: As per HPI PMH: Exercise-induced asthma PSH: None FH: Father - asthma; grandfather - heart attack Medications: Tylenol, albuterol inhaler as needed Allergies: NKDA SH: In high school. Denies tobacco use. Drinks alcohol occassionaly on weekens with friends. Smokes weed on weekends. Sexually active with girlfriend only.. Extract phrases from this text which may help understand the patient's medical condition.[/INST]subjective fevers, male, 17 yo, congestion days before, 8/10 with deep breath, Exercise-induced asthma, chest pain, since yesterday, Denies shortness of breath, Tried taking albuterol inhaler with no relief, sharp, stabbing</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: 17 yo m c/o right sided chest pain started yesterday morning , sharp , non radiating ,constant , 4/10 at rest and 8/10 with movement , aggrab by deep breathing and movement , no allev , takes tylenol doesnt help ,has fever ,h/o of stuffy nose and muscle ache in past 4 days .Denies any prev similar attack , palp , SOB , cough , HA , dizziness, HA ros neg PMH asthma med albuterol inhaler , tylenol PSH , NONE , FH granddad had heart attack , dad asthma sh carpenter , etoh ocassionally , use weel last used last weekend , no smoking sex with gf using condoms. Extract phrases from this text which may help understand the patient's medical condition.[/INST]fever, m, 17 yo, stuffy nose in past 4 days, aggrab by deep breathing, asthma, chest pain, started yesterday, Denies SOB, sharp, 8/10</s>

<s>[INST]<<SYS>>You are a resourceful medical assistant. Please ensure your answers are unbiased. Make sure the answers are from the text provided.<</SYS>>Patient Note: CC: Chest Pain. HPI:17yo male presenting with new onset chest pain for one day. Pain is localized to the left upper chest. It is constant, sharp, and 6/10 at rest and 8/10 w/ deep breaths. Palpating the area reproduces the pain. He denies radiation, trauma, or an inciting event.Also,reports a runny nose and muscle aches for the past 3-4 days. He has tried tylenol and his albuteral inhaler without relief. ROS: negative: cough, sore throat, lymphadenopathy, shortness of breath, palpitations, rashes, change in bowel/bladded habits, & back pain.Positive: runny nose, muscle aches PMH:Pt has exercise induced asthma with a prn abuterol inhaler, not used for 6 months before now. NKDA, no surgeries FMH:Dad, alive, asthma & hypercholesterolemia. Mom, alive and healthy. Grandfather alive, hx of MI. Sister,seasonal alergies SH:Senior in high school, carpenters assistant. Occational EtOH and cannabis use. No Tobacco. 1 sexual partner, uses condom. Extract phrases from this text which may help understand the patient's medical condition.[/INST]male, 17yo, runny nose past 3-4 days, runny nose, 8/10 w/ deep breaths, exercise induced asthma, chest pain, for one day, negative shortness of breath, albuteral inhaler without relief, sharp, 8/10</s>