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You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI: 17yo M presents with palpitations. Patient reports 3-4 months of intermittent episodes of "heart beating/pounding out of my chest." 2 days ago during a soccer game had an episode, but this time had chest pressure and felt as if he were going to pass out (did not lose conciousness). Of note patient endorses abusing adderall, primarily to study (1-3 times per week). Before recent soccer game, took adderrall night before and morning of game. Denies shortness of breath, diaphoresis, fevers, chills, headache, fatigue, changes in sleep, changes in vision/hearing, abdominal paun, changes in bowel or urinary habits.
PMHx: none
Rx: uses friends adderrall
FHx: mom with "thyroid disease," dad with recent heart attcak
All: none
Immunizations: up to date
SHx: Freshmen in college. Endorses 3-4 drinks 3 nights / week (on weekends), denies tabacco, endorses trying marijuana. Sexually active with girlfriend x 1 year, uses condoms | dad with recent heart attcak
mom with "thyroid disease
chest pressure
intermittent episodes, episode
felt as if he were going to pass out
adderall, adderrall, adderrall
palpitations, heart beating/pounding
3-4 months of
17yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 Y/O M CAME TO THE CLINIC C/O HEART POUNDING. STARTED 2-3 MO AGO. IT STARTED SUDDENLY. DOES NOT RECALL ANY TRIGGERING EVENTS. IT COMES AND GOES, IT HAPPENED 5-6 TIMES SINCE IT STARTED. IT LASTS 3-4 MIN, AFTER THAN JUST GOES AWAY. HE HAS ALSO EXPERIENCING SOB, PRESSURE ON HER CHEST WHEN HE HAS THIS ATTACK. HE IS A COLLEGE STUDENT, EXPERIENCING SOME STRESS RECENTLY.
DENIES COUGH, CHEST PAIN.
ROS NEG EXCEPT AS ABOVE.
PMH NONE. MEDS ATEROL, FOR HIS STUDIES, SHARING W HIS ROOMMATE. NKDA.
PSH/ HOSP/ TRAVEL/ TRAUMA NONE.
FH MOM HAS THYROID PROBLEMS.
SH SEX ACTIVE W GIRLFRIEND, NO STDS, USING CONDOMS. SMOKE NONE. ETOH ONLY WEEKENDS. DRUG ONLY ONCE, 1 MO AGO. | MOM HAS THYROID PROBLEMS
PRESSURE ON HER CHEST
COMES AND GOES, HAPPENED 5-6 TIMES
SOB
HEART POUNDING
STARTED 2-3 MO AGO
17 Y/O
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Mr. Cleveland is a 17yo M who was consented by parents to be alone today and provide information. He has no notable PMH and presented today with palpitations that have been occurring sporadically for 2-3 months. He started college 7-8 months ago and described feelings of nervousness and anxiousness with starting school and exams. He endorses using his roommates prescription adderall to study for tests and this coincides with the palpitations at times. Nothing makes his palpitations worse or better when they occur. ROS is negative except for light headedness and SOB. He has not had any cold/heat intolerance, diarrhea, changes in voiding habits, or weight loss. Worried about being able to play basketball.
Meds: Adderall from his roommate
PMH: none
PSH: none
All: NKDA
Family: mom: thyroid issues, father: heart attack
social: no tob, occ EtOH, no illicits
sex: with gf, use condoms
diet: good
exercise: basketball | father: heart attack
mom: thyroid issues
sporadically
light headedness
has not had any cold/heat intolerance
adderall, Adderall
SOB
palpitations, palpitations, palpitations
for 2-3 months
17yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo M w/ no cardiac or arrhythmia PMH presents complaining of 3 months of episodic heart pounding. Pt reports sensation of heart racing and pounding out of chest about 5-6 times total over the past 3 months. THis last episode the patient experienced light headedness and had some shortness of breath. Pt is a college student and has recently began to "share" his roommates prescribed aderall approx 2 tabs/week over this time. Pt does not report any adverse effects of the aderall and reports it has helped him study. No changes in weight, dizziness, changes in appetite, fevers or chills. PMH none, PSH none, FHx Father MI, Mom thyroid problem. Meds none accept aderall (not prescribed) Social: college student in philosophy, 2-3 alcoholic drinks/week, does not smoke, tried marijuana once. Sexually active w/ 1 female partner uses condoms. ROS negative accept above. | Father MI
Mom thyroid problem
episodic, 5-6 times
light headedness
aderall
shortness of breath
heart pounding, heart racing, heart pounding
3 months of, over the past 3 months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI: Dillon Cleveland is an otherwise healthy 17 year old male presenting due to rapid pounding heart rate for 2-3 months. He has never experienced these symptoms before. Comes on randomly, nothing makes it better. Lasts 3-4 minutes. Has happened 5-6 times over last 2-3 months.
-Endorses light headedness, chest pressure the last time.
-Intermittent tachycardia and pounding heart beat.
-Denies throat pain, headache, dizziness, loss of conciousness, chest pain, nausea, vomiting, changes in bowel and urinary habits
ROS: as per HPI
PMH: no medical issues, no allergies, takes friend's adderall (dose unknown)
SOC: No tobacco use, EtOH use 3-4 drinks per week, smoked "pot" once, full time student
FAM: Mom-thyroid problem, Dad-MI last year | Dad-MI
Mom-thyroid problem
chest pressure
5-6 times
light headedness
adderall
pounding heart, pounding heart
2-3 months, 2-3 months
17 year old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 y/o M , Dillon Cleveland comes with c/o of palpitaions. Palpitaions are sudden onset ond have been occuring for the last 3-4 months. He has had 1-2 episodes of palpitaions every month. The last episode was accompanied by breathlessness and constricting pressure over chest which releived on its own. No aggravating or relieving factors. No h/o fever, pedal edema, cough, hemoptysis. no h/o of dyspnoea, orthopnoea. no h/o weight loss, tremors.
PMH; not allergic to any medications. no known allergies. No similar episode in hte past.
Psh; no history
Family h/o; Mother has thyroid condition, father had acute MI last year.
Social drinker . Sexaully active with girlfriend sincea a year. No h/o STD. | father had acute MI
Mother has thyroid condition
pressure over chest
1-2 episodes
breathlessness
palpitaions
3-4 months
17 y/o
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo M college student comes to the clinic due to heart pounding. He states the he has had episodes of heart pounding for the last 3-4 months. Nothing makes it better or worse and it goes away on its own. he denies any chest pain but does report chest pressure during some of the episodes. He denies warmth or sweating, recent illness, abdominal pain or N/V, tingling in extremities, recent illness or trauma. He is new to college and has been taking aderol a few times a week. The last time he took aderol was 2 days ago, which was also the last time he had episode of palpitations.
ROS: negative except for above
PMH, PSH: none, medications: aderol self administered. knda, FH: Mother thyroid disease, father heart attach at 52 is okay now. SH: no changes in weight or appetite, he is on the meal plan and tries to be healthy, he plays intermural soccer and runs, no smoking, alcohol hx. Triend marijuanna, uses aderol. Stress college | father heart attach
Mother thyroid disease
chest pressure
episodes, episodes
aderol, aderol, aderol
heart pounding, heart pounding, palpitations
for the last 3-4 months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI: Patient is a 17 yo m with a c/o of palpitations. Palpitations began a few months ago. States that palpitations are sudden, unpredictable and feel like his heart is pounding fast/jumping out of his chest. Typically these episodes last 3-4 minutes and resolve on their own. His most recent episode was 2 days ago and lasted about 10 minutes. During this epsiode he felt lightheaded, Short of breath and had chest pressure located in the middle of his chest. Denies any sweating, changes in hair or bowel movements.
ROS: Negative except as stated above
PMH: None
Meds: Takes his roommates Adderall to help study
Allergies: NKDA
PSHx: None
FH: Mother has a thyroid problem, Father had a MI this past year at age 53
SH: denies to | Father MI
thyroid problem, Mother has a thyroid problem
chest pressure
episodes
lightheaded
Denies sweating
Adderall
Short of breath
palpitations, Palpitations, palpitations, heart is pounding, heart is fast
began a few months ago
17 yo
m |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Pt is a 17 y/o M w/ episodic feeling of "heart pounding" and "jumping out of chest." cannot identify a pattern, and seem to come and go without clear trigger.. Also notes some chest pressure during episodes. Denies any tingling or numbness associated. At times during these events he feels like he will pass out although denies oss of ocnsciousness. The episodes last 3-4 minutes. He does not note any undue stressors.
PMHx: None
PSH: None
FM: Mom has "thyroid disorder," dad had recent MI.
Social history: Notes trying some of his roommates adderral. Denies other drug use. Alcohol use socially. College freshman studying marketing.
Meds: None.
Hospitaliaitons: None.
Ros: Dizziness, lightheadedness during episodes. Denies tingling/numbness. Denies any feelings of dread or anxiety. | dad had recent MI
Mom has "thyroid disorder
chest pressure
come and go
lightheadedness
adderral
heart pounding
17 y/o
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 y/o previously healthy male here with heart pounding. States a few months ago, he started having episodes of feeling like his heart is pound/jumping out of his chest. Denies any anxiety, sweating, shaking, or sense of impending doom during these episodes. States he also had shortness of breath with his last episode. Denies any temperature intolerance, jitteriness, chest pain, abdominal pain, GI symptoms, GU symptoms, or easy bruising/bleeding. States he drinks about 3-4 cups coffee/day and several energy drinks throughout the week. Denies any recent stressors in his life.
ROS: negative except for above
PMH, Surg hx, hospitalizations - none
Meds: occasionally take roommate's adderall
NKDA
FH: mom has thyroid problems, dad had heart attack last year
Social: started college 6-7 months ago, denies tobacco use, drinks 3-4 drinks/day on weekends (neg CAGE screening), tried MJ a few months ago. Sexually active with gf, no STD concerns | dad had heart attack
mom has thyroid problems
episodes
Denies any temperature intolerance
adderall
shortness of breath
drinks coffee, drinks energy drinks
heart pounding, heart is pound
few months ago
17 y/o
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo M complains of heart pounding since 2-3 months. He had 5-6 episodes in the past 2-3 months. It is progressively worsening. No specific triggers noticed when these happen. No sweating/chest pain/N/B, SOB. The last episode was severe that he thought he would passout. Denies headaches/ blurry vision/cough/swelling of legs
ROS- negative except as above
PMH/Allergies/PSH- none
Meds- takes adderall since college
FH- Mother has thyroid issues, Father has heart problem
SH-smoked pot once, nonsmoker, Etoh on weekends occasionally, college student, sexually active with girlfriend | Father heart problem
Mother thyroid issues
5-6 episodes, episode
thought he would passout
adderall
heart pounding
since 2-3 months, in the past 2-3 months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo m c/o palpitations for the last 3 months. Patient referred having 5- 6 episodes of palpitations in total that comes all of the sudden. He described the episodes as his heart is pounding and in the last episode had SOB and chest pressure. He is started college a few months ago and have no stressors except for recent MI of his father. Denies sweating, tingling, weakness, fear, changes in bowel habits or skin, anxiety.
ROS: Negative excepts as above
PMH: None
Meds: Adderall from a friend's prescription since high school but have been taking it more now in college ( 2-4/ week) All: none
PSH: none
FH: Mother had thyroid disease, Father had MI at 50yo
SH: He is a college student, does not smoke, drink 3-4 beers in the weekend, marihuana once, monogamous with girlfiend, no STI in the past, use condoms regularly. Excercise by playing basketball and running, eat a healthy diet. Drinks 3-4 cups of coffee/day, 2-4 energy drinks/week. | MI of his father, Father had MI
Mother had thyroid disease
chest pressure
episodes, episodes
Adderall
SOB
coffee, energy drinks
palpitations, palpitations, heart is pounding
for the last 3 months
17 yo
m |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Patient is a 27 yy/o male with consent from his mother to talk to physician about complaints of pounding heart beat. The palpitations have been occuring for the past 3-4 months 1-2 times perweeek. When experiencing this episodes the symptoms last for 3-14 mionutes. There are no alleviating or precipitatiing factors. He also endorses 1 episode of non radiating midsternal pressure with associated shortness of breath. He does not notice an increase of symptoms with exertion or alcohol. He denies any nausea, pallor, or diaphoresis. He has no PMHx or SHx. He endorses family history of thyroid disease in the mother and MI in the father. He has no allergies and is taking no medications. He endorses occasional alcohol use but denies the use of cigarretes. He endorses use of marijuana once and uses his friends Adderral a few times a week to prepare for exams. He is sexually active with his girlfriend and uses condoms. He is a college Freshman. | MI in the father
family history of thyroid disease
midsternal pressure
uses Adderral
shortness of breath
pounding heart beat, palpitations
past 3-4 months
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Dillon Cleveland is a 17yo otherwise healthy M presenting with 5-6 episodes of palpitations within the duration of past 3 months. 2 days ago, the patient also experience a chest tightness during basketball and was relieved by rest. Basketball seemed to have made the chest tightness come on, but the palpitations have no associated trigger, and both are relieved by rest and resolves on its own. Patient endorses using Adderall taken from a friend's bottle a few times/wk or more depending on the college work.
PMH: None
PSH: None
Meds: Adderall that is from a friend's bottle a few times a week; patient cannot recall the dosage or specific frequency
Allergies: NKDA
SH: Freshman in college as a 17yo majoring in Philosophy. Drinking on the weekends 3-4 beers. Denies use of marijuana and recreational drugs; denies smoking; has a girlfriend and are sexually active
FH: Mother with "thyroid" and father with heart attack recently | father with heart attack recently, father with heart attack
Mother with "thyroid"
chest tightness, chest tightness
using Adderall
palpitations
duration of past 3 months
17yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Pt is a 17 y/o male presenting with heart pounding. For last 2-3 months has sensation of heart jumping out of chest not necessariy associated with anything including activity. During the last episode he was playing basketball and also had SOB and chest pressure. Occasionally will feel light headed too. Denies palpitations, leg swelling, diaphoresis, headaches, changes to vision, joint pain, diarrhea/constipation, nausea, vomiting, abd pain, skin/hair changes, heat/cold inotlerance. No LOC. No psychiatric hx or hx of ADHD
FH: mom thryoid issues, dad MI in 50's. No hx of sudden death in childhood
PMH: None
Allergies/Meds: NKA, occasional aderol to help study and focus
SH: 1st year in college, not too stressful, no smoking or illiict drugs, alcohol 3-4 x two days out of the week, once tried marijuana | dad MI
mom thryoid issues
chest pressure
light headed
Denies hair changes, Denies heat/cold inotlerance
aderol
SOB
heart pounding
2-3 months
17 y/o
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 YO M C/O HEART POUNDING X 4 MONTHS
-ONSET DURING A SOCCER GAME, FELT AS IF HE WAS GOING TO LOSE CONSCIOUSNESS
-EPISODES OCCUR 1-2 TIMES EVERY MONTH, DESCRIBES THE SENSATION OF PRESSURE IN HIS CHEST
-COLLEGE FRESHMAN, OCCASIONALLY USES FRIEND'S PRESCRIPTION ADERALL TO HELP HIM STUDY
-DENIES ANY WEIGHT OR APPETITE CHANGES, DENIES ANXIETY AND NAUSEA, VOMITING, DIARRHEA OR CONSTIPATION
-DENIES FEVERS OR CHILLS
ROS: NEGATIVE EXCEPT AS ABOVE
PMH: NONE
PSH: NONE
ALLERGIES: NKDA
MEDICATIONS: ADERALL (PRESCRIBED TO HIS FRIEND) TO HELP HIM STUDY
FH: MOTHER HAS A THYROID PROBLEM, FATHER HAD AN MI AT 52
SH: COLLEGE FRESHMAN, PLAYS SOCCER, DENIES SMOKING, DRINKS ETOH ON THE WEEKENDS, SMOKES MARIJUANA OCCASIONALLY. | FATHER HAD AN MI
MOTHER HAS A THYROID PROBLEM
PRESSURE IN HIS CHEST
OCCUR 1-2 TIMES EVERY MONTH
USES ADERALL, ADERALL
HEART POUNDING
X 4 MONTHS
17 YO
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: PMHx: 17 yo male with episodic heart palpitations. episodes started 2-3 months ago, all of a sudden and would last 3-4 minute and go away on their own . but last episode lasted 10 minutes and was accompanied by chest pressure like sensation and shortness of breath. denies warning sign, confusion, LOC, head trauma, vision changes, SENSITIVIty to
ALLERGIES:none
Meds: Addrell since high school. last pill was taken 2 days ago to focus on studies.
PSHx:none
FHx:mom has thyroid, dad had MI at age 52 and he is a smoker.
SSHx: he started college 7 months ago. denies smoking and recreational drug use. takes addrell from friend. takes 3-4 beers on weekends.smoked pot once in hight school but never again . sexually active with gf and uses condoms always. never tested for any STIs. | dad had MI
mom has thyroid
chest pressure
episodic, episodes, episode
Addrell, addrell
shortness of breath
heart palpitations
started 2-3 months ago
17 yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Patient is a 17yo m with no PMH, presented with complaint of heart palpitation. Palpitation going on for 3-4 months, 5-6 episodes, last 3-4 min (comes and goes, self resolves). Last episode 2 days ago, had pressure, SOB, and lightheadness, no LOC. Hx of hyperthyroidism with mother, and heart disease in father similar symptoms and hx of MI. HX of using prescription drugs not prescribed to him, Adderol, for studying. DRinks 3-4 drinks, 3 times a week. Denies tobacco use. Marijuana use a few weeks ago. Sexually active with GF, condom use.
ROS: Denies fever, chills, weight change, nausea, vomiting, abdominal pain. NKDA. | father hx of MI
Hx of hyperthyroidism with mother
5-6 episodes
lightheadness
Adderol
SOB
heart palpitation
for 3-4 months
17yo
m |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: The mother has given verbal consent for a history, physical examination, and treatment. 17 yo M comes to the clinic c/o intermittent heart pounding which started a few months ago, he reaclls between 2-3 months ago. He has had no prev episodes, not precipitated by anything, not allev or aggrav by anything. 2 days ago while playing basket ball he presented w/lightheadedness, SOB and chest pressure.
Denies LOC, falls, chest pain, numbness, tingling, changes in bowel habits and changes in urinary habits
ROS: none except for the above
PMH: none. Meds: non prescribed adderall, 1 pill a few times a week
HOSP/TRAUMA/SURG: none
FH: mother has thyroid condition, father had a heart attack
Social: college student, lives w/room mate in dorm, drinks 3-4 beers on weekends, CAGE:0/4, denies tobacco, denies other rec drugs.
Sexual: active w/gf, wears condom, monagomous, no stds | father had a heart attack
mother has thyroid condition
chest pressure
intermittent
lightheadedness
adderall
SOB
heart pounding
started a few months ago, 2-3 months ago
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 Yo M c/o intermittent feeling of heart racing/palpitations for past 2-3 months. He says the episodes happen randomly sometimes during rest/sometimes during strenous activity and he doesnt notice a pattern, the last episode he felt some chest pressure and SOB that resolved after the episode. He has never had a syncopal episode and does not feel anxiety/panic/ or a sense of doom during or before the episode. He drinks 3-4 cups of coffee today, intermittently uses redbull and takes his friend's adderall intermittently to help with school. He did notice that he took an adderal the morning before the last episode of palpitations. No reported weight loss/cold and heat intolerance
Ros: - except what is mentioned
PMH: -
PSx: -
Med/Alg: NKDA, intermittently uses friends adderal
Fam: Mom has thyroid disease otherwise noncontributory
Soc: Freshman in college, uses firends adderal intermittently, otherwise no tobacco/drug use sparse etoh | Mom has thyroid disease
chest pressure
intermittent, episodes, episode
No cold and heat intolerance
adderall, adderal, adderal, adderal
SOB
coffee, redbull
heart racing/palpitations
for past 2-3 months
17 Yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: CC: "heart pounding episodes"
HPI: 17 yo M presents with 2-3 mo history of heart pounding with a total of 5-6 episodes. The episodes last about 3-4 min usually but last episode was 10 min and assoiciated with some SOB as well as chest pressure/discomfort. Last episode was brought on when playing sports with friends. Pressure/pain does not radiate elsewhere and there have been no similar prior episodes. He would rate the chest pressure a 4/10 severity. Denies any sweating, heat/cold intolerance, changes in bowel movements, nausea/vomiting, fever chills, weight loss or gain.
ROS: Negative except as above
Allergies: none
Medications: taking roommate's adderall pills occasionally
PMH: none
SH: Drinks 3-4 beers or mixed drinks on weekends, 3-4 cups of coffee per day and 1-2 energy drinks per week, no tobacco use, or regular drug use
FH: Father had MI at 52, Mother has thyroid problems
| Father had MI
Mother has thyroid problems
chest pressure, chest discomfort
5-6 episodes
Denies heat intolerance, Denies cold intolerance
adderall
SOB
coffee, energy drinks
heart pounding, heart pounding
2-3 mo
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17yo M with "heart pounding" for few months. Feels like heart is racing. Usually comes out of nowhere, happens when just sitting. Happens 1-2x/month. Last episode was during soccer game, felt chest pressure, light-headed, thought was going to pass out. Does not notice association with any activities, time of day, or activities. Additionally, drinks 3-4 cups of coffee/night and 3-4 energy drinks per week. Has had some increased anxiety since starting college recently, does not have trouble sleeping. Otherwise feels well, no additional symptoms. Has been able to play soccer.
PMH: none
Meds: uses friends adderal few x per week
Allergies: none
FH: father with MI at age 52
SH: does not smoke, drinks 3-4 alcoholic beverages/week, no illicit drugs | father with MI
chest pressure
Happens 1-2x/month
light-headed
adderal
drinks coffee, drinks energy drinks
heart pounding, heart is racing
for few months
17yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17yo M presents with 2-3month history of "heart feeling like it is going to beat out of my chest". Feeling comes and goes, has happened a total of 5-6 times, lasts 3-4min per time, can occur at any time of day, and is not alleviated or exacerbated by anything. Never had palpitations in past. Also reports feeling of pressure in center of chest 2 days ago described as "someone sitting on me", lasting 10min as well as SOB during episode. Stressed with recently starting college, and taking roommate's adderall 2x/week. Denies diaphoresis, nausea, vomiting, skin or hair changes, weight changes, and appetite changes.
ROS: negative except as above
PMHx, allergies, surgeries: none
Meds: adderall (see HPI)
SH: EtOH: 3-4 on weekends (negative CAGEx4), marijuana once at party, denies tobacco, sexually active with girlfriend, uses condoms
FH: mother with thyroid disease, father with MI last year | father MI
mother thyroid disease
pressure in chest
comes and goes
Denies hair changes
adderall, adderall
SOB
heart feeling like it is going to beat out of my chest
2-3month history
17yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: CC: 17 yo M c/o heart pounding
HPI: Patient complains of episodes of heart punding, that happen once or twice monthly, that come and go, usually lasting 3-4 minutes, sudden. During the last episode he felt chest pressure, shortness of breath and felt like passing out, it happened during a fottball game. Between the episodes, he is assymptomatic.
ROS: none
PMH: none
PSH: none
med: takes alterol - medicine for enhancing concentration that his roomate gives him
allergies: none
FH: father had heart attack at age 52, mother has thyroid problem | father had heart attack
mother has thyroid problem
chest pressure
episodes, happen once or twice monthly, episodes
felt like passing out
shortness of breath
heart pounding, heart punding
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Pt is a 17yo previously healthy male who presents with heart pounding. Pt states first began having episodes of heart pounding 2-3 months ago, first time while sitting/watching TV. No associated pain, nausea or vomiting. Two days ago, did feel pressure on his chest with SOB. Episodes are sporadic, with no apparent trigger, and self-resolve within 2-3 min. Pt has not tried any medications. No syncopal episodes. No hx of travel. No hx of preceding illness/URI. He exercises and eats varied diet. No hx of congenital heart defects.
ROS: as per HPI
PMH, PSH: -
Meds: -
Fam Hx: Mom w/ thyroid issue. Dad had heart attack recently (due to poor diet). Sister healthy. No hx of heart issues or sudden cardiac death.
Social: Studying philosophy, living on college campus. Sexually active in monogamous relationship w/ gf (uses condoms). Denies tobacco or drug use (tried marijauana once few mo ago). Drinks socially on weekends.
Allergies: - | Dad had heart attack
Mom w/ thyroid issue
pressure on his chest
SOB
heart pounding
17yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Dillon Cleveland is a 17yo male with a 3-4 month history of heart pounding. These palpitations come on suddenly and last four 3-4 minutes each. The most recent episode was accompanied by a pressure sensation in the chest and shortness of breath. The patient denies headache, chest pain, pallor, dizziness, diaphoresis, weight changes, heat/cold intolerance, hair loss. The patient drinks 3-4 cups of coffee per night and 1-2 energy drinks during the week to keep up with studying. He has also been taking his roommates prescribed Adderall, most recently twice in one day at which may have been associated with eps.
Past Medical Hx: None
Past surgical hx: None
Medications: Adderall
Social Hx: Patient is a freshman in college. He drinks 3-4 drinks over the weekend, denies smoking hx, endorses marijuana use in last month as well as a roommate's Adderall a few times a week.
Family Hx: Thyroid disease - mother, Heart attack 1 year ago - father | Heart attack 1 year ago - father
Thyroid disease - mother
pressure sensation in the chest
denies heat/cold intolerance, denies hair loss
taking Adderall, Adderall, Adderall
shortness of breath
drinks coffee, drinks energy drinks
heart pounding
3-4 month history
17yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 y/o M complains of increased heart rate for the last 3 months. The sensation of increased heart rate has occured 5-6 times and the last episode has been the worst. Pt says the sensation goes away on its own and is not aware of what makes it worse. Pt notes episode at basketball game with exertion as well as notes an episode at rest. Pt admits to using college roomates prescription amphetimine to increase study performance on exams. Pt also admits to increased consumption of high caffine energy drinks. Additionally Pt denies any changes in weight, heat intolerance or any changes in mood sleep or urinary or bowel habits.
ROS (-) except above
PSH/PMH - nc
MED- adderall
ALL - NKDA
SSH - no tobacco, tried marijuana once, drinks EtOH socially
FH - father heart attack 52, mother thyroid problem | ather heart attack
mother thyroid problem
occured 5-6 times
denies heat intolerance
amphetimine, adderall
consumption caffine
increased heart rate, increased heart rate
last 3 months, for the last 3 months
17 y/o
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI: 17 YO M C/O PALPITATIPN X 2-3 MONTHS AGO. IT'S INTERMITTENT ( 5-6 EPISODES/2-3 MONTHS) , LAST ABOUT 1 MIN, AND IT'S NOT PROGRESSIVE. ALLEVIATED AND AGGRAVATED BY NOTHING. HE TOOK ADDERRAL 1 PILL/LAST WEEK DUE TO SUDYING FO FINAL EXAM. HE DENIES CHEST PAIN, SOB, SWEATING, COUGH, EDEMA IN LEGS, NAUSEA, VOMITING, FEVER, FATIGUE, NIGHT SWEAT, CHANGES IN SKIN/HAIR, CHANGES IN WEIGHT OR APPETITE. NO TRAUMA, RECENT INFECTION OR TRAVEL. HE USED POT 1 TIME LAST MONTH IN FRIEND'S PARTY. HIS MOOD AND SLEEP IS NL. HE IS NOT WORRY ABOUT FUTURE EPISODES. NO ANXIETY.
ROS: NEG EXCEPT AS ABOVE.
NKDA. MEDS: ADDERRAL.
FH: MOTHER HAS THYROID DISEASE. FATHER HAD MI.
SSH: SEXUALLY ACTIVE WITH GIRLFRIEND. USES CONDOMS. NO SMOKING. USED POT 1 TIME LAST MONTH. ETOH OCCASIONALLY. FULL TIME STUDENT, NO STRESS OR RECENT CHANGES IN LIFE. | FATHER HAD MI
MOTHER HAS THYROID DISEASE
INTERMITTENT, EPISODES
DENIES CHANGES IN HAIR
ADDERRAL, ADDERRAL
PALPITATIPN
X 2-3 MONTHS
17 YO
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Patient is a 17 yo M presenting with 3-4 months of intermittent heart pounding and beating fast. Patient report that the symptoms have been getting worse. Episodes would last 3-4 minutes but the most recent episdoe 2 days ago during a soccer match lasted 10 minutes with associated chest tightness. Does not notice a pattern to the symptoms. Denies headache, vision changes, LOC, n/v, orthostatic hypotension, recent illness. Reports feeling behind with college and use of adderall to manage workload
PMH: n/a
PSH: n/a
meds: adderall from a friend few times/week
Allergies: n/a
Family hx: mother with thyroid issue; father had heart attack at 52 years old last year; no hx of unexpected deaths in family; no hx of other heart problems in family
social hx: denies tobacco use. Drinks 3-4 drinks/week. counceled on drinking and adderall use. tried marijuana in college | father heart attack
mother thyroid issue
chest tightness
intermittent, Episodes
adderall, adderall, adderall
heart pounding, heart beating fast
3-4 months of
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17-year-old male presenting with heart palpitations for the past few months. He endorses that these episodes occur randomly are not associated with any particular activity. The episodes last 3-4 minutes and occur once-twice/month. He denies alleviating and provoking factors. His most recent episode occurred two days ago and he also experienced chest pressure that lasted for 10 minutes and a sensation that he was going to pass out when he was playing goalie in a soccer game, which resolved spontaneously. He denies headache, vision changes and weakness. He denies a family history of sudden cardiac death.
ROS: negative except as noted above
PMH: none
PSH: none
Meds: uses friend's adderoll before tests
All: NKDA
FHx: mother with hypothyroidism, father had an MI at 52 and is now fine/quit smoking
SHx: freshman in college studying marketing, lives with roommate, no alcohol, other drug use, sexually active with girlfriend, uses condoms | father had an MI
mother with hypothyroidism
chest pressure
episodes occur randomly
uses adderoll
heart palpitations
past few months
17-year-old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 y.o. male presents with 2-3 month history of heart pounding. The heart pounding and chest pressure occurs for about 3-4 minutes and has happened 5-6 times since the first episode. Last episode was 2 days ago, he felt significant pressure in the chest, SOB, and light headedness. The episodes can occur while sitting down (most times) or while active. Pt denies any recent stressors, weight change, nausea/vomiting, diaphoresis.
PMHx: No hospitalizations, chronic medical conditions, trauma or surgeries
Meds: NKDA, no prescription meds, no OTCs or vitamins
FHx: Heart attack in father, denies any family history of sudden death of syncope
PSHx: 1st year college student. 3-4 beer on weekend socially, Sexually active with 1 partner(girlfriend), Denies smoking or tobacco history. Used marijuana 1x. Takes friends adderal 3-4x per week. Has been doing so fo1 year. Pt is active on his basketball team, this is not associated with his symptoms. | Heart attack in father
chest pressure, pressure in the chest
happened 5-6 times
light headedness
Takes adderal
SOB
heart pounding, heart pounding
2-3 month history
17 y.o.
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: A 17 YO M COLLEGE STUDENT C/O HEART POUNDING X 2-3 MONTHS
- INTERMITTENT, NOT PROGRESSIVE, NOTHING MAKES IT BETTER OR WORSE
- ASSOCIATED WITH SOB X 2 DAYS
- DENES CHEST PAIN, LOC, FATIGUE, ANXIOUS, SWEATING, NECK SWELLING, HEAT INTOLERANCE, RASH, LEG SWELLING, SLEEP DISTURBANCE, EXCESSIVE CAFFEINE INTAKE, HEADACHE AND CHANGES IN BOWEL MOVEMENT
ROS: NEGATIVE EXCEPT ABOVE
ALLERGY: NKDA
MEDS: ADDREALL FOR STUDY
PMH & PSH: NONE
FH: MOTHER HAD THYROID DIEASE AND FATHER HAD HEART ATTACK
SH: NO SMOKING, USED MARIJJANA 1 MONTH AGO, 2-4 DRINKS/WEKEND, SEXUALLY ACTIVE WITH GIRLFRIEND, NO STI, PERSISTENT CONDOM USED | FATHER HAD HEART ATTACK
MOTHER HAD THYROID DIEASE
INTERMITTENT
DENES HEAT INTOLERANCE
ADDREALL
SOB
HEART POUNDING
X 2-3 MONTHS
17 YO
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Mr. Cole is a 17 m with c/o heart pounding. He has had 5-6 episodes of his heart "jumping out of his chest". These episodes last 3-4 mintues normally, but the last one lasted 10 mintues. He also felt chest pressure, SOB, and lightheaded with the last episode. It has happened while exercising and while sitting around. Of note, this last episode occurred after he took some of his friends adderrall for a test. He has not had any pain, pounding elsewhere in the body, vision changes, appetite changes, weight loss, abdominal pain, or bowel movement changes.
ROS: negative unless in HPI
Meds: adderrall 2 per week, no allergies
Med Hx: none
Surg Hx: none
Family Hx: MI at 52 for father, mother healthy
Social Hx: at college, lives in dorms, feels safe. No tobacco use, drinks 3-4 beers per weekend. Smoked marijuana once. Sex with girlfriend, use condoms. | MI at 52 for father
chest pressure
5-6 episodes, episodes, episode
lightheaded
adderrall, adderrall
SOB
heart pounding, heart "jumping out of his chest
17
m |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI: 17 yo m presents with episodic palpitation for the past 2 - 3 months. It is progressive worsening, 5-6 times over 3 months, lasting for 2-3 minutes, and with no exacerbating or alleviating factors. He reports SOB , lightheadedness and chest pressure with last episode. He denies any weight loss, tremors, hot intolerance, recent stress, numbness, tingling, diarrhea, wheezing, and cough.
ROS: Negative except as above
PMH: None
Med: amphetamine
PSH: None
Allergy: NKDA
FH: mother has hypothyroidism, father has MI
SH: no smoking,used illicit drug once, sexually active with his girlfriend | father MI
mother hypothyroidism
chest pressure
episodic
lightheadedness
denies hot intolerance
amphetamine
SOB
palpitation
for the past 2 - 3 months
17 yo
m |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI: Dillon Cleveland is a 17 yo M with a 3-4 month history of heart pounding. He feels his heart beating quickly like it's coming out of his chest. These episodes occur 1-2x/month with no provoking factors or specific pattern and resolve on their own in 3-4 minutes. Last episode was 2 days ago during a soccer game and was associated with chest pressure, SOB, and lightheadness. He has never passed out or lost consciousness. He notes starting college recently was hectic but he was able to transition well.
ROS: no weight changes, diarrhea, tremors, heat intolerance, anxiety
PMH: negative
Medications: takes his roommate's Addral a few times/wk
Allergies: NKDA
FHx: mom - thyroid problem, dad - heart attack last year
Social: freshman in college, lives with his roommate; denies tobacco use, drinks occasionally, tried marijuna a few times, no other drug use, drinks 3-4 cups of coffee/day, sexually active with one F partner,uses condoms
| dad - heart attack
mom - thyroid problem
chest pressure
lightheadness
no heat intolerance
Addral
SOB
drinks coffee
heart pounding
3-4 month history
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yr old m comes in with CC of "heart beating/pounding too fast". For the past month has been having random episodes of tachycardia that last 3-4 minutes at a time. Patient denies LOC, sweating, palpitations, tremors, chills, fever, numbness or tingling. He has never experienced this before. Pt is a freshmen in college and has been using adderall to keep up with his studies. Last use was 3 days ago, last episode of tachycardia was 2 days ago. States he feels light headed duing these episodes. Patient denies cold intolerance,weight loss, diarrhea, urinary changes, headaches and nausea.
ROS: negative except above.
Meds: occasionally takes adderall. NKDA
PMH: none
FH: mother has thyroid disease, Father had an MI 1 year ago
Social: freshmen in college. does not use tobacco. drinks 3-4 beers on the weekend. No Illicits. Adderall. Exercise: runs a few miles a week, no relation to tachy. | Father had an MI
mother has thyroid disease
random episodes
light headed
denies cold intolerance
using adderall, takes adderall, Adderall
heart pounding, tachycardia
17 yr old
m |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Dillon is a 17 yo M with no PMH c/o heart pounding. he has had 1-2 episodes a month for the last 3- 4 months and have been lasting longer. The episodes typically last 3-4 minutes and self resolve, there is no consistent percipitating factor. The last episode was 2 days ago during a soccer match where the patient felt SOB and lightheaded. He has not had any syncopal episodes, dizziness, N/V, Chest Pain, diarrhea, abdominal pain, headaches, sleep changes, sweating, sense of doom or vision changes.
PMHX: none
surgical: none
Family: mom has thyroid issues, dad had MI
med: occasionally uses friends adderal
SHX: does not smoke, alcohol 3-4 drinks a weekend smokes marijuana occasionally
exercise: plays soccer for school
Caffeine- 3-4 cups of coffee a night, 1-2 red bulls/energy drinks a week
sexual: sexually active with gf uses condoms | dad MI
mom has thyroid issues
episodes, episodes, episode
lightheaded
has not had sweating
adderal
SOB
Caffeine, coffee, energy drinks, red bulls
heart pounding
for the last 3- 4 months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: CC: Heart pounding
HPI: The patient is a 17-year-old male who presents with intermittent episodes of heart pounding. This has occurred 5-6 times over the last 2-3 months with each event lasting 3-4 minutes. There is nothing that brings them on and they resolve on their own. During the last event 2 days ago, he had associated chest pressure, SOB, and light-headedness. No diaphoresis or syncope during this event.
ROS: Negative for headache, sore throat, chest pain, nausea, vomiting, constipation, diarrhea.
PMH: Negative
Rx: None
All: NDKA
Sx: None
FMH: Father-recently had an MI. Mother-has thyroid problems
Soc: Is a full-time student. Denies tobacco use. Drinks 3-4 beers on weekends (0/4 CAGE). Reports using his friend's Adderall a few times per week with his last use being 3 days ago. He also reports smoking marijuana a month ago. | Father-recently had an MI
Mother-has thyroid problems
chest pressure
intermittent episodes, occurred 5-6 times
light-headedness
Adderall
SOB
Heart pounding, heart pounding
over the last 2-3 months
17-year-old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Mr. Cleveland is a 17yoM presenting with palpitations. Started 2-3months ago, getting worse, intermittent episodes with sudden onset and no triggers. Nothing makes better or worse. Episodes happen during exertion and rest, last 3-4min, self resolve. Most recent was 2 days ago, with SOB, chest pressure (at midline chest), and lightheadedness while playing basketball. States never had those symptoms before. Endorsed adderol use this morning prior to episode. Denies relation of palpatations to adderol usage. Denies other chest pain, SOB, cough, Headache, fatigue, fevers, weight change, appetite change, or body pains.
PMX: none
meds: none
allergies: none
surgeries: none
family: father has heart issue and had MI at 52yo. Mom has thyroid issue.
substances: never smoker, drinks 3-4x/week, adderol started 6-7 months ago, uses occassionally, most recently prior to episode stated above. Also marijuana used once.
Social: goes to school. | father had MI
Mom has thyroid issue
chest pressure
intermittent episodes
lightheadedness
adderol, adderol
SOB
palpitations
2-3months ago
17yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI: Mr. Cleveland is a 17yo M who presents with 2-3 months of heart pounding. Was sitting and watching TV when it first started. Sensation has been stable and unchanging since onset. Episodes last 3-4 minutes, self-resolve. Occurs randomly, no alleviating or aggravating factors. Had one episode 2 days ago during basketball game with midline chest pressure and lightheadedness. No loss of consciousness. He has a basketball game tomorrow and is worried the symptoms may return.
ROS: No headache, vision changes, cold/heat sensitivity, abdominal pain, diarrhea, constipation, nausea, vomiting, urinary symptoms, weight changes, appetite changes, fever, chills
PMH: None
PSH: None
Medications: Adderall 2-3 weekly
Allergies: NKDA
Fam Hx: Mom with thyroid disease, Dad
Soc Hx: college student, sexually active with girlfriend, regular condom use, drinks 3-4 beers each weekend 0/4 CAGE, no tobacco or other drug use, tried marijuana once | Mom with thyroid disease
chest pressure
Occurs randomly
lightheadedness
No cold/heat sensitivity
Adderall
heart pounding
2-3 months
17yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI- 17 YO M WITH C/O HEART PALPITATIONS FOR 3 MONTHS WHICH WAS SUDDEN IN ONSET, INTERMITTENT AND PROGRESSIVE. HE HAD A SEVERE EPISODE 2 DAYS AGO WHERE HE HAD CHEST TIGHTNESS AND SOB. HE IS STRESSED OUT ABOUT COLLEGE AND IS TAKING ADY WHICH HIS FRIEND PROVOIDED TO HIM. HE ALSO CONSUMES 3 TO 4 CUPS OF COFFEE EACH DAY. DENIES FEVER, CHEST PAIN, SLEEP CHANGES COUGH, SKIN CHANGES, CHANGES IN WEIGHT OR APPETITE, TREMORS, SOB ON EXERTION, CHANGES IN URINARY OR BOWEL HABITS.
PMH/PSH- NONE
ALLERGIES- NKA
MEDS- NONE
FH- MOTHER HAS THYROID PROBLEMS AND FATHER HAD MI
SH- DRINKS 3 TO 4 BEERS/WEEKEND, DENIES TOBACCO, SMOKED POT ONCE, PLAYS BASKETBALL AND DOES EXERCISE.
SEXUAL- MONOGAMOUS AND USES CONDOMS. | FATHER MI
MOTHER THYROID PROBLEMS
CHEST TIGHTNESS
INTERMITTENT, EPISODE
SOB
CONSUMES COFFEE, COFFEE
HEART PALPITATIONS
FOR 3 MONTHS
17 YO
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI: 17 yo M presents with c/o heart pounding. Started 2 months ago and has experiences 5-6 episodes each lasting 3-4 minutes
-Describes pain as substernal pressure and denies radiation of presure.
-Most severr episode occurred 2 days ago. reported chest pounding and SOB
-ROS: Denies LOC, observed seuizure like activity, change with position, relation to food. Denies bowle or bladder incontinence
-PMH: none
-Meds: Uses roomates Adderall a few times a week
-All: NKDA
-PSH: none
-SHx: College student studying philosophy. Lives on campus. Drinks 3-4 beers on weekends. Tried marijuana 1x. Denies use of other ilicit drugs. Denies personal stressors. Sexually active with one female partner
-FH: Dad- alive, MI @ 55 yo. Mom- alive, Hyperthyroid
| Dad MI
Mom Hyperthyroid
substernal pressure
5-6 episodes
Uses Adderall
SOB
heart pounding, chest pounding
Started 2 months ago
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17yo male. presents with paroxysmal episodes of "heart pounding". onset of symptoms 2-3 months ago. was sudden onset while watching television at home. has had 5-6 episodes in total. episodes last 2-3 minutes and are self-remitting. no identifiable triggers. last episode was 2 days ago. episode 2 days ago was accompanied by light-headedness, shortness of breath and central chest pressure.
No recent illnesses. no sick contacts. no travel. no pets. no infective symptoms. no weight changes
ROS: no syncopal events.
no cough or wheeze. no haemoptysis
no headaches or altered mentation. no diaphoresis
MHx: nil
Medications: nil prescribed, however takes his friend's adderall for studying. takes these a few times per week since highschool.
nil known allergies.
Social Hx: nonsmoker. drinks 3-4stds/weekend. smoked cannabis once a few months ago. denies other drug use.
FHx: mother - thyroid issue. father - heart issue. | mother - thyroid issue
chest pressure
5-6 episodes
light-headedness
takes adderall
shortness of breath
2-3 months ago
17yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 y.o male p/w 2-3 month history of intermittent episodes in which patient has the sensation his heart is 'pounding' and 'racing'. These episodes have occured 5-6 times over the interval and have lasted for ~3-4 minutes. The most recent episodes two days ago was also associated with SoB and occured several minutes into a game of basketball. Otherwise the patient does not attribute these episodes to any particular activity. Notably, the patient is a college freshman and reports taking street-adderal several times a week and has been doing so for the past two years. No other pertinent PMH, surgical, family, or social history. Pt denies LOC, HA, N/V, chest pain, and SOB only in the most recent episode. Paitient was counseled to avoid adderal and other stimulants, and to avoid strenuous physical activity until next clinic appointment. | intermittent episodes, 5-6 times
adderal
SoB, SOB
"heart is pounding", heart racing
2-3 month
17 y.o
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: CC: Heart Pounding
HPI: Episodes of heart pounding that began a few months ago and last for 4-5mins at a time. The episodes occurr every couple weeks and have recently been accompanied by some mild lighheadeness. Patient states he needed to sit down on the last episode which happened while he was playing basketball. Patient denies chest pain but has been having some heaviness on his chest during the episodes. Denies any feelings of dread or panic, but has had some SOB. He has been recently trying adderall from his roommate every couple days, but there doesn't seem to be a relation to the drug use. He has never had syncope.
PMH: none
PSH: None
Meds: Aderall
allergies: none
Social: Sexually active wears condom every time, no tobacco use, only drug use is the aderall and one time tried THC. Never Cocaine or PCP. He is full time student who just started
ROS: No cough or congestion, no fatigue or diarrhea
FM: Dad had MI at 52yr | Dad had MI
heaviness on his chest
Episodes, episodes, episodes
lighheadeness
adderall, Aderall, aderall
SOB
Heart Pounding, heart pounding
began a few months ago |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17yo M with cc palpitations for the past 2-3 months, palpitations have occurred 5-6 times in total, denies history of palpitations prior to this. pt reports lightheadedness, sob and chest pressure with last episode. episodes last about 3-4 min and resolve on their own. denies alleviating or aggrevating factors. denies N/V, diarrhea, constipation, weight changes, cold or heat intolerance or hair loss, denies changes with appetitie or sleep difficulty. denies allergies or medication use.
ROS: negative except for above
PMH: denies
FH: mother-thyroid problem, father-MI at 52yo
SH: denies tobacco use. tried cannabis once a few months ago. drinks socially on weekends with friends. is in his first year of college and becomes stressed with the workload. pt admits to taking adderrall from a friend to stay away. denies any drug use. pt drinks excessive amounts of coffee, red bulls and 5hr energy drinks in other to stay away. | father-MI
mother-thyroid problem
chest pressure
episode, episodes
lightheadedness
denies cold or heat intolerance, denies hair loss
adderrall
sob
coffee, red bulls, 5hr energy drinks
palpitations, palpitations
past 2-3 months
17yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Dillon Cleveland is a 17 yo M who presents to the clinic for pounding heart. He states it seems to be unprovoked and has been happening for the last 2-3 months. He is has been in college for the last 7-8 months and is generally doing well with his mood and his grades. He did not one episode of heart pounding where he felt SOB and light headed while playing basketball. He denies any flushing, sweating, excessive worrying, recent illness, or allergies. He does not take any medications. No recreation drug other than 1 time with marijuana, he has taken non-prescribed adderall a couple times a week during exam times. Maximimun EtOH consumption is 3-4 beers or mixed drinks on the weekends only. Family history is positive for an MI in his father at age 52, and his mother has thyroid problems. He was never hospitalized or told he had heart problems in the past. | MI in his father
mother has thyroid problems
light headed
taken adderall
SOB
pounding heart, heart pounding
2-3 months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI: Mr. Cleveland is a 17 yo m that presents with intermittent palpitations for the last 2-3 months. He notes that the last one was 2 days ago while playing basketball and after taking adderal. This episode was worse than those prior. They go away on their own with no alleviating or aggravating factors. Associated factors possibly include exercise and adderall use. He has had 5-6 episodes over the last 2 months.
PMH: None. No surgeries
Allergies: NKDA
Medications: Adderal during test season
ROS: Endorses SOB and lightheaded. Denies fever, chills, nausea, vomiting, chest pain, headache, dizziness, change in weight, or diaphoresis
FH: Mother thyroid issue. Father MI
Social Hx: Denies tobacco use. Social drinker 3-4 drinks on weekend. Experiment with marijuana once. Safe at home and in relationships. Student
Sexual Hx: Sexually active monogamously and uses condoms. No STI Hx
| Father MI
Mother thyroid issue
intermittent, episode, episodes
lightheaded
adderal, adderall, Adderal
SOB
palpitations
or the last 2-3 months, over the last 2 months
17 yo
m |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Pt is a 17 year old male presenting with heart palpitations, he state it has been going on for the past 2-3 months and it comes and goes. nothing makes it better or worse. It has happened 5-6 times the past. nothing particualary triggers it. Pt is stressed with college that he started in the fall and has consumed redbull once a week coffee every once and a while. He also states he takes his friends adderal every once and while. last used was 2-3 days ago He has never had this happen to him in the past. he had shortness of breath about 2 days ago. Pt deneies headache, no vision change, no bowel issue, no temperature intolerance.
PMHX: none
medication: none exepect for friend adderal 2/3 days ago
phx: na
allergy: NA
fHX: father heart issue mother: thyrid
Shx: college student, does not smoke, drinks on weekends 2-3 beers, tried marijwana once but does not use it. Sexually active with one female partner and uses condoms consistently | comes and goes, happened 5-6 times
no temperature intolerance
adderal, adderal
shortness of breath
consumed redbull, coffee
heart palpitations
past 2-3 months
17 year old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Mr. Cleveland is a 17 yo M presenting with epidosidic heart racing. This started 2-3 mos ago and he has had 5-6 episodes of tachycardia during this time. It doesn't seem to be related to exercise or public speaking. During the last episode he had SOB and felt lightheaded, but did not pass out. He also had chest pressure during this episode. Denies diaphoresis, headaches, vision changes, wt changes, fatigue, hair changes, heat or cold intolerance, changes in bowel or urinary habits, and chest and abdominal pain. No PMHx. Takes friend's adderal occassionally. No allergies. No surgeries. Dad had MI at 52; mom has thyroid disease. No tobacco or drug use. Occassionaly drinks on weekends. Sexually active with girlfriend and uses condoms. | Dad had MI
mom has thyroid disease
chest pressure
5-6 episodes
felt lightheaded
Denies heat intolerance, Denies cold intolerance
adderal
SOB
heart racing
2-3 mos ago
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: pt 17y/m c/o palpitation since 2-3 months, episodes come and go, last for 3-4 minutes, no precipitating or releiving factors. last episode happened while playing basketball, pt felt chest pressure, and felt like almost passed out. pt has no chest pain, nause or vomitting, no tremors, no heat or cold intolerance, no changes in bladder or bowel habits. no changes in diet or polydypsia pt had changed college 7-8 months back, and has trouble adjusting to it, no rashes. pt has been taking 3-4 cups of coffee every day and red bull 4-5 in a week.
no mood changes, no anxiety or panic attack
ROS - nothing significant except as above
allergy - none
medication - pt takes aderral multiple times, last 2 days ago.
PMH - none
PSH - none
SH - no smoking, occasional marijuana 5month ago, sexually active with girlfriend, uses condom, no STI
FH - father had problems with heart and mother has hyperthyroid
| father had problems with heart
mother has hyperthyroid
chest pressure
episodes come and go
felt like almost passed out
no heat intolerance, no old intolerance
takes aderral
coffee every day, taking red bull
palpitation
since 2-3 months
17y
m |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Dillon Cleveleand 17yoM with 2-3 months of intermittent episodes of cardiac palpitations. Episodes 3-4min and self resolve, happened 5-6x at rest and while active. Recently lightheadedness and SOB. Between these episodes denies any symptoms. ROS: Denies CP, dizziness, abdominal pain, dysuria, rash, edema, appetite change, weight change, change in BM.
PMH: Denies. vaccines UTD
PSH: Denies
Meds: uses friends adderall 1-2x/week since starting college
Fam hx: Mom with "thyroid problem;" Dad with "heart attack" last year
Social: first year college student studying philosophy, 3-4 beers/week, denies tobacco use, used marijuana 1x last month. Sexually active only with girlfriend, denies STI testing. Healthy high fibe diet, runs and plays basketball 3-4x/week. | Dad with "heart attack
Mom with "thyroid problem
intermittent episodes, happened 5-6x
lightheadedness
uses adderall
SOB
cardiac palpitations
2-3 months
17yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 years old m presents with c/o heart pounding X 2-3 months. it starts suddenly and is getting worse since then no aggra/alleviating factors. he had 5-6 episodes in last 3 motnhs and each lasted for 3-4 mins. it is associated with sob. pt drinks 5-6 drinks of coffee and red bull and he also takes aderrol 2-3 times/week from past 7-8 months. denies any changes in the weight, tremors, heat intolerenace, fever, chest pain and cough.
ros: neg exp above
pmh/psh:na
meds: adderrol X 7-8 months, last use : in last week.
allergies/hosp:na
travel/trauma:na
fh: mother -thyroid
ssh: denies smoking or illicit drug use, uses alcohol occassionally | mother -thyroid
episodes
denies heat intolerenace
aderrol, adderrol
sob
coffee, red bull
heart pounding
X 2-3 months, last 3 motnhs
17 years old |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo M c/o heart racing
- Episodes have been going on for the past 2-3 months
- Episodes last for 3-4 minutes
- Random with no precipating event.
- Pt. denies sweating , vision changes, sleep changes.
FHx: Mother had some thyroid issue, Father had some heart issue.
SH: Student. Drinks 3-4 drinks on weekends, Used Pot once. Uses unprescribed Adderal as study aid which he aquires from friend.
Allergies: NKDA | Mother had some thyroid issue
Episodes Random
Adderal
heart racing
past 2-3 months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Mr. Cleveland is a 17 yo otherwise healthy male that presents with 3 months of heart palpitations. He states that he has had 5-6 episodes in total and that they do not seem to be associated with anything, including stress or activity. He does however note that he has been taking his friend prescription aderall in order to help him study. He started this in high school but since starting college he has been taking them more often. He has not had any chest pain but he did have one instance of non-radaiting chest pressure that was accompanied with shortness of breath that lasted 15 mimutes 1 week. No fevers, headaches, weight changs, sweating, n/v, diarrhea, constipation, abdominal pain, urinary changes, skin changes, joint pains. No past medical history or surgical history. No meds beyond taking his friend's adderral. No smoking or illicit drugs. 3-4 beers on the weekend. Family hx: Father had MI last yar at 52 yo. Mom has thyroid disease | Father had MI
Mom has thyroid disease
chest pressure
5-6 episodes
No sweating
aderall, adderral
shortness of breath
heart palpitations
3 months
17 yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI:17-year-old male, 2 months ago 6 episodies of heart pounding, the last whit shortness of breath, 4 to 6 minutes of duration , self imited, no sincope , no chest pain , no temperature problems ,no alliviating o , no worsering, no exercise asociation ,no gain or loss weight
ROS: Negative except as above
PMI:Neg,Meds:Neg;PSH:Neg;All:Neg;Hx:Neg
FH: Mom Thyroid problem, Dad MI last year
SH: Drinks: Weekend whit friends;Smoke: Neg;Drugs weed 1 episode;Sexually active 1 parner , uses condoms
| Dad MI
Mom Thyroid problem
6 episodies
no temperature problems
shortness of breath
heart pounding
2 months ago
17-year-old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo previously healthy male who presents with a 2-3 month history of heart pounding. He says that he has had 5-6 episodes of this sensation where his heart feels like its beating faster and harder since his first episode. Each episode last about 3-4 minuts each and goes away with rest. He has not noticed anything that couses the episodes to occur and no relieving factors other than rest. His lat episode had associated feeling of pressure in his chest like someone was sitting on it and it lasted 10 minutes. No associated chest pain, shortness of breath, or changes to urinary or bowel habits, no changes to vision. Endorses regular use of adderall a few times week to help in study for which he has been taking for the last year.
ROS Negative except as above
Family history: Mom thyroid disease, Dad: Heart problem
Social: Full time student. No Tobacco or recreational drugs. drinks 3-4 beers on weekends | Dad: Heart problem
Mom thyroid disease
pressure in his chest
5-6 episodes
use of adderall
heart pounding, heart feels like its beating faster
2-3 month history
17 yo |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo M who presents with 3 months of episodic "heart beating out of my chest." He endorses 5-6 episodes over the last few months that last approx. 3 min and resolve spontaneously. THe last episode happened while he was playing basketball and he felt SOB and lightheaded. The pain doesn't radiate anywhere and hasn't progressed in severity. He is concerned given paternal FH positive for a recent heart attack. Patient also endorses taking 1-2 Adderrol pills per week to help with school work, which he is taking without prescription. Denies cough, wheezing, changing in vision, changes in hearing, skin/nail changes, tremor, or cold/heat intolerance.
FH: Father- MI; Mother-"Thyroid problem"
PMH: None
PSH: None
Medications: Per HPI
Allergies: NKDA
SH: ETOH-3-4 on weekends. Beer and/or mixed drinks. Tried Marijuana once. No illicit drug use or tobacco. | FH positive for a recent heart attack, Father- MI
Mother-"Thyroid problem
episodic, episodes, episode
lightheaded
Denies nail changes, Denies cold/heat intolerance
Adderrol
SOB
heart beating out of my chest
3 months of, over the last few months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Mr. Cleveland is a 17yo male , to office with heart pounding for 3-4 months at epi region of chest. He states "it feels like my chest is going to jump out". He states it is getting worst and pain is at the center or chest. Non radiating. He states mom has thyroid issues and he is concerned. He had a previous episode that went away on its own. He denies vomit, nausea or abdominal pain. He cosumes roommates prescription Aldereol on several occasions. He states everyone is using it.Sleeps well. Pain comes and goes without notice.
ROS: Neg, except as per HPI
PHM:None
PSH:None
Allergies:None
Meds:None
FH: Mom has thyroid issues , dad has cardiac issues
Sh; Coolege student lives swith roommate, He consume 3-4 beers on weekend, Has previously used marijuana and presciption Alderol | dad has cardiac issues
mom has thyroid issues, Mom has thyroid issues
Aldereol, Alderol
heart pounding, feels like my chest is going to jump out
for 3-4 months
17yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: CC: worried heart racing will interfere with sports
HPI: Mr. Cleveland is a 17 yo male with complain of heart pounding. He states his heart has been racing for the past 2-3 months, each episode last 3-4 minuts, he has had 5-6 episodes and there is no pain associated. Sometimes it is associated with exercise and sometimes laying down. Has had SOB. It goes away on its own and is random. 4/10 bothersome in life. No change in weight, no cold or heat intolerance, no sweating or chest pain. Of note, he has been using friends prescription aderrall.
PMH: No chronic illnesses, no prescription medications of his own, NKDA, no hx of hospitalizations
FH: mom has thryoid problem, dad had MI last year
SH: no tobacco use, drinks occassionally on weekends, tried marijuana once a few months ago. Goes to college, lives in dorms iwth roommate, no travel outside of US, sex. active w/ GF uses condoms.
ROS: negative except as noted per HPI. | dad MI
mom thryoid problem
episode, episodes
no cold or heat intolerance
aderrall
SOB
heart racing, heart pounding, heart has been racing
past 2-3 months
17 yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo male with 2-3 months of intermittent heart racing/pounding episodes. No recent anxiety or stress about college and no recent changes in activities. Episodes come out of the blue with no warning, heart pounds for 3-4 min then resolves. Recent episode associated with chest pressure, light headedness and shortness of breath. No diaphoresis. Uses roommates adderall a few times a week for concentration at school. No tremors, skin changes, or weight changes.
PMH: none
PSH: none
Meds: roommate's adderall, few times per week. No other meds.
Allergies: NKDA
Family: dad with recent heart attack, mom with thyroid disorder
Social: freshman in college, lives in dorms, no cigarette smoking. Has smoked pot in the past. Drinks alcohol on weekends, 3-4 beers, no driving under influence. Sexually active with girlfriend of 1 year, uses condoms but wants to switch to OCPs, states they are monogamous. | dad with recent heart attack
mom with thyroid disorder
chest pressure
intermittent, episodes, Episodes, episode
light headedness
adderall, adderall
shortness of breath
heart racing, heart pounding, heart pounds
2-3 months of
17 yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: CC: 17 yo M c/o heart pounding. The pt reports episodic heart pounding over the last 2 months. They occur randomly and last 3-4 minutes. There have been 5-6 in that time. There are no alleviating or aggrevating factors. No previous episodes. The last episode he experienced pressure in his chest and SOB. He reports taking adderoll (w/o a prescription)3-4x wk since in college.
ROS: Negative except as above.
Allergies: NKDA.
Meds: adderoll
PMH: None.
PSH: None.
Prenatal hx: None. Birth Hx: NSVD
SH: College student lives dormatory. Sexually active with girlfriend, uses condoms. Tried "pot once", no other rec drugs. No tobacco hx. EtOH 3-4 beers xwk.
FH: Mother thyroid "problem". Father MI 1 yr ago. | Father MI
Mother thyroid "problem
pressure in his chest
episodic, episode
adderoll, adderoll
SOB
heart pounding, heart pounding
over the last 2 months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 YO M in student heatlh clinic c/o sudden onset heart pounding x few mo. No precipitating factor, describes heart jumping out of the chest, worsening, intermittent, last 3-4 mins, 1-2 episode in a mo. no allev/aggrav. A/w chest pressure, and SOB, 3-4 cup of coffee a day, 1-2 energy drink a week. No previous episode in the past. Denies fear of having other episode, cough, dizziness, tiredness, tremor, change in skin/hair, change in weight/appetite, change in sleep, weakness/tingling/numbness, change in BM/urine.
Ros neg except as above
PMH none, Meds takes aderal from his roomate, NKDA
PSH/hosp/travel/trauma none
FH father heart disease, mother has thyroid disease
SH student, lives w roommate, denies smoking, occ ETOH, tried pot 1 time in a party, healthy diet, plays soccer and walk few miles, sexually active w GF, 1 partner in the past 6 mo. sometimes use condoms w her. He preffer the pill and no condom use, no STDs in the past | mother has thyroid disease
chest pressure
intermittent, 1-2 episode in a mo
takes aderal
SOB
3-4 cup of coffee a day, 1-2 energy drink a week
heart pounding, heart jumping
x few mo
17 YO
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Mr. Dillon is a 17yo mM otherwise healthy presenting with 3-4 month history of intermiitent, palpiations, tachycardia; regular adderol use from roomate; 2 days ago while playing soccer, experienced chest pressure, SOB, resolved on its own. Denies chest paion, diaphoresis, changes in bowel habits.
PMH:
non, NKA
SH: P is a freshman in colleg, plays soccer and runs regularly. Drinks 2-3 beers on the weekends, tried marijuana, denies smoking. Healthy diet.
FH: father- MI at 5yo, Mother- thyroid issues | father- MI
Mother- thyroid issues
chest pressure
intermiitent
adderol
SOB
palpiations, tachycardia
3-4 month history
17yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: CC : 17 yo M presenting for "heart pounding."
HPI: Going on 3-4 months. Has 1-2 episodes a month. Last episode was a week ago while playing soccer, he stated he also felt chest throbbing in center of chest and light headedness which is different from previous episodes. There is nothign that he associates with onset of these episodes. Lasts 3-4 minutes originally and last one lasted 10 minutes. Endorses shortness of breath with episodes. Denies diaphoresis, dizzinses, changes in vision, changes in hearing, radiation of pain, loss of sensation, weakness, anxiety. Endorses using roommates adderall prescription.
PMH: none; PSH: none; meds: vitamins; allergies: none
FH: father - MI (no known heart disorder); mother: thyroid problem
SH: student, doign marketing, active playing soccer and running, denies tobacco use, etoh 3-4 on weekend (CAGE 0/4), adderall use, sexually active with girlfriend uses condoms
| father - MI
mother: thyroid problem
chest throbbing
1-2 episodes a month
light headedness
adderall, adderall use
shortness of breath
heart pounding
3-4 months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo male presents for 3-4 months of intermittent palpitations. He first noticed when he was just sitting. They happend 1-2x/month and last for 3-4 minutes. Nothing makes it better and it goes away on its own. Nothing seems to make it worse. No associated chest pain, but did note substernal chest presure associated with SOB 2 days ago. Denies fevers, chills, diaphoresis, sleeping problems, tremor, diarrhea, or constipation. He has a normal mood but admits to some stress starting college 5-6 months ago. Now feels well-adjusted. Majoring in marketing.
Denies PMHx and PSHx and allergies
FHx: Father with MI at age 52, mother with thyroid problem
Denies tobacco use, alcohol 3-4 drinks on weekend
Drugs: Tried pot a few months ago
Meds: Roommate shares Rx Adderall a few times a week before exams (started about a year ago)
| Father with MI
mother with thyroid problem
substernal chest presure
intermittent, 1-2x/month
Adderall
SOB
palpitations
3-4 months
17 yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 YO M Pt c/o racing heart x 2-3 months. Random onset, lasting 3-4 mins. No chest pain or SOB, No dizziness, or LOC. No aggrevating/alleviating factors. He mentions 2 days ago he had an epsiode of palpitations while playing basketball which was accompanied by SOB, lightheadedness, and pressure in the center of his chest. This lasted for 10 mins and went away on its own once he sat down. He did not fall or hit his head. He denies any changes in his bowel habits, appetite, weight or skin. No fever, chills, or visual changes. Pt admits to taking his roomates Adderal since high school. He has been taking 1 pill a few times a week.
PMH/PSH: none
Medications: as mentioned above
SH: Lives with roomate, is a fulltime student. Denies smokin, Drinks ETOH on the weekends. Occasionally uses Marijuana.
FH: Father had possible MI last year and has "Heart issues", Mother has "Thyroid Issues" | Father had possible MI
Mother has "Thyroid Issues
pressure in the center of his chest
epsiode
lightheadedness
Adderal
SOB
racing heart, palpitations
x 2-3 months
17 YO
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Dillon cleaveland is a 17 yo M presenting for heart pounding. He noticed this 2-3 mo ago. He has had 5-6 episodes of this over that timeframe. No kown triggers, nothing stops them. He gets lightheaded during them. He feels like his heart is bearting really fast " beating out of my chest". They last for 3-4 minutes. Yesterday was the worst of these episdoes. it lasted for 10 minutes, and in additon to the pounding, he has pressure in the middle of his chest that didn't radiate, he was also SOB that that time. Those symtpoms resolved after the pounding went away. He does endorse a historyof taking his friend's adderall prescription but hx does not coincide with symtpoms. No headache, vision changes, diarrhea, fever, chills, or temperature issues.
PMH: none- born at term, immunizations complete, growth curve normal
med: adderall
allergiesl none
FH: mom-thyroid problem, dad, heart attack-52
SH: no smoking, alcohol 3-4drinks, drug- MJ | dad, heart attack
mom-thyroid problem
pressure in the middle of his chest
episodes, episdoes
lightheaded
No temperature issues
adderall, adderall
SOB
heart pounding, heart is bearting really fast, beating out of my chest
noticed this 2-3 mo ago
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Patient is a 17 year old male no PMH complaining of rapid heart beating in his chest. He has felt this for many months, 1-2 times per week, 3-4 minutes per episode. He is unsure of what brings them on or stops them. The most recent episode occurred 2 days ago while playing soccer and was associated with pressure in the center of his chest, non-radiating, as well as lightheadedness, after which he sat down and it stopped in ten minutes. In the past year, he has used his roommate's adderall frequently. He drinks 3-4 cups of coffee per night and 1-2 energy drinks per week. Denies recent heat intolerance, sweating, anxiety, weight loss.
Meds: None
Allergies: None
PMH: None
FH: Mom has "thyroid problems", dad had a heart attack at age 52 and is still alive.
SH: Uses roommate's adderall frequently. 3-4 beers per weekend day, CAGE 0/4. Marijuana once months ago. Currently freshman in college. | dad had a heart attack
Mom has "thyroid problems
pressure in the center of his chest
1-2 times per week
lightheadedness
Denies heat intolerance
adderall, Uses adderall
drinks coffee, drinks energy drinks
rapid heart beating
many months
17 year old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Dillon Cleveland is a 17 year old male presenting with a chief complaint of "heart pounding." He has had 6 episodes over the last 2-3 months, all lasting about 3-4 minutes and then self-resolving. The episodes occur at rest and with exercise, although the last one during a basketball game was associated with a dull chest pressure, shortness of breath, and presyncope. He denies any radiation of the pressure. He denies any aggravating or alleviating factors.
PMH/PSH: none
FH: Father had an MI at 52; Mother has "thyroid issue"; No known history of hypertrophic cardiomyopathy or atrial fibrillation, or other "heart rhythm" disorders
SH: Slightly more stressed; tried marijuana once but no other recreational drugs; alcohol 3-4 drinks on the weekend; no tobacco products. Plays basketball
ROS: no nausea or vomiting, weight changes, dairrhea, constipation, hair loss | Father had an MI
Mother has "thyroid issue
chest pressure
episodes, episodes
presyncope
no hair loss
shortness of breath
heart pounding
over the last 2-3 months
17 year old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Mr. Dillon Cleveland is a 17 year old male who presents for heart pounding.
- Started occuring 3 months ago, with 3-4 minute episodes of heart racing and pounding.
- Nothing seems to specifically bring on the episodes, relieving factors include resting in a sitting position for a few minutes
- He denies sweating, nervousness, anxiousness, heat intolerance
- Of note, he was playing in a basketball game recently and acutely felt lightheaded like he was going to pass out. He required rest to resolve this issues.
Past medical history and surgical history and allergies to medications was all negative
Family history: Mother: thyroid problem; Father: Myocardial infarction at 51 years old
Medications: Adderal 2-3 times a week (not prescribed to patient), coffee and caffeine 3-4 times a week
Social: Patient is a college student studying philosophy, drinks 3-4 beers on the weekend, 0-4 CAGE questions, does not smoke, and rare marijuana | Father: Myocardial infarction
Mother: thyroid problem
lightheaded
denies heat intolerance
Adderal
coffee, caffeine
heart pounding, heart racing, heart pounding
Started 3 months ago
17 year old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: This is a 17 year old male presenting with palpitations. Began 2-3 months ago, described as "heart pounding". States symptoms occur randomly and may happen at rest or with activity, lasts about 15 minutes at a time
-One episode recently included shortness of breath while playing basketball, patient had difficulty catching his breath which resolved on its ownHe denies any syncope but complains of some dizziness during a recent episode during. Has not taken anything for his symptoms, nothing makes them better or worse, symptoms usually resolve "on their own"
-denies any weight loss, fatigue, changes in bowel habits
-He states he has been taking adderall from his friends perscription for several years a few times a week, denies any other drug use
PMH:
-No medical problems, no surgery
-Takes adderall from friend 2-3x per week
Family Hx:
-Thyroid disease in mother
-CAD in father
Social - drinks occasionally on weekends, no drug
| CAD in father
Thyroid disease in mother
occur randomly, episode
dizziness
adderall, adderall
shortness of breath, difficulty catching his breath
palpitations, heart pounding
Began 2-3 months ago
17 year old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Case of a 17 yo male that comes due to chest palpitations since 3 months ago. He states he has had around 6 episodes total. They come completely at random with no particular inciting event and end rather quickly. Patient refers no improving or worsening factors. He does refer they have been progressing, with the last episode (about 2 days ago) having additional features of chest pressure, SOB, and lightheadedness. He denies: nausea, vomiting, fever, bowel or urinary pattern changes, abdominal pain, chest pain, hair loss, feelings of anxiety, tremors, or sweating.
PMHx: unremarkable
All.: NKDA
PSHx: none
FMHx: mother has a thyroid disease. Father suffer an MI at age 52.
Social Hx: He is a full time college student. He drinks 3 - 4 weeks a week. Denies smoking. Admits drug use only once (marijuana) with no similar complaints. He refers a healthy and active lifestyle. Currently sexually active and uses condoms. No STDs | Father suffer an MI
mother has a thyroid disease
chest pressure
6 episodes
lightheadedness
SOB
chest palpitations
since 3 months
17 yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 YO M C/O RACING OF HEART FOR 3 MONTHS, EPISODIC, LAST EPISODE 2 DAYS BACK WHEN PLAYING BASKET BALL ASSOCIATED WITH SOB, LIGHTHEADEDNESS. HE ALSO REPORT TAKING CAFFENATED DRINKS (4-5 DRINKS PER DAY), AND ADDERAL( LAST INTAKE WAS 2 DAYS BACK). HE HAS NO HISTORY OF PASSING OUT, OR HAS NOT NOTICED ANY SKIP BEATS.
DENIES CHEST PAIN, N/V, SKIN CHANGES, TEMPERATURRE INTORELANCE, CHANGE IN BOWEL OR BLADDER HABIT, NO CHANGE IN SLEEP
ROS: NEGATIVE EXCEPT ABOVE
FH: FATHER HAD HEART ATTACK
ALLERGIES/PSH/PMH: NONE
MEDS: ADERRAL
SH: NO SMOKE, DRINK IN WEEKEND 3-4 BEER, SEXUALLY ACTIVE WITH GIRLFRIEND, NO OTHER DRUGS BESIDE ADDERRAL | FATHER HAD HEART ATTACK
EPISODIC
LIGHTHEADEDNESS
DENIES TEMPERATURRE INTORELANCE
ADDERAL, ADERRAL
SOB
CAFFENATED DRINKS
RACING OF HEART
FOR 3 MONTHS
17 YO
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo pat. presents with heart pounding and racing. Symptoms began 2-3 months ago and have occured 5-6 times during this period. Two days ago the patient had an episode that was also accompanied by chest pressure and dyspnea. No cough, fever, N/V, angina, abdominal pain, changes in bowel or urinary habits. No rashes or edema. Pat. uses roommates Aderol 2-3 times/wk as a study aid.
ROS: neg. except as above.
PMH/PSH/Hospitalisations: none
Meds: Roommate's aderol 1-2x/wk
NKDA
EtOH 3-4 beers/weekend, no tobacco, Drugs: marijuana once, no reg. consume
FH: Mother thyroid problem, Father had a MI one year ago.
No travel or sick contacts
SH: student, lives in dorms
Excercise: basketball adn running 3-4x/wk
Sexual hx: active with girlfriend, condoms, 1 partner/past year, no prior STI, last screening negative. | Father MI
Mother thyroid problem
chest pressure
occured 5-6 times
Aderol
dyspnea
heart pounding, heart racing
Symptoms began 2-3 months ago, began 2-3 months ago
17 yo |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 y/o M in student clinic c/o heart pounding x 2-3 months. Started suddenly, the palpitations are wosening, occurs 5-6 times in last 2-3 months. Last episode was 2 days ago precipitated by taking Adderall to concentrate. A/w stress in school, pressure like discomfort in chest, 5-6/10 in intensity, non radiating. The palpitations resolve spontaneously. Denies LOC, dizziness, fainting, cough, colds, association of discomfort to inspiration/exertion, hot/cold intolearance.
ROS Negative except as above
PMH/PSH/Hosp/Trauma None, Meds Adderrall since high school, currently takes it 2x/week, Last intake 2 days ago in AM; NKA
FH Mom had thyroid problems, Dad had heart attack at age 52
SH college student, has good grades but has been stressed in school, no smoking, drinks 3-4 beers/weekend, took Potts once months ago, sexaully active with girlfriend only, no STDs, uses protection regularly
| Dad had heart attack
Mom had thyroid problems
pressure like discomfort in chest
5-6 times
Denies hot/cold intolearance
Adderall, Adderrall
heart pounding, palpitations, palpitations
x 2-3 months, in last 2-3 months
17 y/o
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Pt is a 17 yo M who presents with heart pounding and racing x3-4 months. He reports these events occur about 1-2/month and last for about 3-4 minutes before resolving spontaneously. His most recent episode occured 2 days ago, and he had associated chest pressure and SOB and notes that he felt he may pass out. Of note, he had taken a dose of his friends' adderal the night prior and the morning of the episode. He is unsure of any other preceding events that have caused prior episodes. He denies any recent fevers, chills, fatigue, weight loss, heat intolerance, cough, or changes in bowel habits.
ROS: Neg other than HPI
PMH: None
PSH: None
Allergies: None
Meds: Adderall a few times a week. Borrows from friend.
SH: Freshman student in college. Lifetime non-smoker. Drinks 3-4 beers at parties on weekends. Tried marijuana in past but no recent recreational drug use.
FH: Mother - "thyroid problem" (pt unsure). Father - MI at age 52 | Father - MI
Mother - "thyroid problem
chest pressure
occur about 1-2/month
adderal, Adderall
SOB
heart pounding
3-4 months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 year old male presenting with heart pounding and racing. This has happened 5-6 times over the past 2-3 months. Endorses some stress from college. Reports taking his friend's Addirall to help him study and 2-3 cups of coffee per day. The most recent episode was 2 days ago, when he also had substernal chest pain and felt lightheaded. ROS: denies cold/heat intolerance, constipation/diarrhea, energy changes, headache during episodes, weight change, sleep problems.
PMH: none
PSH: none
meds: Taking his friend's Addirall a few times a week to help with studying. Willing to schedule f/u appointment to discuss this further.
FH: mom with thyroid problem, father with herat attack one year ago (smoker)
SH: college student. Alcohol 3-4 beers per night on the weekend. Tried marijuana 1x. Denies other drug use. Sexually active with girlfriend, always use condoms. Feels safe in relationships. | father with herat attack
mom with thyroid problem
chest pain
happened 5-6 times, episode
lightheaded
denies cold/heat intolerance
Addirall, Addirall
coffee
heart pounding, heart racing
over the past 2-3 months
17 year old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo male presents with 3 months of heart palpitations. He states that they occur without association to any activity or time of day. Each event is associated with sob and last about 3-4 minutes. nothing makes it better or worse. 2 days ago he had a severe episode that lasted 10 minutes and was accompanied by chest pressure and lightheadedness while playing basketball. He mentions that he started college 8 months ago and has started taking his roommates adderal 2xweek to aid in studying for the last 7 months. denies any diarrhea, weightloss, appetite changes, or diaphoresis.
ros: neg except for hpi
pmhx: none
pshx: none
fhx: mother with "thyroid problem" and father with MI at 57yo
medications: adderal (no prescription)
social hx: started college no declared major yet, lives with roommate in doorms, drinks 3-4 beers or mixed drinks on weekends, no smoking, sexually active with girlfriend of one year. uses condoms. no stds. | father with MI
mother with "thyroid problem
chest pressure
lightheadedness
adderal, adderal
sob
heart palpitations
3 months
17 yo |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI: 17yo,m,c/o palpitations,started suddenly,intermittent,5-6times in a week,nothing makes it better or worse.He drinks a few cups of coffee in a week,he also has dyspnea in his last episode of palpitations.He denies fever/urinary problems/changes in his appetite/weight changes/bowel changes/skin changes/chest pain/loss of consciousness/tremors/sweating/eye problem/temperature intolerance.Mood is good, no stress recently
ROS: Neg apart from the above symptoms
PMh : No similar symptoms,No other medical problems,Allergy: NKDA,NKA
Meds: Adderall for exam, 1 pill a week
Hospitalization : no ill contact/surgery/trauma
FH: father has heart problem,mother has thyroid problem
SH : No smoking/EtOH/rec drugs - used Pop, last 2 mos ago at a party, work : college student, Sexually active with girlfriend, uses condomas | father has heart problem
mother has thyroid problem
intermittent
denies temperature intolerance
Adderall
dyspnea
drinks coffee
palpitations, palpitations
17yo
m |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 y.o. M presents with a few months history of episodes of palpatations and dyspnea. the episodes have been getting worse. the worst episode occured 2 days ago during which he felt presyncopal, he was also short of breath and had pressure in his chest. He denies any Loss of consciousness, headache, dizziness, tremor, heat intolerance, bowel or urinary symptoms.
ROS: negative except as above
PMH: none
PSH: none
FH: mother has a Thyroid problem, father had an MI
SH: nonsmoker, drinks on the weekends, has tried marijuana, sexually active with his girlfriend and uses condoms. Sometimes uses adderall which he gets from him friend.
Meds: none
Allergies: NKDA
| father had an MI
mother has a Thyroid problem
pressure in his chest
episodes, episodes, episode
presyncopal
denies heat intolerance
adderall
short of breath
palpatations
few months history
17 y.o
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI
Pt is a 17 yo M presenting with 2 months of intermittant palpitations. Reports 5-6 episodes of palpitations that last 3-4 minutes and resolve spontaneously. Reports most recent episode was at a basketball game where he had chest pressure, dyspnea, and lightheadedness. Normaly, these episodes have no palpitations, chest pain, shortness of breath, loss of conciousness, syncope. symptoms have never happened before. Denies any chest pain, or abdominal pain. No known precipitant.
ROS -neg unless above
Med/surg hist - none
Med- took a couple pills of roommates adderall
allergies -none
SocialH-no tobacco, 3/4 drinks of alcohol a week, tried marijuana once, lives with roomate in college.
Sexhist-1 partner, wheres condoms, never tested for STDs, denies hist of STD symptoms.
fam hist- Dad had heart attack at 52, mom has hypothyriod | Dad had heart attack
chest pressure
intermittant palpitations, 5-6 episodes
lightheadedness
mom has hypothyriod
adderall
dyspnea
palpitations
2 months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo M c/o heart pounding.
Reported 5-6 episodes heart pounding in 2-3 months, last 3-4 mins each episode, but last episode lasted almost 10 mins, associated chest tightness, mild SOB during baskerball game. Denies dizziness, intolerance to heat, diaphoresis, hand tremor, change of bowel movements. No severe change in life but in new semester in college.
PMH:none
PSH?hospitalization:none
Meds: Adderral, and ponds once
NKDA
FH: father had heart disease, mother had diarrhea related disease
SH: No smoking, social drinker, Adderal use and last dose 2 days ago.
Sexually active with GF only, with condom and pills protection. | father had heart disease
chest tightness
5-6 episodes
Denies intolerance to heat
Adderral, Adderal use
SOB
heart pounding, heart pounding
2-3 months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yr Old M comes to clinic with c/o Heart Pounding, which started 2-3 Months. Symptoms comes and goes and last 3-4 min. Pt had 5-6 episodes so far and goes away on its on. Also feeling chest pressure which is in center x 2 days and difficulty in breathing x 2 days. Denies headache, diaphoresis, loss of consciouness, flushing, diarrhea, constipation, hair and skin chages. Diet and Appetite is normal. Pt is on Health plan for diet and eats fruits, veggies and protein meal.
ROS negative except above
PMH None Meds Takes addrall from room mate, NKDA
PSH none Hospital none No trauma
FH Mother had thyroid condition, Father has heart problem
SH student, No smoking, ETOH occasional, Recreational drugs Pot one time
SEX H Active with GF, Use condom and NO STD. | Mother had thyroid condition
chest pressure
Symptoms comes and goes, 5-6 episodes
Denies hair chages
Takes addrall
Heart Pounding
started 2-3 Months
17 yr Old
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: CC" "My heart has been pounding"
HPI: Mr. Cleveland is a 17 year old male with no PMH who presents for the sensation of his heart pounding. For the past 3-4months he has had episodes of feeling as if his heart is racing. They happen sporadically and self resolve within 3-4 minutes. There is no recognizable trigger, including stress or exertion. The most recent epsidoe happened while playing soccer and was assciated with a midsternal pressure type pain that was non-radiating. They are not associated with dizziness or sweating. He has not had any recent unexplained weight loss.
PMH: none
Meds: none persribed
Family hx: mom has thyroid issues, dad had a heart attack at 52
SH: 3-4 beers on weekend, non smoker, does take roommates adderall (took some the night before and morning of the last episode that had associated chest pain) | dad had a heart attack
mom has thyroid issues
midsternal pressure
happen sporadically
adderall
My heart has been pounding, heart pounding, heart is racing
past 3-4months
17 year old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Mr. Cleveland is 17 year old Male who came to student health clinic for complaints of chest pounding that has been going on for about 5 or 6 months and states that he feels the episodes are getting worse. He states that the episodes seem to be random but when further questioned he admits to taking his roommates adderall on occasion. He admits that the last episode occurred on the same day that he took some adderall. He denies palpitations but endoreses some chest pressure and SOB.
ROS: all other ROS negative unless stated above.
PMHx: none
Medication: none
SurgHx: none
FamHx: father MI at age 52, mother has a thyroid disorder
SocialHx: patient drinkds 3-4 mixed drinks or beer on weekends, smoke marijuana once at a party, endorses occassional non perscription aderall use
Allergies: none | father MI
mother has a thyroid disorder
chest pressure
episodes random
adderall, took adderall
SOB
chest pounding
5 or 6 months
17 year old
Male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Mr Cleveland is a 17 yo male c/o heart punding. It happened yesterday, started suddenly, lasted for 3-4 minutes and went away by itself. It has been about 3 months he has been having such episodes, for a total of 5-6. In this last episode he also felt dizzy, short of breath and had some chest pressure. He finds that the last episode might have been linked to aderol intake. Denies loss of consciousness, any nausea or vomit. Denies any sweating.
ROS: as per HPI.
PMH: none. PSH: none. NKA. Meds: he has been taking aderol before tests to improve his performance. No hospitalizations, injuries or surgeries. Immunizations up to date. FH: mother has thyroid problems, father had a MI recently. SH: college student, denies any smoke, occasional drinking on the weekends, has tried pot once. Sexually active with his girlfriend, regular condom use. | father MI
mother thyroid problems
chest pressure
episodes
Denies any sweating
aderol
short of breath
heart punding
3 months been having
17 yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Dillon Cleveland is a 70 yo male with no pertinent pmh who is presenting with 2-3 mo of irregular heartbeat/ pounding in his chest. It has happened 5-6 times over the past 2-3 months. Doesn't radiate. Feels like heart is going to jump out of his chest. 6/10 in severity. Unsure if anything makes it better or worse. No sugeries, hospitalizations, trauma. Up to date on immunizations. No sick contacts. Student at UH undeclared major; states transition to college was stressful and takes lots of tests at school (has coping measures and good support system). Alcohol on weekends (3-4 beers/ mixed drinks). No tobacco. Tried marijuana in past. Denies recreational drugs (ex. cocaine). No RX medications; uses friends adderall 2-3 times a week. No allergies. Takes protein supplements; no pre-workout. Eats healthy. Mom hx of thyroid (unsure hyper or hypo). Dad hx MI at 52. ROS otherwise negative (denies SOB, fever, chills, nausea, vomitting). | Dad hx MI
Mom hx of thyroid
5-6 times
adderall
irregular heartbeat, pounding in his chest, heart is going to jump out of his chest
2-3 mo, 2-3 months
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: HPI: 17 YO M CAME WITH SUDDEN ONSET OF EPISODIC PALPITATIONS FOR THE PAST 2 MONTHS. HE HAS HAD 5-6 EPISODES WITHOUT AGGRAVATING OR RELIEVING FACTORS. LAST EPISODE WAS ASSOCIATED WITH CHEST PRESSURE, AND SOB. HE DENIES SWEATING, COUGH, FEVER. HE DRINKS 3-4 CUPS OF COFFEE/DAY AND 2 ENERGY DRINKS/WEEK. HE RECENTLY JOINED A NEW COLLEGE AND HAS SOME STRESS IN HIS COLLEGE IN ADJUSTING TO NEW ENVIRONMENT. HE IS MILDY WORRIED ABOUT HAVING NEXT EPISODE. HE DENIES SKIN/HAIR CHANGES, TEMPERATURE INTOLERANCE, CHEST PAIN. NORMAL MOOD, SLEEP, WEIGHT, BLADDER AND BOWEL HABITS.
ROS: AS PER HPI.
PMH/PSH/ALLERGIES: NONE
MEDS: NONE
FH: FATHER HAS HEART PROBLEM, MOTHER HAS THYROID PROBLEM
SH: USES ADERRAL TWICE A WEEK/7 MONTHS; NO SMOKING; OCCASIONAL ETOH INTAKE; SEXUALLY ACTIVE WITH GIRLFRIEND; USES CONDOMS | FATHER HAS HEART PROBLEM
MOTHER HAS THYROID PROBLEM
CHEST PRESSURE
EPISODIC, EPISODES
DENIES TEMPERATURE INTOLERANCE, DENIES SKIN/HAIR CHANGES
ADERRAL
SOB
COFFEE, ENERGY DRINKS
PALPITATIONS
FOR THE PAST 2 MONTHS
17 YO
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Mr. Dillon Cleveland is a 17 y/o boy with no significant pmh presenting with 5-6 episodes of palpitations over the last few months. Most recently this occurred a few days ago while he was playing basketball. At that time it was associated wtih lightheadedness, shortness of breath, and chest pressure. Previously also had palpitations when resting quietly. This would last 3-4 minutes and subside spontaneously. IT was not associated wtih any activities or time of day. Of note, pt takes friends' adderall prescription 3x/week for extra focus while studying. baseline he denies difficulty concentrating.
ROS: denies chest pain, cough, abdominal pain, N/V/D/bloody/black stools/dysuria, and all otherwise negative
PMH: none, takes no medications other than friends' adderall non-prescribed, no allergies
SOC: studies philosophy in school, drinks up to 3-4 drinks/week, sexually active weith girlfriend, uses condoms | chest pressure
5-6 episodes
lightheadedness
takes adderall
shortness of breath
palpitations, palpitations
over the last few months
17 y/o
boy |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Dillon Cleveland is a 17 year old male with no significant past medical history who presents for evaluation of episodic palpitations, chest pressure, and light headedness. He reports that these issues started after he started taking adderall given to him by a friend to help with studying at college. He also drinks energy drinks from time to time. He reports that his mood is good and college has been fine but a little hectic. He has not noted any particular triggers. Denies recent weight changes or changes to hair and skin.
No prior surgeries or hospitalizations.
Meds: Adderall from a friend. Denies others.
Allergies: NKA
FmHx: Father- MI at 52
Mother; Thyroid issue
SHx: College student for 1 year. Living on campus. School is "hectic"
High risk: Denies smoking. Drinks 3-4 drinks per weekend. Tried marajuana once. Denies other drugs. | Father- MI
Mother; Thyroid issue
chest pressure
episodic
light headedness
Denies changes to hair
adderall, Adderall
energy drinks
palpitations
17 year old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo male with no PMH presents with 3-4 months of palpitations
-episodes occur randomly, no associated with activity, associated with shortness of breath and pre-syncope
-no sweating, feeling of impending doom, anxiety with episodes, no diarrhea
-takes adderall a few times that is prescribed to friend, however has been taking this for a year now
-no history of thyroid problems
PMH: none
Meds: adderall (not prescribed)
FamHx: Mom- "thyroid problem"; dad- heart attack at 52
Social: lives with roomate; 3-4 alcoholic beverages/week, no durgs, sexually active w girlfriend and uses condoms | dad- heart attack
Mom- "thyroid problem
episodes
adderall, adderall
shortness of breath
palpitations
3-4 months of
17 yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: MR clevland is a 17 year old male ho presetn wth episodes of his heart pounding and racing, they hve happended 5-6 times in the past 3 months, nothing seems to set the episodes off or make them go away, he felt short of breath in one episode while he was playing basketball, there is no pain. there are no asosiated syptoms such as headaches, lightheadenss, consistant shortness of breath, feelings of impending doom, fear,
PMHx- no medical diagnosis, healthy
Meds- admits to taking friends prescription adderal for study usage, no othe meds
Allegeries- nka
Surg hx- none
Fam hx- mom has some thyoid disorder he is unsure of, father had heart attack last year
Social- doesnt smoke, drinks with friends on weekends 3-4 beers, uses a Designated Driver, tried pot once but hasnt since then, no IVD use | father heart attack
mom thyoid disorder
episodes, 5-6 times in the past 3 months
adderal
short of breath
heart pounding, heart racing
past 3 months
17 year old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: History: The patient is a 17-year-old male presenting with chief concern that his heart is pounding. His episodes started 3-4 months ago without any identifiable stressor, occuring intermittently 1-2 times per month at rest or while exercising. They go away on their own afer 3-4 minutes and are associated with a pressure sensation in the center of the chest. His most recent episode occured 2 days before presentation during a soccer game, lasted for 10 minutes, and was associated with shortness of breath + lightheadedness. No , unexpected weight loss, chest pain.
ROS: Negative except HPI
PMH: N/A
PSHx: N/A
Allergies: N/A
Medication: Takes friend's adderal a few times per week
FH: mother with "thyroid" condition; father (52) with heart attack
SH: Student. Drinks 3-4 drinks per week (CAGE = 0 for all questions); no tobacco use; tried marijuana once not using. Vaginal intercourse w/ monogamous female; uses condoms; no hx STIs | father with heart attack
mother with "thyroid" condition
pressure in chest
occuring intermittently, 1-2 times per month
lightheadedness
Takes adderal
shortness of breath
heart is pounding
3-4 months ago
17-year-old
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo male with no significant PMH presenting with 3-4 months of episodes where his "heart is pounding and going to jump out of my chest." The episodes each last 3-4 minutes, and he has had 1-2 espisodes per month. he has not noticed a pattern or trigger. they resolve on their own, nothing makes them better or worse. the last time it occured, also had chest pressure and felt that he couldn't catch his breath (during a soccer game) and felt that he was going to pass out, though didn't. has not experienced lightheadedness, dizziness, LOc, otherwise. Reports taking his roommate's adderall "a few times per week" for the past year. Also drinks 3-4 cups of coffee per night, plus 1-2 energy drinks a few times per week also. No PMH. no PSH, NKDA, no recent travel, no recent illness. No other meds. no smoking, drinks 3-4 drinks alcohol on weekends, sexually active with one partner, no recent STD testing. Dad had MI age 52. Mom has thyroid dz | Dad had MI
Mom has thyroid dz
chest pressure
episodes, episodes, 1-2 espisodes per month
felt that he was going to pass out
adderall
"couldnt catch his breath"
coffee, energy drinks
heart is pounding and going to jump out of my chest
3-4 months of
17 yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo M who presents with episodes of heart palpitations. He has had 2-3 episodes per month for the past 2 months. Most recent episode was yesterday. Episodes last 3-4 minutes, and he reports no known triggers, can occur at rest or with exercise. Patient denies chest pain, dyspnea, sweating, dizziness, or LOC. Denies fevers, diarrhea, constipation. Patient reports using friend's Adderall 2-3 times weekly to help him focus. Last use was yesterday. Drinks 3-4 beers on weekends. Tried marijuana use, denies other drug use. Nothing known to alleviate or exacerbate symptoms.
PMH: none
Meds: none
Allergies: none
SH: ETOH and substance use above, lives in dorm at school, sexually active with girlfriend only
FH: mother has thyroid condition, father had MI 1 year ago | father MI
mother thyroid condition
2-3 episodes per month
Adderall
heart palpitations
past 2 months
17 yo
M |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: 17 yo CC palpitation
-Started 3 months ago, , has experienced 5-7 episodes wich last 3-4 minutes, sudden onsent, no precipitations factor, no alleviating or aggravating factor
-Do not has any visual disturbances, sweating. has has episodes during rest and exertion. has been progressively worsened.
-Last episode associated SOB no chet pain
-No changes in bowel movement, no heat intolerance, no skipped meals, no fever. No mood changes, no weigth loss
-Good relationship with friends, good school grades.
-ROS: Negative except above
PMH: None
AllergiesNKDA-NKA
Meds: Nones
FH: Mother hx of thyroid disease, Father IM at 52
SH: College student, live with roomates, no tobacco, drinks socially, One use of marijuana and stopped. Sexually active 1partner last yr, +Condoms. Exercises regualrly Healthy diet | Mother hx of thyroid disease
5-7 episodes
no heat intolerance
SOB
palpitation
Started 3 months ago
17 yo |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: dillon cleveland is a 17yo male with no PMH that comes in with palpitations. the last time he felt them, about 2 days ago, he also felt short of breath and some chest pressure, and like he was going to "pass out". he denies sweating, loss of consciousness, he says these palpitations happen a couple times a month and have been going on for a few months. he does not associate any pattern with when the palpitations happen. the only medication he takes is adderall a few times a week that he gets from his roommate. his family history consists of his mother with a thyroid problem and his father who had a heart attack at age 52. he does not smoke, drinks 3-4 beers on the weekends, and used marijuana once. | father heart attack
mother hyroid problem
chest pressure
felt ike he was going to "pass out"
denies sweating
adderall
short of breath
palpitations
going on for a few months
17yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: Mr. Cleveland is a 17 yo male who presents with a chief complaint of heart pounding. Patient has experienced this sensation for the past 2-3 months, 5-6 times total, roughly 2x/month. The last episode was 2 days ago while playing basketball. Patient describes heart racing, pressure, shortness of breath, and light headedness. Episodes have occured variably, some while exercising, some while resting. He reports the use of a friend's adderall roughly 2x/week for the past 7 months to help with concenctration. He also endorses drinking 3-4 cups of coffee/day and energy drinks as well. Patient is a freshman in collee, sexually active with his long term girlfriend, uses condoms, but denies use of tobacco products and ilicit drugs. He reports drinking 3-4 alcholoic drinks on weekends. Family hx is positive for thyroid dx in his mother and a MI in his father. He has no significiant medical/surgical hx. No allergies or weight/appetite changes. | MI father
thyroid dx mother
pressure
5-6 times, Episodes
light headedness
adderall
shortness of breath
drinking coffee, drinking energy drinks
heart pounding, heart racing
for the past 2-3 months
17 yo
male |
You are a resourceful medical assistant. What are the keywords and phrases from the given patient note that can help make medical diagnosis? | Patient Note: CC: Dillon Cleveland is a 17 year old male with a 2-3 month history of chest palpitations
Dillon has had chest palpitations for the last two to three months. He has not found anything that has made them worse or given him relief at this time. The palpitations usually self resolve. Dillon had a particularly bad episode during a basketball game yesterday with strong shortness of breath. Dillon has had no changes in weight, sweating, nausea vomiting or diarhea at this time. Particularly chest fluttering in particular due to the fact his father had a heart attack last year. Dillon is taking two adderal per week since starting school.
NKDA.Patient takes no medications other than the two adderal from his roommate per week, Patient is a college student living in the dorms. Drinking 3-4 drinks per week. Remote use of marijuana, no tobbacco, advised to not play basketball for now, Mother thyroid issues.Father MI. Sexually active w/gf,use | Father MI, father had a heart attack
Mother thyroid issues
adderal
shortness of breath
chest palpitations, chest palpitations
2-3 month
17 year old
male |
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