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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: 20 y/o F c/o abdominal pain 5/10. from last 10 hours. dull and ache.,cramping pain in the right lower quadrant. no radiation. walking makes it worse.took ibuprofen but not much help. no fever chills,no discharge,no dysuria,no blood in the urine. pat h/o of similar episodes 3-4 in the last 6 months..not allergic .no medicines other than ibuprofen..no hospitalisation trauma or surgeries .no past illness. family h/o not significant.. lmp 2 weeks ago.regular 28 days lasts for 4 days.moderare flow.age of menarche 13. last sexual encounter 9 months ago with boy friend always uses condoms.

no discharge last sexual encounter 9 months ago 20 y/o similar episodes 3-4 in the last 6 months pain in the right lower quadrant no dysuria lmp 2 weeks ago last 10 hours F

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: 20 yo F c/o abdominal pain HPI : onset 8-10 hours, RLQ abd pain, achy and crampy, PS 5/10, no radiated, getting worse, better with ibuprofen, worse with walking, poor appetite, + diarrhea 2-3 d, loose and watery stool, 4-5 times a day, no blood in stool, no mucus. neg Vaginal discharge, dysuria, fever, headache, nausea, vomiting +previous similar episodes in the past, same site, characteristic, didnot see a doctor, went away spontaneously PMH/PSH : neg neg smoking/ alcohol/ ilicit drug no sexual intercourse for 9 months FHX none no previous hospitallised normal

neg Vaginal discharge no sexual intercourse for 9 months diarrhea, loose and watery stool 20 yo no blood in stool +previous similar episodes in the past RLQ abd pain neg dysuria poor appetite onset 8-10 hours F

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: 20 yo female presents with RLQ pain for the past 10 hours. Pain is 5/10, dull and crampy. She has assoicated nausea and loss of appetitie since the pain started. She has had 3-4 similar episodes in the past 6 months. She notes intermittent diarrhea for the past 6 months with or without association with pain. Bowel movements do not improve pain. Pain does not radiate or change with position. Ibuprofen has helped some. Walking makes the pain worse. She has noticed that her clothes fit looser over the past 6 months. ROS: denies chills, sweats, vomiting, or recent infection PHM: none Meds: ibuprofen as needed NKA SH: lives alone, family is in California, not sexually active for past 9 months OB/GYN: last period 2 weeks ago, regular cycles

clothes fit looser not sexually active diarrhea 20 yo 3-4 similar episodes in the past 6 months RLQ pain loss of appetitie last period 2 weeks ago pain for the past 10 hours female

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: Suzanne Poweltor is a 20 yo F with no significant PMHx who presents with a cc of abdominal pain. She states that the pain began about 8 hours ago and is located in her RLQ. The pain began there and has presisted there since. She describes it as a dully, achy pain that worsens with walking. The patient has had this happen before. She states that it has resolved in the past on its own. She reports having nonbloody diarrhea today and a decreased appetite. She denies any chills, chest pain, dyspnea, nausea/vomiting, dysuria, hematuria, or concerns for STIs. She has tried taking ibuprofen and states that it has helped with the pain. PMHx - None PSurgHx- None Meds - Ibuprofen prn Allergies - NKDA FamHx - None SocHx- Drinks alcohol 2x/month. No tobacco or recreational drug use. Menstrual Hx - Last period was 2 weeks ago. Regular cycles. Last sexually active 9 months ago. Last STI check was 1 year ago.

Last sexually active 9 months ago diarrhea 20 yo nonbloody diarrhea patient has had this happen before RLQ denies dysuria, denies hematuria decreased appetite Last period was 2 weeks ago began about 8 hours ago F

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: 20 year old woman presenting for RLQ abdominal pain which started 8-10 hours ago and woke her up from sleep. The pain in 5/10 in severity, does not radiate, dull and aching in nature, constant, not relieved by ibuprofen, exacerbated by walking. No nausea or vomiting. Has had diarrhea for the past few days, loose stools that are nonbloody nonmucoid. She reports having similar but milder abdominal pains 3-4 times in the past 6 months that resolve spontaneously as well as diarrhea, but not concomitantly. No joint pain or skin rashes. Past medical and surgical hx: none Meds: ibuprofen for the abdominal pain Allergy: NKDA Family hx: noncontributory OBGYN: regular cycles, LMP 2 weeks ago, last sexual activity 9 months ago Social: biology premed student, no smoking, occasional alcohol

last sexual activity 9 months ago diarrhea, loose stools, diarrhea 20 year stools nonbloody abdominal pains 3-4 times in the past 6 months RLQ abdominal pain LMP 2 weeks ago started 8-10 hours ago woman

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 20 YO F C/O PAIN IN RLQ x 8-10 HOURS SUDDEN IN ONSET, DULL, 5/10, AGGRAVATES WITH WALIKING AND RELIEVED PARTIALLY BY TAKING IBUPROFEN A/W DIARRHEA x 2D(BROWN IN COLOR, WATERY, CONTAIN NO BLOOD) , FEVER. PT HAS PMH OF 3 4 EPISODES OF SIMILAR PAIN EPISODES ASSOCIATED WITH DIARRHEA BUT NOW THE PAIN IS WORSE THAN EVER BEFORE.PT ALSO REPORTS DECREASE IN APETTITE, WEIGHT(NOT MEASURED) FOR PAST ONE MONTH. PT EATS HEALTHY DIET. PT DENIES EATING OUTSIDE , NAUSE , VOMITING , ANY CHANGE IN URINARY HABITS. PT ALSO DENIES ANY PREVIOUS H/O KIDNEY STONES. ROS: -VE EXCEPT AS ABOVE PMH: AS PER HPI MED: IBUPROFEN FOR PAIN PSH/HOSP: NONE ALL: NKA FH: N/C SSH: NO SMOKING/ETOH/DRUGS. HAD SEX WITH HER BOY FRIEND 9 MONTHS AGO USING CONDOMS. OBGY: LMP 2 WEEKS , REGULAR PERIODS 4-5/28

DECREASE IN WEIGHT SEX 9 MONTHS AGO DIARRHEA x 2D, 3 4 EPISODES OF DIARRHEA 20 YO DIARRHEA NO BLOOD 3 4 EPISODES OF SIMILAR PAIN PAIN IN RLQ DENIES CHANGE IN URINARY HABITS DECREASE IN APETTITE LMP 2 WEEKS 8-10 HOURS SUDDEN IN ONSET F

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: 20 y F complains of sudden onset right lower quadrant pain for 8-10 hours, states pain is aching and cramping, non-radiating and about a 5/10 on severity. Not relieved by ibuprofen, aggravated by walking. Associated with diarrhea that began 3/7 ago, contains no mucus or blood, has 3-4 episodes a day. Denies fever, vomiting or ill-contacts. Of note, patient gives history of 3-4 episodes of right lower quadrant in the past year of similar characteristics but states that this pain is worse. Admits to decreased appetite, and last meal was last night. Denies vaginal discharge or bleeding. OBGYN: LMP 2/52 ago. Regular 28 day cycle, uses 4-5 tampons on first day but decreases over 5 days of menses. Not currently sexually active. Last sexual encounter 9/12 ago with a male. PMH: Nil Allergies: Nil FH: Nil SH: No smoking. Drinks alcohol twice a month. No recreational drug use. Student, studying biology. Normal diet and exercise.

Denies vaginal discharge Not currently sexually active, Last sexual encounter 9/12 ago diarrhea that began 3/7 ago 20 y diarrhea no blood 3-4 episodes of right lower quadrant in the past year right lower quadrant pain decreased appetite LMP 2/52 ago pain for 8-10 hours F

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 : a 20 yo f , complains of right lowe quadrant pain for 10-12 hr ago , pain is constant , non radiating , 5/10 in severity , increase with walking , decrease a little bit with ibuprofen , patient reports diarrhea since couple of days , watery brown loose stool , with no blood , no mucus , no nausea or vomiting , patients reprots no feeling of hotness , has decreased appetite , and seems to be loosing weight , but not sure how much , patients reports no urinary changes , and pain not related to food , she has regular periods evey 28 days , and LMP was 2 weeks ago , patient has a good sleep . ros : negative except as above allergies : NKDA meds : none pmh : none psh : none sh : no smoke , drinks wine occasionally ,work as student , sexually active with her boyfriend uses condoms eveytime she has sex . fh : non contributory

loosing weight reports diarrhea 20 yo stool , with no blood right lowe quadrant pain no urinary changes decreased appetite LMP was 2 weeks ago for 10 ago f

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 20 year old female who presents with abdominal pain. Pain is a constant dull ache of 5/10 in severity, is located in the RLQ, started suddenly 8-10 hours ago and awoke the patient from sleep. Endorses non-bloody diarrhea for the past 3 days and loss of appetite since last night. Denies nausea, vomiting, chills. Last PO intake was dinner last night. Pt experienced similar episodes 3-4x in the past 6 months which resolved spontaneously. Ibuprofen helps the pain, walking worsens the pain. ROS negative except as above. PMHx: none. LMP 2 weeks ago, 28d cycle, lasts 4 days, moderate flow. Allergies: NKDA Surghx: none FH: noncontributory SH: lives alone, biology student, 1 beer 2x/month, denies tobacco or drug use. No recent travel. Sexually active, only male partners, most recent activity 9 months ago, uses condoms consistently.

most recent activity 9 months ago Sexually active diarrhea for the past 3 days 20 year non-bloody diarrhea similar episodes 3-4x in the past 6 months Pain RLQ loss of appetite LMP 2 weeks ago 8-10 hours ago female

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: Suzanne Powelton is a 20y/o female with no PMH who presents to the ED for abdominal pain. -pain located in right lower quadrant. -progressively worsening pain rated 5/10 and described as dull, achy -she has had diarrhea the last few days with no blood in the stool -she has had a few episodes like this in the past 6 months that have resolved spontaneously -she tried ibuprofen without much relief -LMP 2 weeks ago -has not been sexually active for 9 months -no previous surgeries -no nausea, urinary frequency, urinary urgency, discharge

no discharge has not been sexually active has had diarrhea 20y/o no blood in the stool few episodes like this in the past 6 months abdominal pain right lower quadrant, abdominal pain. right lower quadrant no urinary frequency, no urinary urgency LMP 2 weeks ago female

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: 20 yo Suzanne Powelton presents to ED with complaints of sudden onset of ABD pain. The pain is in RLQ, started 8-10 hr back, dull and achy in character, does not radiate anywhere, constant and seems to be worsening. The pain is aggravated with walking but relieved a little with ibuprofen. It is 5/10 in severity. The patient also complains of having diarrhea for few days back with nausea or vomiting present. The diarrhea is watery, no blood present. There was no sense of incomplete evacuation or alernating diarrhea and constipation. Temp: 100.8F HR: 88bpm BP: 126/78 Allergies: NKDA Meds: Ibuprofen PMH: None Obs/Gyn: Menarche 13 yr of age, LMP 2 weeks ago, Regular cycle with 4/28 days, 4 tampons/day, no vaginal discharge or spotting present, PAP Smear negative SH: sexually active 9 months back but not anymore, used condoms, alcohol twice a month,

no vaginal discharge sexually active 9 months back diarrhea, diarrhea 20 yo diarrhea no blood pain is in RLQ LMP 2 weeks ago started 8-10 hr back

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: Suzanne Powelton is a 20 YP F complaining of abdominal pain. Pain is in right lower quadrant and is dull/achey like a bad cramp. 5/10 on pain scale. Does not radiate, worse with walking, IBU helps. Decreased appetite since yesterday has not eaten. Patient says she has had 4 similar episodes, but none of this severity and length. No nausea, vomiting, or constipation, Diarrhea past few days nonbloody 5x/day. No sick contacts. PMH: none, Allergies: none, meds: ibuprofen for pain, surgeries: none, family: none ob/gyn: never had pap or STD, LMP was 2 weeks ago and she is regular, experiences moderate cramps, last time sexually active 9 months ago social: no smoking or drugs. alcohol 2x/month, lives by herself, full time student.

sexually active 9 months ago Diarrhea past few days 20 Y Diarrhea nonbloody similar episodes abdominal pain right lower quadrant Decreased appetite, since yesterday has not eaten LMP was 2 weeks ago F

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: Ms. Powelton is a 20 year old female presenting to the clinic with right lower abdominal pain. For the last 8-10 hours she has had constant right lower badominal pain. SHe has had 3-4 similar episodes over the last 6 months. the pain is dull and achy. She has not noticed any activities or foods that bring on her pain. The pain does not radiate anywhere. Walking makes her pain worse. She has trie ibuprofen with no relief. She has had diarrhea for the last 4 days, with 4-5 large volume stools per day. SHe has not noticed blood in her stool. Her last mestrual period was 2 weeks ago and normal for her. She is sexually active wit hone partner and uses condoms for contraception. Denies nausea, vomiting, fevers, chills, palpitations, shortness of breath, and dizziness. She has no chronic medical conditions and has never had surgery. She does not take any medications, supplements, or herbals. Family history noncontributory.

diarrhea 20 year has not noticed blood in her stool 3-4 similar episodes over the last 6 months right lower abdominal pain, right lower badominal pain last mestrual period was 2 weeks ago For the last 8-10 hours female

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: 20yo otherwise healthy F presents to ED with RLQ pain x10 hrs. Woke her up from sleep this morning. Dull achy pain, 5/10 in severity. Ibuprofen helped a little. Worse with walking. She has had 4 similar episodes over the past 6 mo, each resolved with in 2 hours. She has had no appetite this morning but ate yesterday. No vomiting. Has had diarrhea x 2 days, watery, no blood, no melena. Good PO intake of water. Has had several episodes of diarrhea over past 6 months that lasted 2 days and resolved spontaneously. Last was sexually active 9 months ago. Sexually active with men. Always uses condoms. No h/o STI. LMP 2 weeks ago. ROS: denies f/c, CP, SOB, back pain, HA, hematuria, dysuria No PMH, PSH, FHx SH: Lives alone, biology premed student, EtOH 2x/mo, no other drug use

Last was sexually active 9 months ago diarrhea x 2 days 20yo diarrhea no blood, no melena similar episodes over the past 6 mo, several episodes of diarrhea over past 6 months RLQ pain denies hematuria, denies dysuria no appetite LMP 2 weeks ago pain 10 hrs F

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: Ms Powelton is an otherwise healthy 20 yo F presenting with an 8-10 hour history of right lower quadrant abdominal pain. The pain woke her up from sleep. She states that it is constant dull, aching cramps that is a 5/10 pain. She has had 3-4 similar episodes in the past, which only lasted for a couple hours. She has also noted 4-5 days of watery diarrhea, which does not contain blood. Her LMP was 2 weeks ago and she has not been sexually active for 9 months. She believes she has lost some weight, because her clothes are fitting looser. She denies any other symptoms.

lost some weight, clothes are fitting looser has not been sexually active for 9 months diarrhea 20 yo diarrhea, which does not contain blood 3-4 similar episodes in the past right lower quadrant abdominal pain LMP was 2 weeks ago 8-10 hour history F

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: Suzanne Powelton is a 20yo f with no pmhx who presents to the ED with abdominal pain. She states that the pain started 8-10 hours ago. She has a dull aching, like a bad cramp. It does not radiate. It is constant. She has had 3-4 siminlar episodes over the past 6 months. She has had diarrhea without blood for the last couple of days. She has 5-6 stools per day. Ibuprofen helped a bit but is not helping anymore. She does not feel hungry but has no nausea or vomiting. She denies fevers or chills, but states that her clothes "fit looser". She has no other meds than ibuprofen. She has no known allergies. She has no known family history. No past surgical or medical history. She denies smoking or illict drugs. She drinks 2 beers twice a month. She last had sex 9months ago with condoms. She is worried that she does not have her family close by, and would like us to contact her friends nearby. ROS negative unless noted above

clothes "fit looser" last had sex 9months ago diarrhea 20yo diarrhea without blood 3-4 siminlar episodes over the past 6 months does not feel hungry started 8-10 hours ago f

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 20yo female without PMH who presents to ED with abdominal pain. Pain is in the RLQ, 5/10, achey/crampy, no radiation. Pain began ~8-10 hrs ago. Patient was sleeping and awoke with pain. No N/V. some appetite loss. Pain is better but not releived with ibuprofen. worse with walking. Patient still has her appendix. Denies hx of inflammatory bowel disease, irritible bowel syndrome. Patient was last sexually active approximately 9 months previously. Used condoms for protection. Denies any vaginal discharge or bleeding. Patient is concerned because she has no family close by. Does have good friends that are close. Has not eaten since last night. PMH: still has appendix. no medical conditions. no meds. no surgeries. NKA FHx: parents alive and healthy SHx: no tobacco use, social drinker, no illicit drug use. full-time student studying biology.

Denies any vaginal discharge last sexually active approximately 9 months previously 20yo Pain is in the RLQ some appetite loss Pain began ~8-10 hrs ago female

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: 20 yo F compains of abdominal pain for 8-10 hrs. She had abdomonal pain in her RLQ and it is getting worse. It is not raleated to any food and she has no vomitting or nausea, no cough and chest pain,palpitation,denies fevers and chills. She has no change in her urinary habits. she had a diarrhea for 2 days, watery stool , brown and no blood in it, without any odors. PMH: None. PSH: None. Alergies: NDKA. Meds: None. OB/GN: LAP 2 weeks ago, no spotting during periods. SH: student, sexually active with boyfriend, use condoms rugularily.

diarrhea 20 yo stool no blood abdomonal pain in her RLQ no change in her urinary habits LAP 2 weeks ago pain for 8-10 hrs F

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: S.P. is a 20 y/o female who px to clinic w/ abdominal pain. pt states pain is in RLQ & started 8-10hrs ago when she woke up from sleep. [ain is dull & achy. pt has had few sim eps in past but not as severe. ibuprofen has heloed pain & walking makes it worse. pt has had some recent wt loss & no appetite for 1 day. pt has had diarrhea for 2-3 ds w/ no blood/mucous. pain not relived by BM. no recent travel, or illbness, no trauma. no fatigue. pain does not radiate but ibuprofen improved it slightly. ROS; no dyspnea, no urinary changes, no numbness or tingling, no wt loss. no vomitting PMH: healthy. NKDA. no meds/hosp/surgeris. family healthy. soc: student who lives alone. no smoking or durgs. ETOH 2x/wk. exercises & healthy diet sex/gyn: sexually acitve last 9 mnths ago. w/ 1 male partner in past yr. uses protection. STI negative few mnths ago. Menacrh @ 13, regular periods lasting 4 ds w/ normal flow

recent wt loss, no wt loss sexually acitve last 9 mnths ago diarrhea 20 y/o diarrhea no blood pain is in RLQ no urinary changes no appetite started 8-10hrs ago female

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: 20 year old female presents to the clinic with acute pain in her rlq quadrant. The pain is constant, "dull an achy" and a 5/10 in intenstity that does not improve with ibuprofen. The patient endorses similiar symptosm in the past (2-3x in last 6 months), and has had diarrhea for the last 2 days as well. Nothing improves or worsens the pain. The patients LMP was 2 weeks ago, and has had no recent irregularities. She denies nausea and vomiting. Endorses no appetie, last meal was dinner last night. ROS - as above PMH/PSH - none Allergies - none Medications - none hosptializations - none Family - parents and 2 siblings healthy OBgyn- no children, LMP 2 weeks ago, 3-4/28 day cycles. no history of pap smears Social - Denies smoking, drinks approximately 2x per month, studying biology pre-med, sexual active with male 9 months ago

sexual active with male 9 months ago diarrhea 20 year similiar symptosm in the past (2-3x in last 6 months rlq quadrant no appetie LMP was 2 weeks ago, LMP 2 weeks ago female

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: 20 yo F previously healthy with no pass medical history presents with worsening abdominal pain. It began 8-10 hrs prior to presentation while she was sleeping. Describes the pain as dull, achy, crampy and mainly localize in the right lower quadrant. Does not radiate. She also reports of recent diarrhea. No skin changes or heat/cold intolerance. No drug use. No fever. She took ibuprofen but it did not help and became concerned. Meds: ibuprofen SHx: sexually active. Last sexual activity 9 months ago. Use contraceptive all the time.

Last sexual activity 9 months ago recent diarrhea 20 yo pain right lower quadrant abdominal pain began 8-10 hrs F

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: abdominal pain hpi: Suzanne Powelton, a 20-year-old female, has come to the emergency department today because of abdominal pain. Pain began 8-10 hours ago woke her up from sleep, she says the pain is achy and crampy and has been constant through, alleviated by ibuprophen only and aggravated by walking. She also complaints of diarrhea and loose watery bowel movments for the last couple days, denies any blood, mucus. She denies any nasuea, vomit , changes to her diet, recent infections, pain with urination, or painful defecation. She denies hisotry of sted, or past similar symtpoms. allergies: nkda pmh: none meds: ibuprophen sh: drinks ocacionally , no smoke obgy: crampy periods, regular. lmp 2 weeks ago, uses 4-5 pads daily , not sexually active for 9 months since she broke up

not sexually active loose watery bowel movments, diarrhea 20-year bowel movments denies any blood denies pain with urination lmp 2 weeks ago Pain began 8-10 hours ago female

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: 20 YR O F WITH RLQ PAIN - 10 hrs acute on radiating cramping intensity 5/10 aggrevated by walking nreliieve by ibuprofen hx of fever ,h no heatburns or related to food x of diarrhoe watery / loose non blooody no nausea or vomuting no headache no LMP- 2 WEEK AGO NO MISCURIAGES no child pmh- none meds ibuprofen fh- no contributary social- 1-2 /month

diarrhoe 20 YR diarrhoe non blooody RLQ PAIN LMP- 2 WEEK AGO PAIN - 10 hrs acute F

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: 20yoF c/o ABD pain HPI: 20yoF c/o ABD pain, RLQ pain began 8-10 hours ago, woke from sleep, worsening, 5/10, dull/achy, ibuprofen does not alleviate, walking exacerbates. Pt endorses lose fitting clothes. Pt also endorses diarrhea for 2 day, 4-5x, denies blood, constipationj. Denies fever, chills, nausea, vomiting, headache, SOB, chest pain, urinary habit changes, PMH: denies Meds; denies All: NKDA Imm: UTD Soc: student, does pilates 2x/wk, run/walks 2-3x/wk, balanced diet, denies toxic habits Sex: last 9m ago with male partner, used condoms OBGYN: LMP 2wk, cycle 28d for 4 days, menarche at 13

lose fitting clothes Sex: last 9m ago diarrhea 20yo, 20yo diarrhea denies blood RLQ pain Denies urinary habit changes LMP 2wk began 8-10 hours ago F, F

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: 20 yo F c/o abdominal pain. -Location: RLQ. No radiation. -Onset 6 months ago, episodic (3-4X last 6 months, current episode worst ever), rates 5/10, getting worse, constant, walking aggrivates, ibuprofen minimally relieved. -Associated Sx: diarrhea 4-5X per day for last 2-3 days, decreased appetite. ROS: denies fevers, chills, n/v, back pain, numbness, parasthsias, chest pain, SOB. PMHx: None. Meds: ibupfrofen 200 mg 3 tablets prn for pain. Allergies: NKDA. No prior hospitalizations, trauma, surgeries. FMHx: None. Sexual Hx: last sexual encounter 9 months ago, men only, uses barrier protection, 1 partner over last year, no h/o STIs. Obstetrics: No prior pregnancies. LMP 2 weeks ago (normal). Moderate flow every 30 days for 4-5 days. SHx: never smoked, no other tobacco or recreational drugs. Drinks 1-2 beers with friends a few times a month (CAGE 0/4).

last sexual encounter 9 months ago diarrhea or last 2-3 days 20 yo episodic 3-4X last 6 months abdominal pain RLQ decreased appetite LMP 2 weeks ago F

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: 20 YO F C/O PAIN RLQ SINCE 10 YRS, WORSENING. 5/10 INTENSE, DULL, ACHING PAIN, ALLEV ON IBUPROFEN AND AGGRV ON WALKING, H/O SIMILAR 2-3 EPISODES SINCE 3 MONTHS.ASSO WITH DIARRHEA COUPLE OF DAYS, 3-4 /DAY, LIGHTBROWN , WATERY, NO BLOOD OR MUCPS. ASSO WITH REDUCED APPETITE AND LOOSENING OF CLOTHERS DENIES FEVER, CHILLS, FATIGUE, LAD, YELLOWISH DISCOLORATION OF URINE, VAGINAL DISCHARGE ROS NEGATIVE PMH NONE, MEDS IBUPROFEN, NKDA PSH NONE, TRAUMA/ TRAVEL/ ILL CONTACT NONE FH NON CONTRIBUTORY SH STUDENT, DRINKS ALCOHOL OCNL, SEUXUAL ACTVITY 9 MONTH BACK, OBG LMP 2 WEEKS BACK, REGULAR, MODERATE FLOW WITH CRAMPY PAIN

DENIES VAGINAL DISCHARGE LOOSENING OF CLOTHERS SEUXUAL ACTVITY 9 MONTH BACK DIARRHEA COUPLE OF DAYS 20 YO DIARRHEA NO BLOOD SIMILAR 2-3 EPISODES SINCE 3 MONTHS PAIN RLQ REDUCED APPETITE LMP 2 WEEKS BACK F

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: Ms. Powelton is a 20 y/o female with history of diarrhea and recurrent abdominal pain who presents for 5/10 dull pain in the right lower quadrant. The pain started 8-10 hours ago and is worst with walking. Ibuprofen has not been very helpful. She says that she has had 3-4 similar episodes of RLQ pain and diarrhea (4-5 times daily) that have occurrd over the last 6 months. The diarrhea is normal in color. She has not had intermittent constipation. She denies any lightheadedness, nausea or vomiting, trauma, or recent infections. She does not smoke cigarettes, does not drink alcohol, anddrinks alcohol twice monthly at parties. Her last menstrual period was 2 weeks ago, and they are regular, moderate flow. She has not been sexually active for 9 months. She has never had a pap smear. She denies dysuria. She is concerned that her family does not live nearby and would like access to support resources if needed. She is a premed student.

has not been sexually active for 9 months, has not been sexually active diarrhea, diarrhea, diarrhea 20 y/o 3-4 similar episodes of RLQ pain, diarrhea (4-5 times daily) that have occurrd over the last 6 months abdominal pain right lower quadrant denies dysuria last menstrual period was 2 weeks ago pain started 8-10 hours ago female

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 20yo F w/ no PMH c/o crampy dull RLQ pain for the past 8-10 hrs. Pt states ibuprofen 200mg relieves the pain somewhat while walking exacerbates pain. Pain is 5/10 in severity and pt also c/o dec appetite and diarrhea x2 days. Pt hasn't been sexually active in 9 months and denies recent travel hx or fevers. ROSS: denies fevers, HA, cp, SOB, changes in urination, or weight loss PMH: none A: NKDA meds: ibuprofen 200mg 2x daily FH: none OB: G0 menarche at 12yo, LMP 2 wks ago, periods regular lasting 4 days and 28 day cycles SH: social drinker, denies tobacco use or illicit drug use, not sexually active in 9 months; biology student denies surgical hx of hospitalizations

"hasnt been sexually active in 9 months", not sexually active in 9 months diarrhea x2 days 20yo RLQ pain denies changes in urination dec appetite LMP 2 wks ago past 8-10 hrs F

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: 20 yF presenting with RLQ pain. Pain started 8-10 hours ago, waking her up from sleep. Described as dull/achy/crampy pain. Constant, progressively worsened from 4/10 to 5/10 currently. Moving seems to make pain worse. Tried ibuprofen for pain (600 mg) without improvement, and nothing else seems to make pain better. 2-3 days ago also had onset of diarrhea. Having 4-5 watery BMs/day. No blood or mucous in stool. Has had episodes of similar pain and diarrhea 3-4 times in last 6 months, no always occuring together. Has noticed some weight change, clothes fitting looser. PMH: none Meds: none PSH: none FH: no hx of IBD, parents healthy SH: non-smoker, infrequent alcohol use (1-2 beers 1-2x month), no drug, last sexual encounter 9 months ago with known partner, wears condoms consistently, LMP 2 weeks ago ROS: no nausea, vomiting, arthralagias, rash, mouth sores, fever/chills,urinary symptoms, vaginal discharge/bleeding

no v discharge weight change, clothes fitting looser last sexual encounter 9 months ago 2-3 days ago diarrhea, episodes of similar diarrhea in last 6 months 20 y No blood in stool episodes of similar pain in last 6 months RLQ pain no urinary symptoms LMP 2 weeks ago 8-10 hours ago F

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: 20 yo F with h/o LRQ abdominal pain for the past 8-10 hours, 5/10 serverity, dull-achy cramp, worsened by walking, progressive. Reduced appetite, watery diarrhea past 2 days, clothes fitting looser. No nausea, vomiting, fevers, chills, night sweats, travel history, hematochezia, light stools, urinary changes. LMP 2 weeks ago, no pap smears, G0P0, menses 28 day cycle, last 4 days, changes 4 tampons/day. PMHx, surgeries, hospitalization: none Allergies: NKDA Meds: advil for abd pain FHx: noncontributory SH: Student at northwestern, lives off campus Sexual activity with men, last 9 months ago, uses condoms always, no illicit drugs, tobacco, EtOH 2 times/month exercise with pilates 2 times/week, regular diet

clothes fitting looser Sexual activity last 9 months ago diarrhea past 2 days 20 yo LRQ abdominal pain No urinary changes Reduced appetite LMP 2 weeks ago past 8-10 hours F

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: Ms. Suzanne is an otherwise healthy 20 yo female coming in with 5/10 dull and achy RLQ pain that started 8-10 hours ago. Suzanne has had a similar pain 3-4 times over the last 6 months. -Positive symptoms include anorexia, fever, episodic diarrhea, and clothes fitting more loosely -Denies constipation and fatigue GYN Hx: last menstrual period 2 weeks ago; normally regular PMH/PSH: none Meds/allergies: none FH: denies FH of autoimmune conditions SH: student stuyding pre-med; EtOH use 2x monthly, denies tobacco or other illicit drug use; last sexually active 9 months ago and always uses condoms ROS: positive for looser fitting clothing, diarrhea, anorexia and RLQ pain; denied N/V, fevers, change in bowel habits or blood in stool

clothes fitting more loosely, looser fitting clothing last sexually active 9 months ago diarrhea, diarrhea 20 yo denied blood in stool similar pain 3-4 times over the last 6 months RLQ pain, RLQ pain anorexia, anorexia last menstrual period 2 weeks ago started 8-10 hours ago female

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: Ms. Powelton is a 20 yo F coming in with abdominal pain. It is located in the RLQ of her abdomen and started about 8-10 hours ago. She describes it as a dull/achy pain, would rate it a 5/10, and says that it has been worsening. Walking makes it worse. Ibuprofen hasn't helped significantly. No nausea, vomiting, fever, urinary changes, chest pain, SOB, sore throat or chills. Reports some diarrhea and a decreased appetite. Has had 3-6 episodes of similar pain in the past that has resolved on their own. ROS: negative except where stated in HPI. PMH: none PSH: none Meds: none Allergies: NKDA Family Hx: non-contributory Social Hx: drinks 1-2 beers a few times per month, no cigarettes or other drug use. Eats a balanced diet and exercises regularly. Last sexually active 9 months ago. No h/o STIs. LMP was 2 weeks ago. They are regularly 28 days with 4 days of flow.

Last sexually active 9 months ago diarrhea 20 yo 3-6 episodes of similar pain abdominal pain RLQ No urinary changes decreased appetite LMP was 2 weeks ago started about 8-10 hours ag F

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 20 yo female with no significant past medical history presenting to the emergency department for abdominal pain. The pain began 8-10 hours ago and is located in the RLQ. She describes it as dull and achy. She rates it as a 5/10. The pain is constant and worsening. The pain is associted with decreased appetitie. She also notes 2-3 days of loose watery stools. She took motrin with mild relief. The patient says she has had several episodes of abd pain and diarrhea over the past 6 months but this episode is more severe. No blood in stool. The patient denies urinary symptoms. medical and surgical history: none Medications: motrin NKDA ROS per HPI Family history: none Social history: lives alone. premed student. away from family but has friends in the area. Denies tobacoo or drug use. drinks 1-2 beers twice a month Sexual activity: last intercourse 9 months ago. uses condoms. no pregnancies. No prior STDs

last intercourse 9 months ago 2-3 days of loose watery stools, diarrhea over the past 6 months 20 yo No blood in stool episodes of abd pain over the past 6 months abdominal pain RLQ denies urinary symptoms decreased appetitie pain began 8-10 hours ago female

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: Suzanne Powelton is a 20 year old female with dull, achy, abdominal pain for the past 8-10 hours. The pain is constant, but increases with walking or bumps in car ride. She rates the pain as 5/10. The pain improves slightly with ibuprofen and worsens with walking. She had diarrhea for the past 2 days, the stool has been brown, loose and watery without blood. There has been no nausea or vomiting, no fever, no fatigue. Her appetite has been decreased since last night. She has no sick contatcts and has no exposure to high risk food. PMH: As above Medications: Ibuprofen PSH: None Allergies: NKDA FH: None SH: Patient does not smoke, drinks occassionally (2x/month), last drank 3 weeks ago, does not use illicit drugs Menstraul: LMP 2 weeks. Regular cycle, 4 days, 4 pads per day. Every 28 days. No pregnancy. Last sex 9 months ago

Last sex 9 months ago diarrhea for the past 2 days 20 year old stool without blood appetite has been decreased LMP 2 weeks pain for the past 8-10 hours female

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: 20 Y O F C/O RLQ PAIN X 8-10 HRS SUDDEN ONSET,PROGRESSIVE,CONSTANT,5/10 IN INTENSITY,DULL CRAMPY IN QUALITY,AGGRAVATED BY WALKING ,NO ALLEVIATING FACTORS AND ASSOCIATED W NON BLOODY WATERY DIARRHEA (3-4 EPISODE /DAY) X 3-4 DAYS . SHE REPORTS HX OF ABD PAIN AND DIARRHEA ON AND OFF X 6MONTHS AND HAVE TO RUSH TO REST ROOM TO PASS STOOL . SHE REPORTS SHE NOTICED SOME WEIGHT LOSS AND DECREASE IN APPETITE X FEW MONTHS SHE DENIES FEVER,RASH,N/V,SOB,HEADACHE,FLU,BLADDER CHANGES . ROS: NEG EXCEPT AS ABOVE ALL: NKA PMH/MED: N/C PSH/HOSP: N/C FH: N/.C GYN/OBS: LMP 4/29,REGULAR SH: NON SMOKER,OCC EtOH/ILLICT DRUG

WEIGHT LOSS DIARRHEA X 3-4 DAYS, DIARRHEA X 6MONTHS 20 Y O NON BLOODY DIARRHEA HX OF ABD PAIN X 6MONTHS RLQ PAIN DENIES BLADDER CHANGES DECREASE IN APPETITE PAIN X 8-10 HRS SUDDEN ONSET F

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: Ms. Powelton is a 20yo f with no PMH, presenting w right lower quadrant abdominal pain that started 8-10 hours ago. The pain is a dull ache that feels like a "bad cramp". She has had 3-4 similar episodes over the past 6mo. Ibuprophen makes the pain a little better, walking makes the pain worse. It does not radiate and is 5/10. LMP was 2wk ago. Last sexually active with male partner 9mo ago, regularly uses condoms. No previous pregnancies. Cycle is regular, 28 day intervals, 4 days of bleeding, uses 4 tampons first day, then decrease. ROS: + dec appitite, diarrhea (no blood - brown and watery, not associated with food). Neg: fever, chills, nausea, vomiting, constiptation. No pain/blood w urination. no blood in stool. No surgeries. EtOH socially, no smoking/illicit drugs. Family is healthy. Meds: ibuprophen PRN pain. NKDA

Last sexually active 9mo ago diarrhea 20yo diarrhea no blood, no blood in stool 3-4 similar episodes over the past 6mo right lower quadrant abdominal pain No pain w urination, No blood w urination + dec appitite LMP was 2wk ago pain that started 8-10 hours ago f

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: Ms.Powelton is a 20yo F presenting to the ED with RLQ abdominal pain. The pain started 8-10 hours ago. She describes it as constant, dull and achey, 5/10 in severity, without radiation. She has had no nausea or vomiting, but has had a decrease in appetite. Walking makes the pain worse. Nothing seems to make the pain better. She has had non-bloody diarrhea today. She notes that she has had 3-4 episodes of this RLQ pain in the past 6 months, but not as severe as it is today. She has had intermittent non-bloody diarrhea with the abdominal pain over the past 6 months as well. She notes increased stress due to her course load as a premed student. OB/Gyn: G0, LMP 2 weeks ago, 28 day cycles with 4 days of moderate bleeding, last had sex with male partner 9 months ago, uses condoms consistantly, no history of STIs Meds: none PMH/PSH: none FH: non-contributory SH: alcohol 1-2 per month, no tobacco or illicit drug use

last had sex with male partner 9 months ago diarrhea, diarrhea past 6 months 20yo non-bloody diarrhea, non-bloody diarrhea 3-4 episodes of this RLQ pain in the past 6 months RLQ abdominal pain decrease in appetite LMP 2 weeks ago pain started 8-10 hours ago F

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: 20 year old female with no significant past medical history presenting with 8-10 hour history of worsening right lower quadrant pain. Patient reports several days of diarrhea and decreased appetite. Her last meal was dinner last night and she does not currently feel hungry but has been drinking water. She rates her pain as a 5 out of 10. Ibuprofen helped minimally. Patient denies nausea, vomiting, fever, and headaches. Patient has no significant medical or surgical history. Her menstrual history includes regular periods with LMP starting 2 weeks ago. She was last sexually active with a partner about 9 months ago. She tested negative for STDs about 1 year ago. Patient denies smoking and illicit substance use and endorses social alcohol use. Parents are healthy.

last sexually active about 9 months ago several days of diarrhea 20 year old right lower quadrant pain decreased appetite, last meal was dinner last night, does not currently feel hungry LMP starting 2 weeks ago 8-10 hour history of pain female

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: Suzanne is a 20yo F who present with right lower quadrant pain. It came on suddenly 10 hours ago at a 5 out of 10, and has been getting worse. Ibuprofen helps with the pain. It does not radiate. Has had right lower quadrant pain in the past, but not as severe. Associated with diarrhea over the past couple of days. She noticed some weight loss over the past 2 weeks. Denies vaginal discharge or bleeding. ROS: Denies, chills, chest pain, nausea/vomiting, dysuria or hematuria PMH: none; PSH: none Meds: Ibuprofen; NKDA FH: none OBGYN: First period at 13, regular every 28 days, 4 tampons/pads per day on first few days, no dysmenorrhea. LMP 2 weeks ago. SHx: Not currently sexually active. Drinks alcohol 'at parties', no tobacco or illicit drugs.

Denies vaginal discharge weight loss Not currently sexually active diarrhea 20yo Has had right lower quadrant pain in the past right lower quadrant pain Denies dysuria, Denies hematuria LMP 2 weeks ago came on suddenly 10 hours ago F

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: Ms. Powelton is a 20 year old female who presents to the ED complaining of right lower quadrant pain for the last 8-10 hrs. She says the pain is a dull achy pain rated as a 5/10 and feels similar to a menstrual cramp. she took ibuprofen which has helped only slightly. walking makes the pain worse. She has had 2-3 days of diarrhea 4-5x/day. she has been drinnking fluids well but hasnt had an appetite today. she denies fever, chills, sweats, fatigue, n/v, urinary symptoms. ROS: negative except per hpi PMH: none PSH: none Ob/Gyn: LMP 2weeks ago, 28day cycle, lasts 4 days, never pregnant, does not use contraception meds: ibuprofen allergies: none SH: lives alone, no tobacco use, alcohol 2x/month, no elicit drug use, not currently sexually active FH: noncontributory

not currently sexually active diarrhea 20 year right lower quadrant pain denies urinary symptoms hasnt had an appetite LMP 2weeks ago last 8-10 hrs female

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 20 yo F c/o progressive, sudden, persistent, dull-achy RLQ abdominal pain in the last 8-10 hours, 5/10 in severity. Exacerbated by walking and alleviated by Ibuprufen. She refers non-bloody, brownish, watery diarrhea in the last couple of days. She also refers anorexia since yesterday. She denies constipation, N/V, fever, infection, vaginal discharge, vaginal spotting, joint pain or food relation to pain. She also denies SOB, palpitations, headache or urinary changes. OBs/GYN : LMP was 2weeks ago and reular. ROS :Neg except as above, Allergies : NKDA, Meds : none PMH : none, PSH : none FH : non-contributory SSH : no smoking, occasionally EtOH, no illict drugs, not sexually active in the last 9months. Full-time student

denies vaginal discharge not sexually active diarrhea 20 yo non-bloody diarrhea RLQ abdominal pain denies urinary changes anorexia LMP was 2weeks last 8-10 hours F

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: Suzanne Pomelton is a 20 y/o female who presents with 10 hours RLQ abdominal pain. She reports a dull, achy pain of 5/10 intensity that does not radiate. It is aggravated by walking and mildly allevaited by ibuprofen; she has taken 3 doses of 200 mg ibuprofen since the pain started. Ms. Pomelton states that pain began when she was sleeping. She reports 3-4 similar, previous episodes of pain, which resolved on their own, but states this is the worst she has ever had. She also reports having loose, watery diarrhea for the pat 2 days. PMH: none PSH: none Rx: ibuprofen 200 mg PRM Allegies: none OB/GYN: LMP 2 weeks ago; regular 28-day cycle with 4 days of flow. Health maintenance: UTD FH: non-contributory SH: Student; lives alone. Denies tobacco use; occasional EtOH approximately every 2 months, denies CAGE. ROS: watery diarrhea

diarrhea, diarrhea 20 y/o 3-4 similar, previous episodes of pain RLQ abdominal pain LMP 2 weeks ago with 10 hours female

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: 20 YO F C/O ABOMINLA PAIN -STARTED SUDDNELY , 8-10 H AGO , ON THE RLQ , STEADY , NO RADIATION, GETTING WORSE, CRAMPY , ALLEV BY IBUPROFEN , AGRRAV BY WALKING, REPORT NAUSEA, NO VOMITTING. - DENIES ANY FEVER, ASSOCIATION TO FOOD , VAGINAL DISCHARGE, VAGINAL BLEEDING, HAVE NOT DONE PAP SMEAR BEFORE, LMP 2 WEEKS AGO, REGULAR. ROS: NEG EXECPT ABOVE PMH: DAIRRHIA FOR THE PAST FEW DAYS , LOOSE , NO BLOOD. PSH: NONE MEDS:IBUPROFEN . ALL: NKDA FH:BOTH PARENTS HEALTHY SH: NO CIG/DRUG USE, ETOH OCCASIONALLY

DENIES VAGINAL DISCHARGE DAIRRHIA FOR THE PAST FEW DAYS 20 YO DAIRRHIA NO BLOOD ABOMINLA PAIN RLQ LMP 2 WEEKS AGO 8-10 H AGO F

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 20-year-old female, has come to the emergency department today because of abdominal pain. - start 8-10 hours ago, constant and getting worse., the pain located at lower right quadrant. - The pain is 5/10 in severity, dull in quaility, no radiation - The pain is exacerbated by movement, walking and relived by Ibuprofen. - The patient reports that she has similar episodes. 3-4 episodes over the last few months. The pain during these episodes is less severe - Has a brown diarrhea over the past month - Has weight loss but no change in appetites ob/gyn: Menarche at age 13. Last menstrual perior 2 weeks ago and regular q 1month, last of 4 days. Sexually active 9 months ago, use condom consistency. No history of sexual transmitted disease Allergies: NKDA Medication: none PMH: none PSH: none SH: no smoking. occasional EtOH. Students. Good diet FH: none contributory

weight loss Sexually active 9 months ago brown diarrhea past month 20-year reports similar episodes, 3-4 episodes last few months pain located at lower right quadrant Last menstrual perior 2 weeks ago start 8-10 hours ago female

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: Complaint: Abdominal pain HPI: This is Suzanne Powelton, a 20 year old female Biology student with a complaint of RLQ abdominal pain for the past 8-10 hours > (+) anorexia since last night > Fever 100.8 F > describes pain as dull aching and cramping pain, non-radiating, rated 5/10 on pain severity scale > denies nausea or vomiting > had 3 episodes of diarrhea > Pt has had similar hx of crampy abdominal pain usually relieved with Ibuprofen PMH None SurgHx : None pertinent LMP ; 2 weeks ago Soc Hx : Biology student , denies any recent travel, no recent ill contacts > denies use of tobacco or drugs, drinks alcohol 1-2 drinks 1-2 times per month ROS : Negative except as above

diarrhea 20 year similar hx of crampy abdominal pain RLQ abdominal pain (+) anorexia LMP ; 2 weeks ago for the past 8-10 hours female

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 - A 20 yo f presents with rlq pain that started 8-10 hours ago while she was sleeping. It started suddenly, is getting worse and she rates it has 5/10. It it is slightly relieved with ibuprofen and walking makes it worse. Her last mentrual period was 2 weeks ago, her periods are regular. Her last sexual encounter was 9 months ago. She has had diarrhea since 2-3 days. Her apetite has decreased and her clothes are getting lose. ROS - No nausea, no vomiting, no headaches or subjective fever PMHx - None PSHx - None Allergies - None Meds - None FHx - Noncontributory SH - No tobacco, Occational Etoh, No illicit Drug use, Last sexual encounter 9 months ago, Student

clothes are getting lose last sexual encounter was 9 months ago, Last sexual encounter 9 months ago diarrhea 20 yo rlq pain apetite has decreased last mentrual period was 2 weeks ago started 8-10 hours ago f

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: Ms. Powelton presents today with 8-10h of crampy/achy lower R quadrant abdominal pain. It is 5/10 severity and associated with diarrhea for the last few days (4-5 episodes/day). Pain is worse with walking and ibuprofen is not helping. She has had 3-4 episodes of similar pain in the last 6 months. Pain is not related to food, stress or menses. ROS - denies HA, fever, chills, N/V, constipation, HA, sweating, palpitations, or ill contacts. PMH - none OB/Gyn Hx - LMP 2 weeks ago. 28 day cycle with 4 days of moderate bleeding and slight cramps. No previous pregnancies, miscarriages or abortions. No hx of STIs. Never had a pap smear. PSH - none Meds - ibuprofen NKDA FH - neg SH- pre-med student. Denies tobacco or drug use. Drinks alcohol socially 1-2x/month. Last time being sexually active was 9 months ago. Always uses condoms.

Last time being sexually active was 9 months ago diarrhea for the last few days 3-4 episodes of similar pain in the last 6 months lower R quadrant abdominal pain LMP 2 weeks ago 8-10h

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: 20 yo female c/o abdominal pain with onset 8-10 hours ago. Pain awoke pt from sleep and is "mild-moderate" intensity without radiation and "achy", constant since onset, no variation with position. It is associated with watery diarrhea 4-5x/daily for the past several days. No hemotochezia, melena, pain with defecation. No n/v. Pt endorses several episodes of similar pain and diarrhea over past 6 mos, each of which resolved spontaneously. Present episode is more severe. No known food triggers for episodes. ROS: Positive for decreased appetite. Negative for malodorous stool, urinary frequency/pain/urgency, vaginal bleeding PMH: None Soc: College student, lives alone. Never smoker, no drugs, occasionally 1 beer at parties 1-2 x monthly. Sexually active with 1 male partner, uses condoms every time for BC. GYN - G0, LMP 2 weeks ago, regular cycles. Meds - Tried ibuprofen for current pain with no effect. O/w no meds. NKDA.

diarrhea for the past several days, diarrhea over past 6 mos 20 yo No hemotochezia, No melena several episodes of similar pain over past 6 mos Negative urinary frequency, Negative urinary pain, Negative urgency decreased appetite LMP 2 weeks ago onset 8-10 hours ago female

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: Suzanne Powelton is a 28 yo F who presents with right lower quadrant abdominal pain. Her pain started 8-10 hours ago, while she was sleeping. It has since gotten progressively worse and she rates it at a 5/10 severity. Describes as a dull achy crampy pain that does not radiate. Ibuprofen helped a little, walking makes it worse. Really bothering her and so she came in right away to get it addressed. Endorses associated loss of appetite and diarrhea for past few days. Diarrhea has also worsened, going about 4-5 times a day but no blood or mucus in the stool. Tried to take KOpectate which did not help. Denies any recent travel or camping, no new foods, no nausea/vomiting, no constipation. Last menstrual period was 2 weeks ago and normal. PMHx/PSHx: none Meds: ibuprofen Allergies: none FHx: parents in good health SHx: 2 drinks/month, never smoker, no drug use, student, sexually active 9 months ago with condoms, no STIs ROS: HPI

sexually active 9 months ago diarrhea, Diarrhea no blood n the stool, no blood tool right lower quadrant abdominal pain loss of appetite Last menstrual period was 2 weeks ago and normal, Last menstrual period was 2 weeks ago pain started 8-10 hours ago F

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: 20 yo F with no PMH presenting with Right lower quadrant abdominal pain for 8-10 hours. The pain happened after she woke up from sleeping and is progressive. Described as dull, crampy pain and does not radiate. Endorses decreased appetite but denies any nausea or vomiting. She has been feeling feverish as well. Has had loose brown stools (diarrhea) for past 2-3 d that occur 4-5x/day. Reports drinking plenty of fluids PMH/PSH- none Allergies- none OBH- regular periods last 4 d, 28 d cycle. Last MP- 2 wk ago Sex 9 mo ago with male. Fam Hx- none Sochx- does not smoke. drinks alcohol 2x/mo

Sex 9 mo ago diarrhea for past 2-3 d 20 yo Right lower quadrant abdominal pain decreased appetite Last MP- 2 wk ago 8-10 hours F

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: 20 F C/O RLQ PAIN THAT STARTED SUDDENLY 10 HOURS AGO AND WOKE HER UP FROM SLEEP. PAIN IS CONSTANT, SHARP AND COLICKY, NON RADIATING, 5/10 IN INTENSITY, AGGRAVATED WITH WALKING, RELIEVED TO SOME EXTENT WITH IBUPROFEN. SHE ALSO REPORTS OCCASIONAL WATERY DIARRHEA FOR SEVERAL MONTHS, ASSOCIATED WITH UNDOCUMENTED WEIGHT LOSS. SHE DENIES ANY BLOOD IN STOOLS, DIFFICULTY FLUSHING THE STOOLS, NAUSEA, VOMITTING, BACK PAIN. SHE HAD 3 EPISODES LIKE THIS IN THE PAST 6 MONTHS BUT THEY REESOLVED ON THEIR OWN. DENIES ANY SOB, PALPITATIONS, LOSS OF APPETITE ROS: WNL EXCEPT ABOVE PMH: NONE PSH: NONE ALLERGIES: NONE FH: NON CONTRIBUTIORY SH: DENIES SMOKING, ALCOHOL AND ILLICIT DRUGS. LAST SEXUAL INTERCOURSE WAS 9 MONTHS AGO

WEIGHT LOSS LAST SEXUAL INTERCOURSE WAS 9 MONTHS AGO DIARRHEA 20 DENIES ANY BLOOD IN STOOLS 3 EPISODES LIKE THIS IN THE PAST 6 MONTHS RLQ PAIN LOSS OF APPETITE STARTED SUDDENLY 10 HOURS AGO F

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: 20 yo F c/o abdominal pain since 8-10hrs ago -sudden, worsening, constant, RLQ, no radiation, 5/10, dull and aching, aggrav by walking, allev by ibuprofen, different nature with previous abdominal pain -recurrent RLQ pain (3-4times/6months) -reports diarrhea, weight loss (unmeasured), poor appetite -denies nausea, vomiting, fever, change in urinary habit ROS: neg except above PMH/All/PSH/FH: none, Meds: ibuprofen OBGY: G0P0, LMP 2weeks ago, regular q28days lasting 4days, no vaginal spotting SH: no cig/EtOH/illicit drug, student, not sexually active since 9months ago, no h/o STDs

weight loss not sexually active since 9months ago diarrhea 20 yo recurrent RLQ pain (3-4times/6months) abdominal pain RLQ denies change in urinary habit poor appetite LMP 2weeks ago since 8-10hrs ago sudden F

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: 20 yo F complains of RLQ, 5/10, dull, achy pain that started 8-10hrs ago and woke her up from the sleep . It is non-radiating and is somewhat alleviated by Ibuprofen and egzacerbated by walking. Pain is not accompanied by nausea or vomitting. Patient denies fever,chills or change in urination. She does not have apetite and says her pants are fitting little looser than usual. She report 3 day history of watery diarrhea but denies any mucus or blood in her stool. The last episode of diarrhea was today. ROS: None except above OB/GYN: LMP 2 weeks ago, regular cycles 4-5/28 days, 3 pads/day. Menarcha at age 13. No vaginal spotting, vaginal discharge or history of STDs. Allergies. NKDA Medications: Ibuprofen PMH: None. PSH: None. FH: Noncontributory. SH: does not smoke or use ilicit drugs, has 1-2 beers at party. Is sexually active, her last intercouse was 9 months ago. Constant use of condoms.

No vaginal discharge pants are fitting little looser last intercouse was 9 months ago diarrhea, diarrhea 20 yo denies blood in her stool RLQ pain denies change in urination does not have apetite LMP 2 weeks ago started 8-10hrs ago F

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: 20 yo female presenting with new onset right lower quadrant pain. Started 8-10 hours ago. Walking makes it worse. Ibuprofen makes it better. Described as dull cramping pain. Pain does not radiate. Has been constant since start. Similar episodes 3-4 times in past 6 months. Pain not associated with eating. Denies nausea, vomitting. Endorses diarrhea for past few hours. No blood in stool. ROS: negative except for above. OB/GYN: Menarche at 13. No vaginal discharge. Normal periods every 28 days, last 4 days. GOPO. LMP 2 weeks ago. Pmed: none Psurg: none Meds: Ibuprofen PRN Allergies: none FH: not pertinent SH: Denies smoking and drugs. Social alcohol use 2-3X/month. Is a student. Not sexually active currently, last sexual encounter was 9 months ago. Always uses condoms.

No vaginal discharge Not sexually active, last sexual encounter was 9 months ago Similar episodes 3-4 times in past 6 months, diarrhea 20 yo No blood in stool Similar episodes 3-4 times in past 6 months right lower quadrant pain LMP 2 weeks ago Started 8-10 hours ago female

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: 20 year old F with RLQ - Started 8-10 hours ago. Worse with walking. Better with Ibuprofen. - Has had 3-4 similar episodes in the past, but not this bad. Feels dull and achy like a cramp. Came on suddely, no radiation. 5/10 in severity. - Associated with diarrhea, fever, chills, weight loss, decreased appetite, - No vomiting, nausea. No back pain PMHx: none. No medications other than tylenol. No allergies. PSHx: None LMP was 2 weeks ago and was normal (28 day cycles, lasts 4 days, uses 4 tampons/pads per day until it gets lighter). FamHx: noncontributory

weight loss diarrhea 20 year had 3-4 similar episodes in the past RLQ decreased appetite LMP was 2 weeks ago Started 8-10 hours ago F

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: 20 YO F CAME WITH PAIN IN RIGHT LOWER ABDOMEN FOR 8-10 HRS. IT IS DULL,ACHY KIND OF PAIN. SHE SCORES IT 5/10 ON INTENSITY, THERE IS NO RADIATION OF THE PAIN. IT AGGRAVATES ON WALKING AND RELIEVES FOR A WHILE BY IBUPROFEN. SHE HAD EPISODES OF DIARRHOEA FOR COUPLE OF DAYS RECENTLY. IT OCCURED 4-5 TIMES PER DAYS, IT WAS BROWN IN COLOR, NO BLOOD WAS SEEN IN IT. SHE HAS NO FEVER,NO BURNING URINATION,NO BACK PAIN,NO ANY VAGINAL DISCHARGE, HER APPETITE HAS DECREASED TODAY. SHE HAS NOTICED LOOSENING OF HER CLOTHES LATELY. THERE IS NO RECENT TRAVEL HX,NO HIKING. NO SLEEP CHANGES.NO CHANGE IN DIET. ROS-NONE EXCEPT ABOVE PMH/PSH-NONE ALLERGIES-NONE MEDS-IBUPROFEN FOR PAIN SH-LMP WAS 2 WEEK AGO,SHE HAS NORMAL REGULAR CYCLE OF 4 DAYS EVERY 28 DAYS,NO HX OF STI,NOT SEXUALLY ACTIVE SINCE 9 MO,SHE IS A STUDENT.SHE DRINK ALC OCCASIONALLY. FH-NONE

NO VAGINAL DISCHARGE LOOSENING OF HER CLOTHES NOT SEXUALLY ACTIVE SINCE 9 MO DIARRHOEA FOR COUPLE OF DAYS 20 YO DIARRHOEA NO BLOOD PAIN IN RIGHT LOWER ABDOMEN NO BURNING URINATION APPETITE HAS DECREASED LMP WAS 2 WEEK AGO 8-10 HRS F

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: 20 year old female comes to the ED for worsening RLQ abdominal pain. The pain began 8-10 hours ago while she was sleeping and she describes it as a constant 5/10 dull ache in the RLQ. It does not radiate. The pain is worse while walking and is dimished by ibuprofen. She also notes having a few episodes of diarrhea over the past 2 days which is described as loose and brown, no blood. She has had no nausea, no vomiting, no fever/chills, and no changes in urinary habits. She was last sexually active 9 months ago with a condom. Her LMP was 2 weeks ago. She has never had an STI and STD and denies vaginal bleeding and discharge. ROS: negative except as above Allergies: None PMH, Meds, PSH, FH: None SH: Student, no alcohol, recreational drugs, or tobacco.

denies vaginal discharge last sexually active 9 months ago diarrhea 20 year diarrhea no blood RLQ abdominal pain, pain RLQ no changes in urinary habits LMP was 2 weeks ago pain began 8-10 hours ago female

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: Ms Powelton 20 yo F college student, c/o of RLQ abdominal pain of 8-10 hours duration, constant, getting worse, dull aching, no radiation , associated with watery brown diarrhea for the past few days,, increased by walking, slightly decreased by Ibuprofen, 5/10 in severity. She has had decreased apetite since yesterday, and thinks she might have lost some weighty recently. Patient denies any fever, N/V, chest pain, urinary changes, recent travel or infection. No hx of STD or STIs. LMP was 2 weeks ago, usually regular every 28 days, changes 4 tampons and bleeding for 4 daysn no intermenstrual spotting. ROS: negative other than per HPI PMH: none PSH: None FH: both parents healthy Meds: as per HPI SH: non smoker, occasionaly wine 2 per month, no illicit drug use, sexually active with partner, last sexual activity 9 months ago, always uses condoms.

lost some weighty last sexual activity 9 months ago diarrhea 20 yo RLQ abdominal pain denies urinary changes decreased apetite LMP was 2 weeks ago 8-10 hours duration F

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 patient is a 20 year old female presenting to the ED with complaints of RLQ pain. Pt reports she was awoken from sleep with RLQ pain that seems to be getting progressively worse, constant rating 5/10 in severity and described as a dull aching pain. She notes associated diarrhea that has occured the last 2-3 days 4-5 times per day with loose, watery stool. Denies any blood in her stool. No other ill symptoms or urinary symptoms preceding this illness. LMP was 2 weeks ago and was normal. She was last sexually active 9 months ago with her partner. She had no history of pregnancy or previous STI. PMH: None NKDA Surgical Hx: None Social: Student studying pre-med biology, does not smoke, drinks alcohol about 2 times per month, denies recreational drug use

last sexually active 9 months ago diarrhea, loose, watery stool 20 year Denies any blood in her stool RLQ pain, RLQ pain No urinary symptoms LMP was 2 weeks ago awoken from sleep female

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: 20 yo F, c/o lower quadrant pain for the last 10 hours. It started when she was sleeping, and it is constant, dull and achy quality, 5/10 intensity and getting worse. It is aggravating with walking, ibuprofen helped a little. She had similar symptoms 3-4 times in the last 6 months. The pain hapenning randomly, no activity related. She also has diarrhea, 4-5 times a day, no blood in it. It is watery brown. She has no appetite, and she didn't check her weight but her clothes getting loose. She is on a healthy diet. No travel outside the country recently. OB/GYN: last menstraul period was 2 weeks ago. sometimes cramps with her menses ROS: negative PMH: none allergies: NKDA Med: ibuprofen PSH: none FH: noncontributary SHx: no smoking, no illcit drugs, no EtOH, she is a student. She is not sexually active

clothes getting loose not sexually active diarrhea 20 yo diarrhea no blood similar symptoms 3-4 times in the last 6 months no appetite last menstraul period was 2 weeks ago pain for the last 10 hours F

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: 20-year-old female complaining of abdominal pain. The pain is in the LRQ and started 8-10 hours ago, it is about a 5/10 dull aching cramp that does not radiate. She has had watery non-bloody diarrhea/loose stools for the past 2 days with 4-5 stools per day. She denies sick contacts or recent travel. Ibuprofen helped moderately with pain. Pain is worse with walking. Not currently sexually active. regular menstrual periods every 28 days. Denies Nausea/vomiting. Loss of appetite since last night. No known allergies. No PMH or surgeries/hospitalizaitons Meds: ibuprofen FH: none SH: not sexually active EtOH: 1 beer monthly Tobacco: no Illicit drugs: no

Not currently sexually active, not sexually active diarrhea/loose stools for the past 2 days 20-year-old non-bloody diarrhea pain is in the LRQ Loss of appetite pain started 8-10 hours ago female

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: 20 y/o F here for LRQ abdominal pain that started 8-10 hr ago when she was sleeping. She pain is dull and a 5/10, but does not radiate. It is a constant pain and has progressed over the past few hours. Ibuprofen alleviated the symptoms some what, and walking aggrevates it. She denies nausea, vomiting, constipation. She has had diarrhea for the past 2-3 days. She says she has had 4-5 BM/day, up from 2x/d normally. She denied blood, mucous or pain with defacation. She denies pelvic pain, vaginal d/c or pain, cp, sob, headache, fatigue, or fever. She is not as hungry and has noticed some weight loss as her clothes are fitting loser. LMP 2 weeks ago with moderate pain. Last sexual partner 9 mo ago with condom no OCP. Menarche at 13. No pregnancies. No dyspareunia. ROS neg except for above PMH neg Meds ibuprofen all nka surgreies none fh: noncontributory sh: student who lives alone no tobacco/drug use, occasional EtOh use.

denies vaginal d/c weight loss, clothes are fitting loser Last sexual partner 9 mo ago diarrhea 20 y/o denied blood with defacation LRQ abdominal pain not as hungry LMP 2 weeks ago pain started 8-10 hr ago F

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 20 year old woman who presents with 8 hours of right lower quadrant pain. Pain started suddenly this morning, feels dull and achy. Does not radiate, has not moved. Associated with diarrhea the past few days and no appetite since last night. Pain 5/10. Has occured 3-4 other times the past 6 months, this time is the most painful. Took ibuprofen, helped a bit. Episodes usually last a couple hours and resolve on own. No known triggers, occurs seemingly randomly. Worse with walking. Endorses weight loss with no chnage in diet. Denies consptipation, bloody stool, pain with defication, urinary changes, nausea/vomitting, lightheadedness, joint pain, rashes. ROS: negative except above Med hx: none meds: ibuprofen today Surgery: none Family hx: none Soc: drinks 2x a month, no tobacco or drug use. Goes to school as a pre-med Allergies: none

weight loss diarrhea the past few days 20 year old Denies bloody stool occured other times the past 6 months right lower quadrant pain Denies urinary changes no appetite 8 hours started suddenly woman

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: Ms Powelton is a 20yo female coming for abdominal pain. it has been present for 8-10 hours and has been getting worse. The pain is constant and the patient rates it 5/10 in intensity. It is located in the Right lower quadrant of the abdomen, does not radiate anywhere. The patient has no appetite, has not eaten since the pain started, denies any vomiting. The has had diarrhea for the past few days. The patient took 3 Ibuprofen tablets which seemed to relief the pain. Movement and walking make the pain worse. No additional associated symptoms, no fever, headache, change in urination. ROS: negative except as above PMH: none PSH: none Allergies: NKDA Meds: no medication OB gyn - regular periods, every 28 days, moderate flow for 4 days. last sexual contact was 9 months ago with boyfriend. Social: patient is a student, does not use illicit drugs, alcohol twice per month socially, no tabacco

last sexual contact was 9 months ago diarrhea 20yo Right lower quadrant of the abdomen No change in urination no appetite for 8-10 hours female

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: Ms. Powelton is a 20yo F with no sig PMHx who presents to the ED with 8-10 hour of RLQ abdominal pain. Pt describes this pain as dull/alchy, without radiation. Patient does endorse similar episodes ~3/4 times though with less severeity. Pt endorses decreased appetite, diarrhea of 2 days without hematochezia or melena. Pt denies subjective fever, chills, nausea, vomitting. Patient denies dysuria. Patient has 28 day menstrual cycle with 4 days of moderate flow, last one was 2 weeks ago. Patient is currently no on contraceptive, and was last sexually active with a male partner 9 months ago, using condom consistently. PMHx: Negative, uses ibuprofen for pain currently Past Surgical Hx: negative FHx: healthy parents SHx: does not smoke, drinks EtOH a couple times a month, does not use illicit drugs, has not travelled anywhere recently

ast sexually active 9 months ago diarrhea 20yo without hematochezia, without melena similar episodes ~3/4 times RLQ abdominal pain denies dysuria decreased appetite menstrual cycle last one was 2 weeks ago 8-10 hour of pain F

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: Suzanne Powelton is a 20 yo F presenting with abdominal pain. -Started 8-10 hours and is localized to the right lower quadrant, was never periumbilical in nature. -Pain is constant, dull, achy, crampy, and was preceded by 2 days of diarrhea with 4-5x bowel movements a day -Walking aggravates the pain, ibuprofuen did not alleviate the pain. Pain is getting worse with time. -Patient reports no appetite. -Patient denies any nausea or vomiting -LMP was 2 weeks ago and sexual history is negative for intercourse in the last 9 months and negative for history of STIs. -PMHx and FHx are non-contributory

sexual history is negative for intercourse in the last 9 months preceded by 2 days of diarrhea 20 yo abdominal pain right lower quadrant no appetite LMP was 2 weeks ago pain Started 8-10 hours F

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: 20 yo F presents w 5/10 dull, achy abd. pain in the RLQ for 8-10 hrs. She has had intermittent 3 or 4 episodes over the past 6 mo. but they dont last this long. It is progressing. She tried ibuprofen, with no relieve. no alleviating factors, exacerbated by walking. it is limiting her school schedule and it is causing her incr. stress. Pain is non radiating. Reports watery non bloody diarrhea over the past couple of days. decappetited and looser fitting clothing. Denies: radiating pain, blood in stools, change in stool colo, association with food. Nausea, vomitting, fevers or chills. OB: sexually active last time 9 mo ago. 2 M partners, cons. condom use. no other contraception. LMP: 2 weeks, menarche: 13 yo. periods are regular associated w som light cramping in between. no spotting in between. No vaginal discharge, itching, pain today. Never pregnant. SIGECAPS 0/7 PMH: none, PSH: none, meds: ibuprofen, FH: none. SH: no tob. ETOH

No vaginal discharge looser fitting clothing sexually active last time 9 mo ago diarrhea over the past couple of days 20 yo non bloody diarrhea, Denies blood in stools 3 or 4 episodes over the past 6 mo abd. pain in the RLQ LMP: 2 weeks for 8-10 hrs F

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 20 F c/o of RLQ abdominal pain that suddenly started while she was sleeping 8 hours ago. The pain is constant and has progressively gotten worse. Pain is ranked as 5/10 in severity, is an aching, cramping pain that does not radiate. Ibuprogen relieves the pain while walking makes the pain worse. The RLQ pain is a/w diarrhea. She has had past episodes of diarrhea 2-3 times with both increase in frequncy of bowel movement as well as volume. The diarhea is nonbloody, watery, and brown in color. She has noticed some weight loss w/ clothes fitting looosely and has had decreased appetite despite a balanced, regular diet. She denies travel, sick contacts, energy changes, constipation. ROS negative as above PMH noncontributory, MEDs ibupren NKA no surgeries or hospitalizations FH noncontributory SH drinks occ twice a month, does not use tobacco or rec drugs. exerices w/ pilates, diet balanced SX sex active bf, no stds

weight loss, clothes fitting looosely diarrhea, past episodes of diarrhea 20 diarhea is nonbloody RLQ abdominal pain, RLQ pain decreased appetite suddenly started 8 hours ago F

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: 20 yo F presents to the ED with right lower quadrant pain started 8-10 hours ago. -5/10 constant dull and achy pain. better with ibuprofen and worse with walking. -Previous episode: happened 3-4 times in the past, gradual onset, dully ache -diarrhea started 2-3 days ago. 4-5 times/day, no blood in the stool. -denied similar illness in the household, no recent ill contacts OB Hx:G0 menarche age of 13. no vaginal discharge. 4/28, 3-4 pads/day. slight cramping, no intermenstrual period bleeding or postcoital bleeding. Sexually active 9 months ago. PMH: none PSH: none Allergies: NKDA Medications: Ibuprogen 200mg X3 times a day FM: noncontributory SH: no smoking, social drinker, no illicit drugs. exercise regularly 2-3/week. Regular diet.

no vaginal discharge Sexually active 9 months ago diarrhea 20 yo no blood in the stool happened 3-4 times in the past ight lower quadrant pain started 8-10 hours ago F

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: 20yo F c/o 5/10 dull and achy constant nonradiating RLQ pain that started 8-10 hours ago and was preceded with diarrhea. Patient tried to use ibuprofen, but it wasn't helpful, nothing ,makes worse. She said that she has low appetite and she didn't eat anything since last dinner (salad, icecream). Patient denies any sensation of hottness, chills, rashes, pain anywhere else. OB/Gyne: LMP 2w ago, menarche 13y, every 28d amd lasts 4d PMH/PSH: she had similar pain in the same place for a while, which happens every 6w and not related to menses Medications: ibuprofen Allergies: NKDA FH: noncontributory SH: no smoking, elicit drug use, EtOH occasionally, last sexual intercourse was 9mo ago and she have never had an STD.

last sexual intercourse was 9mo ago preceded with diarrhea 20yo similar pain in the same place for a while RLQ pain low appetite, "didnt eat anything since last dinner" LMP 2w ago pain that started 8-10 hours ago F

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 20 yo otherwise healthy female presenting to the ED with 8 hours of non radiating RLQ abdominal pain and fever. Sudden onset while sleeping, progressively worsening. Not associated with eating. Has had 3-4 similar episodes in the past that resolved on their own. Has taken ibuprofen which has helped minimally. Movement makes pain worse. It is dull and aching. Patient denies subjective fever, chills, N/V. Admits loss of appetite and potentially mild weight loss recently. Has had diarrhea for 2 days, non bloody. LMP was 2 weeks ago. Has not had sex in over 9 months. No STD history. No abdominal surgeries. ROS: aside from mentioned in HPI, no changes in urination or vision, no chest pain, no SOB, no weakness PMHx: none Hospitalizations: none PSHx: none Social: non smoker, rarely drinks alcohol, no recreational drugs, pre med student

weight loss Has not had sex in over 9 months diarrhea for 2 days 20 yo diarrhea non bloody Has had 3-4 similar episodes in the past RLQ abdominal pain no changes in urination loss of appetite LMP was 2 weeks ago 8 hours of pain female

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: Suzanne Powelton is a 20-year old female presenting with a chief complaint of "lower right quadrant abdominal pain". She states the pain awoke her from her sleep 8-10 hours ago. It has progressively worsened. Dull, achy pain. Rated 5/10. Took ibuprofen, helped some. Walking worsens pain. Does not radiate. Diarrhea for past couple of days. No nausea or vomiting. LMP was 2 weeks ago. Last sexual intercourse was 9 months ago. PMH: None PSH: None Meds: Ibuprofen PRN Allergies: None Family: No pertinent history Social: Drinks 1-2 beers 2x a month. No recreational drugs or tobacco use. Has history of sexual activity with multiple male partners; used condoms. Has been tested for STDs in past. In college, biology major.

Last sexual intercourse was 9 months ago Diarrhea for past couple of days 20-year old lower right quadrant abdominal pain LMP was 2 weeks ago pain awoke her 8-10 hours ago female

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: Chief Complaint: Right Lower Quadrant Pain Suzanne Powelton is a 20 y.o. F presenting w/ RLQ pain. This pain started suddenly about 8-10 hours ago and has been getting worse since. Pt states the pain doesn't radiate and describes it as dulll and achey. She rates it a 5 of 10. She has had no ververs or chills. No nausea or vomiting but has had no appetite. Pt states that she has had diarrhea for the past cople of days. She denies blood in her stools. She reports stooling 4-5 times a day and describes them as loose or watery. She denies travel out of the country, recent sick contacts or change to diet. She denies any vaginal bleeding or pain w/ urination. Walking makes the pain worse pt has tried ibuprofen w/ minimal response. Pt's last menses was 2 weeks ago. Cycle is regular PMHx: None. No surgeries Medications: None SocHx: Occasional alcohol use. No tobacco or drug use. Last intercourse 9 months ago FamHx: Non contributory

Last intercourse 9 months ago diarrhea, stooling 4-5 times a day loose or watery 20 y.o denies blood in her stools Right Lower Quadrant Pain, RLQ pain denies pain w/ urination no appetite last menses was 2 weeks ago pain started suddenly about 8-10 hours ago F

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: 20 yo F c/o abdominal pain onset: 8-10 hrs ago, right lower quadrant, dull and achy and cramping pain, no radiation, 5/10 severity, constant progressive pain, no precipitating factor worse with walking, better with ibuprofen but now doesn't work no nausea, no vomiting, no fever sense, diarrhea (+) since 2-3 days ago, brownish non bloody stool PMHx: none no surgery history, no allergies, no hospitalization, no recent travel history, no ill contact FMHx: none SHx: student, no smoking, social alcohol drinking, no recreational drug, currently not sexually active since 9 MA OBGY: LMP 2 weeks ago, regular period, no pain between periods, no STD history, no pregnancy history

not sexually active diarrhea (+) since 2-3 days ago 20 yo non bloody stool abdominal pain right lower quadrant LMP 2 weeks ago onset: 8-10 hrs ago F

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 20 year old female with RLQ abdominal pain. Patient reprot that pain started 8-10 hours a go. It woke her up from sleep. She have similar symptoms before 3-4 times each month over the last 6month. She describes the pain as dull ache pain. She reprot walking make her symptoms worse. She denies fever, chills, trauma, urinary symptoms. She reprot having brown color diarrhea. She had similar diarrhea before. Allergy: Med: Family history: both family are health Social history: she is sexual active with one pattern. She does not smoke or or do illicity drugs. She drink occasional on the weekend. LMP 2 weeks a go.

similar diarrhea before 20 year old similar symptoms over the last 6month RLQ abdominal pain denies urinary symptoms LMP 2 weeks a go started 8-10 hours a go female

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: Ms. Suzanne Powelton is a 20 y/o F who presents with abdominal pain. Patient notes RLQ pain that started 8-10 days ago, constant, dull, achy cramping pain. No precipitating events. No radiation of pain. 5/10 severity. Pain is worse with walking; Ibrofen no longer helps with pain. No fever, chills, nausea, or vomiting. No recent illness. ROS: low appetite, as noted in HPI PMH: No history of STDs/STIs. PSH: none OB hx: Last menstural period 2 weeks ago. 28 day cycle, 4 day duration, regular Meds: none Allergies: none Family hx: none Social hx: No smoking, EtOH, drugs. Occupation: student, studying biology/pre-med. Sexually active with male partner, use condoms.

20 y/o abdominal pain RLQ pain low appetite Last menstural period 2 weeks ago started 8-10 days ago F

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: 20 yo F comes with pain in LLQ for the last 8-10 hours. Pain is constant ,crampy, non radiating ,achy ,5/10 , relived by ibuprofen and aggravated by walking . h/o similar pains for last 6 months. she has been having diarrhea for 2 days with 4-5 episodes per day. the stool is watery brown with no blood in it. h/o diarrhea multiple episodes in the past also. no h/o painful joint fever rash . c/o no appetite fr 1 day and weight loss (undocumented).no nausea or vomiting. pain and diarrhea r not related to food. no changes in urination. ROS: as above PMH: noncontributory FH: noncontributory OBGYN: LMP 2 wks ago menstrual cycle regular with crampy pain during menstruation. no c/o discharge SS: non smoker occasional alcohol drinks no illicit drug use. had sexual intercourse 9 months ago. always use condoms.

no c/o discharge weight loss had sexual intercourse 9 months ago diarrhea, stool is watery brown, diarrhea multiple episodes, diarrhea 20 yo stool no blood similar pains for last 6 months no changes in urination no appetite LMP 2 wks ago pain last 8-10 hours F

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:20 y old female presented with complains of rlq abdominal pain. pain started about 8-10 hours ago. it is dull aching crampy in nature, 5/10 on intensity, has been bcoming worse and is constant in nature. ibuprofen relives it mildly and walking makes it worst. she also had 4/5 episodes of episodes of diarrhea per day starting from 2/3 days back. stools are loose and watery and do not contain blood. ros: denies nausea vomiting, denies loc, dizziness, denies any urinary complains. no ill contacts rcently. no history of travel. pmh: none allergies: nkda meds: ibuprofen psh: none occupation: student sh: occasional etoh twice a month, no smoking, no recreational drugs obgyn: lmp 2 weeks ago, regular cycles(28 days, last for 4 days, normal flow). last sexually active 9 months ago. G0P0

last sexually active 9 months ago diarrhea 20 y stools do not contain blood rlq abdominal pain denies any urinary complains lmp 2 weeks ago started about 8-10 hours ago female

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: 20 yo, f, presents with abdominal pain since 8-10 Hours ago, pain was on the RLQ, dull and crampy in nature, non radiating, constant, getting worse, alliviated with Ibuprofen, exacerbated with walking, pain is 5/10 in severity, accompanied with Diarrhea, 4-5 times in the last few days, which was loose and watery, no blood noticed, patient reports cloths to be loose, patient reports decrease in appetite, exercises regularly, 2-3 times per week, regular diet. OBGYN: LMP= 2 weeks ago, regular and lasted for 4 days with a 28 day cycle, have never had any previous pregnancies. PMH: healthy. PSH: non. Allergies: non. SH: drinks alcohol once every 2 months, does not smoke, does not use illicit drugs. occupation: student.

cloths to be loose Diarrhea 20 yo Diarrhea no blood pain RLQ decrease in appetite LMP= 2 weeks ago since 8-10 Hours ago f

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: 20 ye F presenting to ED with abdominal pain that began 8-10 hours ago. no precepitating events. has been constant and progressively worsening. it is dull. achy, and crampy rated 5/10. does not radiate similar episodes 3-4x over past 6 months lasting only a cuople hours in duration. worse with walking. improved with Ibuprofen. associated with diarrhea. denies recent flu, fever/chills, chest pain, sob, problems with urination. PMH/surgeries: none Meds: Ibuprofen for this pain Allergies: NKDA OB/GYn: last sexually active 9 months prior with partner, condoms for protection, LMP 2 weeks ago and is regular, no previous pregnancies

last sexually active 9 months prior associated with diarrhea 20 ye similar episodes 3-4x over past 6 months denies problems with urination LMP 2 weeks ago abdominal pain that began 8-10 hours ago F

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 20 year old F who presents complaining of right lower abdominal pain for the past 8-10 hours. The pain is described as dull/achey; patient unable to quanitfy 1-10 how bad it is but states that here has been minimal improvement with Ibuprofen. No exacerabting factors. She has had 3-4 similar episodes of pain over the past 6 months but states this is the worst it's been. She reports her last LNMP was 2 weeks ago. Has regular 28 day cycles. 4-5 pads/tampons first day of period which gradually tapers off over a few days. No previous cramping history with periods. Denies vaginal pain, discharge, bleeding. No STD history. Last sexually active 9 months ago. ROS: as above and negative for chills, fever, nausea, vomiting, . Positive for diarrhea for 2 days. Positive for loss of appetite -No PMHx/PSHx. No medications other than PRN Ibuprofen -alcohol twice a month. No tobacco or drug use.

Denies discharge Last sexually active 9 months ago diarrhea for 2 days 20 year old 3-4 similar episodes of pain over the past 6 months right lower abdominal pain loss of appetite LNMP was 2 weeks ago past 8-10 hours F

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: patinet is a 20 yO f COMPLANING OF rlq ABDOMINAL PAIN THAT STARTED 8-10 HOURS AGO, the pain is 5/10 in intensity, dull/aching in nature, nonradiating, gets worse with walking, partially relieved by ibuprofen, it is associated with diahrrea 4-5 times a day, no pain or tenesmus. had similar pain before. No nausea or vomitting, no jaundice or heart burn. She hasn't noticed any hotness and hasn't been in contact with anyone ill. She feels like she has lost weight, and has a reduced appetite. Her LMP was 2 weeks ago, every 4 days lasting 4 days. no change in menstrual flow, no dysmenorrhea or vaginal discharge. ROS: negative except as above. PMH: negative Allergies: NKDA. Medications: ibuprofen, PSH: none. FH: negative SH: last sexually active 9 months ago withprevious partner, uses condoms, previously tested for STDs but were negative, NO tobacoo, EtOH, or illicit drugs.

no vaginal discharge lost weight last sexually active 9 months ago associated with diahrrea 20 yO similar pain before rlq ABDOMINAL PAIN reduced appetite LMP was 2 weeks ago STARTED 8-10 HOURS f

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: 20 y/o F presenting with lower RUQ pain. Pain started 8-10 hours ago, in bed, 5/10, dull, achy, was sleeping, worse with walking, better with ibuprofen. Reports watery diarrhea for past 3 days, brown, no blood in stool. Can drink water, cannot eat since pain started last night. No fever, chills, leg pain, N/V, vaginal discharge, constipation. PMHx - none, NKDA, takes ibuprofen for pain, no other meds, No surgeries, trauma, accidents, hospitaliations, FHx - noncontributory, OB/GYN - LMP 2 weeks ago, 28 between, 4 days. Sexual - sexually active 1 partner, male, last 9 mos ago, use condoms, no STI, HIV history Social - uses alcohol 2x/mo - 1 beer socially, no tobacco, rec drug use

No vaginal discharge sexually active last 9 mos ago diarrhea 20 y/o no blood in stool cannot eat LMP 2 weeks ago started 8-10 hours ago F

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 20 yo female who presents with constant, achy, 5/10 right lower quadrant pain of 8 hours duration. This pain woke her from sleep and she does not define a clear trigger.The patient has also been having diarrhea and anorexia associated with this episode of pain. Ibuprofen has helped alleviate the pain. Walking exacerbates the pain. She has had 3-4 similar episodes in the past 6 months that have not been as painful. She denies nausea, vomiting, fevers, and chills. ROS: Negative except for above Allergies: None Medications: Occasionally ibuprofen for pain. PMH: None FHx: None, parents are both healthy Surgical history: None Social history: Never smoked. Drinkings about 2 beers twice a month. No other drugs. Reports last being sexually active 9 months ago.

last being sexually active 9 months ago diarrhea 20 yo 3-4 similar episodes in the past 6 months right lower quadrant pain anorexia pain of 8 hours duration female

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: Suzanne Powelton is 20 yo F w/ chief complain of "Abdominal pain." Pain is located in RLQ. Started 8-10 hrs ago while she was sleeping. Describes pain as "dull, achy, like bad cramp." Pain is constant and does not radiate. Describes as low-moderate pain 5/10. Ibuprofen helps with pain a little but not enough. Walking makes the pain worse. Her menstraul periods are normal, last one was 2 weeks ago. She describes menstrual pain as moderate and denies having heavy menstrual cycles. She has had pain similar to this 3-4 times over last 6 months and pain usually last a couple hours and goes away. Denies irregular bleeding. Denies N/V or fever. Denies any allergies, meds, PMH, PSH, and PFH. Social: Student studing biology and pre-med. Likes going for coffee and movies. Sexual Hx: Not sexually active in 9 months. Last STD test was 1 year ago and was negative. Alcohol: drinks socially a 'couple' times/month Tobacco and Drug use: denies

Not sexually active in 9 months 20 yo has had pain similar to this 3-4 times over last 6 months Pain is located in RLQ menstraul periods 2 weeks ago Started 8-10 hrs ago F

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: RLQ pain for 8-10 hours HPI: patient is a 20 year old female who presents with right lower quadrant abdominal pain for the last 10 hours. She states it is dull and achy and does not radiate. This pain has occurred 3 to 4 times in the past 6 months and resolved iwthout intervention. Ibuprofen helps a little, while walking makes it worse. She also notes watery diarrhea without blood occuring 4-5 times in the last couple of days, as well as a loss of appetite and loose-fitting clothing. She denies any recent trauma, fever or constipation. ROS: negative except as above PMH: no medical conditions Medications: ibuprofen Allergies: none Surgeries: none OB/GYN: G0P0, first period age 13, last period 2 weeks ago, periods regular SH: works as a student, drinks a beer 2x/month, no tobacco or recreational drug use, last sexually active 9 months ago, uses condoms every time FH: no medical conditions run in family, mom and dad healthy

loose-fitting clothing last sexually active 9 months ago diarrhea in the last couple of days 20 year old diarrhea without blood occurred 3 to 4 times in the past 6 months RLQ pain, right lower quadrant abdominal pain loss of appetite last period 2 weeks ago 8-10 hours, for the last 10 hours female

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: 20YO F WITH ACUTE ONSET OF RLQ ABDOMINAL PAIN STARTED 8-10HOURS AGO. *PAIN IS DESCRIBES AS DULL, ACHE, CONSTANT, NO RADIATION, WORSENING, AND 5/10 INENSITY. * RECENT ONSET OF WATERY BROWN DIARRHEA, 4-5 BM/DAY, AND URGENCY. *SHE REPORTS SHE HAD SIMILAR PAIN 3-4 EPISODES IN THE PAST 06 MONTHS. *UNINTENTIONAL SUBJECTIVE WT LOSS, POOR APPETITE. DENIES: CHILLS, SWOLLEN GLANDS, N/V, PRIOR CONSTIPATION, BLOOD IN DIARRHEA, TENESMUS, TREMORS. ROS: NEG EXCEPT AS ABOVE. ALL: NKDA, MED: IBUPROFEN PMh: AS PER HPI PSH: NONE FH: NC. SH: DENIES TOXIC HABITS BESIDE OCCASIONAL ETOH, SEXUALLY ACTIVE, REGULAR USE OF CONDOMS. LMP: 2WK, REGULAR.

WT LOSS DIARRHEA 20YO DENIES BLOOD IN DIARRHEA SIMILAR PAIN 3-4 EPISODES IN THE PAST 06 MONTHS RLQ ABDOMINAL PAIN POOR APPETITE LMP: 2WK, REGULAR STARTED 8-10HOURS AGO F

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: 20 yo female presents with acute crampy RLQ abdominal pain that began 8-10 hours ago. Endorses history of similar pain in the past however, this time pain is more severe and is lasting longer. Previously pain would subside in 2-3 hours. Described as a constant crampy pain of 5/10. Endorses 2 episodes of diarrhea today. Denies changes in urination, recent sexual partners, nausea, vomitting, mouth ulcers, night sweats, chills, fever. ObGyn: LMP 2 weeks ago. Started mensis at age 13. Cycles are regular 28 days for 4 days with mild cramping requiring at max 4 tampons. Not currently sexually active. Last partner was 9 months ago. Had negative STI testing since. PMHx and PSurgHx: none Meds: none Allergies: NKA FH: healthy SH: currently a full time student studying biology. Denies tobacco or recreational drug use. EtOH 1-2 x/month socially.

Denies recent sexual partners, Not currently sexually active, Last partner was 9 months ago diarrhea today 20 yo similar pain in the past RLQ abdominal pain Denies changes in urination LMP 2 weeks ago pain that began 8-10 hours ago female

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: 20 yo female presents with RLQ abdominal pain. Nonradiating. Dull and constant pain for the past 8-10 hours. Ibuprofen does not help. Walking makes the pain worse. 3-4 previous peisodes in the past 6 months that resolved spontaneously. Associated with watery diarrhea without blood or mucus. Decrease in appetite. Potential weight loss with clothes fitting looser. No recent travel, sick contacts, or eating bad food. ROS: denies fever, chills, SOB, nausea, vomiting, chest pain, numbness, tingling, changes in urinary habits, back pain PMHx: none Surg hx: none Meds: ibuprofen Allergies: none Ob/gyn: LMP 2 weeks ago, 28 day cycle, lasts 4 days, uses 4 tampons FH: none SH: Family lives far away, denies tobacco and recreational drug use, drinks 2x per month Sex hx: sexual active, last time was 9 months ago, uses condoms consistently

Potential weight loss, clothes fitting looser sexual active, last time was 9 months ago diarrhea 20 yo diarrhea without blood 3-4 previous peisodes in the past 6 months RLQ abdominal pain denies changes in urinary habits Decrease in appetite LMP 2 weeks ago pain for the past 8-10 hours female

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: 20 yo F came the the ED c/o RLQ abdominal pain for 8 hours today. The pain was sudden, dull and achy in nature, and 5/10. Pain does not radiate, she took Ibuprofen with minimal relief and nothing makes it worse. She has had similar episodes in the past but this time it is the worst. Reports diarrhea since yesterday, brown watery without blood. Also reports decresed appetitie and some weight loss. Denies any nausea, vomiting, or changes in urinary habits. LMP 2 weeks ago, normal flow and menstrual cycles, 4 weeks / 4 days. ROS as per HPI PMH none, Meds: Ibuprofen, NKDA PSH none FH noncontributory SH: Pre-med college student, sexually active no histroy of STDs. No smoking, occasional EtOH. No illicit drug use.

weight loss diarrhea since yesterday 20 yo diarrhea without blood similar episodes in the past RLQ abdominal pain Denies changes in urinary habits decresed appetitie LMP 2 weeks ago for 8 hours pain was sudden F

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: 20yo F is complaining of an achy bad crampy pain in the lower right quadrent. The pain is constant, does not radiate and began suddenly. The worsening pain is 5/10 and started 8-10hrs ago. 5/10 pain. She was asleep when it happened and the pain woke her up. This pain has occurred 3-4x in the past month. She does not feel better with Ibprofen use (3 tablets/day 200mg), and she feels worse with walking. She noticed some weight loss with clothes feeling looser. She reports loose, watery, brown diarrhea a couple days ago. She hasn't felt hungry today and her last meal was last night. LMP 2 weeks ago, regular, no discharge. Denies changes in urination, redness, swelling, rashes, constipation. SHx: Studies biology in college, drinking EtOH 2x/mo, no tobacco, under stress with exams coming, and drinks 4-5cups/day of coffee. No rec drugs. SexHx: Last sexually active 9mo ago but broke up with boyfriend. No Hx of STI PMH, FHx non contributory

weight loss, clothes feeling looser Last sexually active 9mo ago diarrhea 20yo pain has occurred 3-4x in the past month pain in the lower right quadrent "hasnt felt hungry" LMP 2 weeks ago started 8-10hrs ago F

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: Suzanne Powelton is an otherwise healthy 20 y.o. female presenting to the ED with RLQ abdominal pain. The pain awoke her from sleep 8-10 hours ago. It is a 5/10, dull and achey, nonradiating pain. The pain has progressed since onset and was not relieved with ibuprofen. She has had diarrhea for 2 days and anorexia since last night. She has not eaten since last night. She has had episodes of similar but less severe pain 3-4 times in the last 6 months, lasting about 2 hours and then self-resolving. She has also had intermittent nonbloody diarrhea in the last 6 months, sometimes with the pain. She denies nausea, vomiting, dysuria, urinary frequency, vaginal discharge, vaginal bleeding. LMP was 2 weeks ago. Past medical history: none Meds: ibuprofen NKDA Social: Never smoker. Drinks 1-2 beers socially twice per month. No drug use. Last sexual activity 9 months ago with male partner. No history of STI. Family history: none significant

denies vaginal discharge Last sexual activity 9 months ago diarrhea, diarrhea 20 y.o nonbloody diarrhea pain 3-4 times in the last 6 months RLQ abdominal pain denies dysuria, denies urinary frequency anorexia LMP was 2 weeks ago 8-10 hours ago female

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: 20 YO F, C/O RLQ PAIN, PAIN IS ACUTE AND PROGRESSIVE STARTED 8-10 H AGO, DULL AND ACHING IN CHARACTER WAS 4/10 AND PROGRESSED TO 5/10 IN INTENSITY. PAIN IS INCREASED WITH WALKING AND PARTIALLY RELIVED WITH IBUPROFEN. PATIENT ALSO COMPLAINS OF DIARRHEA STARTED 2 DAYS AGO, 4-5 BOWEL MOVEMENTS/DAY (VS PREVIOUS 2-3/DAY) DIARRHEA IS MODERATE IN AMOUNT, NONBLOUDY, NO MUCOID, WATERY BROWN DIARRHEA. PATIENT DENIES ANY FEVER, CHILLS, NAUSEA OR VOMITING BUT METIONS A POOR APPETITE SINCE YESTERDA (LAST MEAL WAS DINNER).DENIES ANY VAGINAL DISCHARGE, DISURA, OR HX OF KIDNEY STONES ROS (-) EXCEPT AS ABOVE OBGYN: MENARCH 13 Y, REGULAR MENSES 4 DAYS/28 MODERATE FLOW(4 TAMPONS/DAY), NO STD HX PMH/PSH: NEGATIVE MEDICATIONS: IBUPROFEN FH: BOTH PARENTS ARE HEALTHY SEXUAL: ACTIVE LAST INTERCOURSE WAS 9 MONTHS AGO WITH BOYFIRNED, ACTIVE WITH MEN ONLY, CONSISTENT USE OF CONDOMNS SOCIAL: STUDENT, NONSMOKER, ETOH 2 S/MONTH, NO RECREATIONAL DRUG USE

DENIES ANY VAGINAL DISCHARGE LAST INTERCOURSE WAS 9 MONTHS AGO DIARRHEA STARTED 2 DAYS AGO 20 YO DIARRHEA NONBLOUDY RLQ PAIN DENIES DISURA POOR APPETITE PAIN IS ACUTE STARTED 8-10 H AGO F

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: 20 yo F without significant PMH presenting with RLQ abdominal pain, which started 8-10 hours ago. First noticed it when she was sleeping. Rated at 5/10 for pain. No radiation. Pain has been localized at RLQ and has noted it has gotten worse overnight. Walking makes it worse. Ibuprofen with minor help. Has had 3-4 similar episodes in the past 6 months. Some of which have had diarrhea (4-5x/day). No association with foods. Does report decreased appetite since last night. Denies blood or tarry black stools. ROS: denies headaches, n/v, vision changes, recent illnesses PMH: none or in HPI Surgical: none Meds: ibuprofen for pain All: none FH: noncontributory; healthy family Social: student, lives alone; non-smoker, 2 drinks of alcohol/month. Not sexually active; last partner 9 mo ago. consistent condom use; no hx of STDs

Not sexually active diarrhea 20 yo Denies black stools, Denies blood stools 3-4 similar episodes in the past 6 months RLQ abdominal pain, Pain RLQ decreased appetite started 8-10 hours ago F

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: 20 year old female complains of a dull, achy pain in the RLQ. Onset of 8-10 hours ago which woke her up from sleep. She rates it a 5/10 in intensity, and has progressively gotten worse since the pain began. No radiation of the pain, ibuprofen tends to alleviate the pain, while walking makes it worse. Denies vomiting, but states that she has had diarrhea without blood for the last 3 days. Patient has had similar episodes to this over the last 6 months, but has progressively gotten worse every time. Last sexual encounter was 9 months ago, and has never had a pap smear Ob/Gyn: LMP 2 weeks ago, 28 day cycles, 4 days each. Menarche at age 13. ROS: Negative except as above Allergoes: None Meds: ibuprofen PMH: None PSH: None SH: Student in school, drinks alcohol socially, denies illicit drug use and tobacco use FH: Noncontributory

Last sexual encounter was 9 months ago diarrhea for the last 3 days 20 year old diarrhea without blood similar episodes to this over the last 6 months pain in the RLQ LMP 2 weeks ago pain Onset of 8-10 hours ago female

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: Suzanne Powelton is a 20 year old female who presents with RLQ abdominal pain. This has been bothering her for the past 8-10 hours. She has had 3-4 similar episodes in the last 6 months that remitted on their own. She describes a dull aching pain in the right lower quadrant that does not move. She also has had several bouts of watery, non-bloody diarrhea lasting a few days in the past 6 months, not associated with her abdominal pain. Bowel movements do not relieve the pain. Menarche was at age 13 and she has regular menstrual cycles, the last being 2 weeks ago. It was not abnormal for her, and the abdominal pain is not associated with menses. No recent travel or hiking. No unual foods eaten. Vaccines up to date. Med Hx: none Surg Hx: none Meds: none Fam Hx: Parents in good health Allergies: NKA Soc Hx: Last sexual activity 9 months ago. NO smoking. Occassional alcohol. No illicit drug use.

Last sexual activity 9 months ago diarrhea lasting a few days in the past 6 months 20 year old non-bloody diarrhea 3-4 similar episodes in the last 6 months RLQ abdominal pain, pain right lower quadrant menstrual cycles 2 weeks ago not abnormal past 8-10 hours female

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: HOPI: A 20 yo F c/o constant right lower quadrant pain, started 8-10 hours ago while sleeping , dull,achy and crampy in quality, 5/10 in intensity, non radiating, tried ibuprufe, not very relieved, walking exacerbates the pain. She also complains of being nauseated, but denies vomiting. She has been having diarrhoea for the past 4-5 days, with 4-5 stools/day, watery brown, no blood or pus or peculiar odor to it. She has been noticing unintenttional weight loss for past coupkle of months, no change in appetite. She denies any ill ciontacts, recent travel, or food association to diarrhoea. She denies LOC, fever, dizziness, cold/heat intolerance. ROS:negative except as above PMH/PSH:none ALLERGY: NKDA MEDS:Ibuprufen OBS/GYN: LMP 2 weeks ago, Menarche 13 yrs. Regular cycles, no dysmenorrhoea. FH:Noncontributory SH: Sjhe is a student, occasional alcohol 2/month. Denies smoking or illicit drug use. ! sexual partner last year, usues con

weight loss sexual partner last year diarrhoea for the past 4-5 days 20 yo diarrhoea f no blood right lower quadrant pain LMP 2 weeks ago pain, started 8-10 hours ago F

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: 20 y/o f c/o RLQ PAIN X8-10 HOURS AGO. STARTED SUDDENLY WHEN THE PATIENT WAS SLEEPING(WOKE HER UP), IS DULL ACHY IN NATURE, 5/10 IN INTENSITY, NON RADIATING, AGGRAVATED BY MOVEMENT AND NO RELIEVING FACTORS. SHE ALSO HAS HAD DIARRHEA FOR FEW DAYS WHICH IS WATERY SHE HAD 4-5 BOEWL MOVEMENTS IN A DAY USUALLY HAD 1-2 PER DAY, NO BLOOD OR FOUL ODOR IN STOOLS. SHE ALSO FEELS LIKE SHE HAS LOST WEIGHT THOUGH DIDN'T DOCUMENT IT. SHE HAS DECREASED APPETITE SINCE YESTERDAY NIGHT. PATIENT DENIES ANY NAUSEA/VOMITING, PREVIOUS STI'S, URINARY CHANGES, BURNING MICTURITION, PALPITATIONS, COUGH, SOB, CHEST PAIN, TRAUMA TO ABDOMEN. ROS-NEGATIVE EXCEPT ABOVE PMH/PSH/MEDS/ALLERGIES-NONE FH-N/C SH-DRINKS ALCOHOL OCCASIONALLY, NO TOBACCO/ILLICIT DRUG USE, LAST TIME SEXUALLY ACTIVE WAS WITH PARTNER 9 MONTHS AGO/NO PREVIOUS STI'S

LOST WEIGHT 9 MONTHS AGO LAST TIME SEXUALLY ACTIVE DIARRHEA FOR FEW DAYS 20 y/o NO BLOOD IN STOOLS RLQ PAIN DENIES URINARY CHANGES, DENIES BURNING MICTURITION DECREASED APPETITE 8-10 HOURS AGO STARTED SUDDENLY f

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 patient is Suzanne Powelton, 20 yo female coming in for abdominal pain. The patient has right lower quadrant pain described as dull, aching, 5/10 in severity, non-radiating that started 8-10 hours ago and has prgressively worsened. Pain is associated with anorexia and is partially relieved by ibuprofen and aggravated by walking. She has also been having diarrhea in the past 2 days with soft, watery, non-bloody stools. No fever. ROS: No headache, cough, nausea, vomiting, dysuria, bloody urine, urinary changes, menstrual changes, DOB, chest pain PMH: none Allergies: none Medications: none FMH: none PSH: Patient does not smoke, drinks alcohol occasionally 2x/month, does not use illicit drugs; She does pilates and walking 2x/week. She is a student. Gyne: LMP 2 weeks ago, occuring every 28 days, lasting 4 days, 4ppd. No Pap smear in the past, no STI.

diarrhea in the past 2 days, soft, watery stools 20 yo non-bloody stools right lower quadrant pain No dysuria, No bloody urine, No urinary changes anorexia LMP 2 weeks ago started 8-10 hours ago female

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: 20 yo F c/o RLQ pain for past 10 hrs. 5/10, constant, no radiation, progressively woresening, dull and achy in nature. Similar sx for 3-4 episodes in the past 6 months. Allev. with ibuprofen, aggrav. with walking. Pos for diarrhea for past couple of days. No mucus in diarrhea. Abd pain not alleviated with defecation. Pos for weight loss (recently pants feel loose) and loss of appetite. Neg for fever, chills, nausea, vomiting, jaundice, constipation. LMP was 2 wks ago. last sexual intercourse was 9 months ago. PMH: None NKDA. Meds: ibuprofen no h/o hospitalizations, injuries, and surgery. FH: parents both alive and well. non-contributory. OBGYN: LMP 2wks ago. 0G0P Sexually active with only men. last sexual intercourse was 9 months ago. SH: student. EtOH+ (2 times/month), Tobacco -, recreational drugs -

weight loss, pants feel loose last sexual intercourse was 9 months ago, last sexual intercourse was 9 months ago diarrhea for past couple of days 20 yo Similar sx past 6 months RLQ pain loss of appetite LMP was 2 wks ago, LMP 2wks ago 10 hrs F