Datasets:

AinaTersol-SignalPET

/

previous_cycle_flow_artifacts__dataset

like 0

{'patient': {'bday': '2011-06-04', 'name': 'Tomlin^Juno^^^', 'breed': 'Manx', 'owner': 'Cassandra', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Richman Animal Clinic', 'email': '[email protected]', 'clinician': 'Richman Animal Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'History of chronic intermittent anorexia, vomiting and weight loss. Previous DVM concerned about primary GI disease. Patient is on ~2mg Prednisolone daily from previous DVM. Besides muscle wasting, PE unremarkable. Concern for possible pulmonary nodule in caudo-dorsal lung field. ', 'questions': 'n/a'}}

{'tags': {'userTags': ['expert'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1006, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - TID/CID with spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 430, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Renal - SKD, RMN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 730, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Neoplasia - Possible TMS', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1106, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 92.754, 'consult_name': 'Intestines - Normal, no cause for GI signs, old/ very sick, poss pancreatitis', 'diagnosis_custom_text': 'Given the normal appearance of the GI tract and clinical history provided, clinical signs are most consistent with a systemic illness, possibly pancreatitis. Severe gastroenteritis due to infectious conditions, inflammatory, toxin or dietary indiscretion can be considered. Other differentials may include chronic enteritis, IBD or neoplastic etiology.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': ' Supportive care is recommended. Correlate with a minimum database including blood work, urinalysis, testing for pancreatitis and a gastrointestinal panel. Follow-up imaging with abdominal ultrasound or serial radiographs to rule out gastroenteritis, dietary indiscretion, pancreatitis or a systemic illness causing secondary GI signs.', 'recommendation_custom_fields': None}], 'signals': [{'id': 140, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 698, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Cachexia'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-mineralization', 'custom_fields': {'___s1_': ['left']}}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 798, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-small', 'custom_fields': {'___s1_': ['left']}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': {'___s1_': ['round', 'ill defined'], '___s2_': ['caudodorsal']}}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L5-L6', 'L7-S1']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'internal_notes': '', 'recommendations': [], 'report_findings': 'Thorax\nThere is a round and ill defined mass noted in the caudodorsal thorax. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is increased opacity noted over the silhouette of the left kidney. The left kidney measures below normal range. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at L5-L6 and L7-S1. There is spondylosis deformans noted in the lumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp'}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat'}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass'}, {'id': 2558, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bulla'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2563, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node'}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': 'Conclusions:\nStructure identified in the thorax suspicious for pulmonary mass. Overlying soft tissue structures cannot be completely ruled out.\nGiven the normal appearance of the GI tract and clinical history provided, clinical signs are most consistent with a systemic illness, possibly pancreatitis. Severe gastroenteritis due to infectious conditions, inflammatory, toxin or dietary indiscretion can be considered. Other differentials may include chronic enteritis, IBD or neoplastic etiology.\nThe small kidney and mineralization may indicate chronic renal disease.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\n\nRecommendations:\nConsider CT scan and/or additional radiographic views for further investigation of the structure identified in the thorax. Otherwise, recheck radiographs can be performed to monitor for progression.\nSupportive care is recommended. Correlate with a minimum database including blood work, urinalysis, testing for pancreatitis and a gastrointestinal panel. Follow-up imaging with abdominal ultrasound or serial radiographs to rule out gastroenteritis, dietary indiscretion, pancreatitis or a systemic illness causing secondary GI signs.\nCorrelate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation of the kidney(s).\nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.'}

{'bday': '2011-06-04', 'name': 'Tomlin^Juno^^^', 'breed': 'Manx', 'owner': 'Cassandra', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Richman Animal Clinic', 'email': '[email protected]', 'clinician': 'Richman Animal Clinic'}

History of chronic intermittent anorexia, vomiting and weight loss. Previous DVM concerned about primary GI disease. Patient is on ~2mg Prednisolone daily from previous DVM. Besides muscle wasting, PE unremarkable. Concern for possible pulmonary nodule in caudo-dorsal lung field.

expert

['Respiratory-area', 'Gastrointestinal-area']

['Losing weight', 'Vomiting', 'Anorexia', 'Cachexia', 'Feline']

[]

[140, 256, 606, 698, 2327]

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{'patient': {'bday': '2012-01-12', 'name': 'Juneau^Mika', 'breed': 'DSH', 'owner': 'Juneau^', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Morgan Animal Hospital ', 'email': '[email protected]', 'clinician': 'Morgan Animal Hospital'}, 'accept_tos': '1', 'consult_info': {'case_info': 'having episodes intermittently of coughing, was sneezing intermittently as well, for the past 3 months, not all the time, about once every 1 to 2 weeks, energy norma, eating/drinking normally, indoor only, on SD dry kibble and some can food daily\r\ndrining/urinating normally, no vomiting or diarrhea. Some increase effort when breathing while here.auscult-mild incr BV lung sounds, heart sounds normal.', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 195, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': None, 'consult_name': 'Visible spleen', 'custom_fields': None}, {'id': 294, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'Bronchial plugging', 'custom_fields': None}, {'id': 312, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'Multiple masses', 'custom_fields': None}, {'id': 332, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Pleural fluid', 'custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 76, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Diarrhea-c'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lethargic/tired'}, {'id': 230, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Sneezing'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 2175, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart-Murmur'}, {'id': 2470, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Lung sounds'}, {'id': 2535, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'eating-normally'}], 'findings': [{'id': 6, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'lung-pleural-effusion', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 715, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'lung-pulmonary-pattern', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1937, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'spleen-visible', 'custom_fields': None}, {'id': 2141, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There are multiple massed noted in the thorax. ', 'elapsedTime': 27.721, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'mediastinal-shift', 'custom_fields': {'___s1_': ['right']}}, {'id': 2279, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['alveolar']}}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}], 'recommendations': [], 'report_findings': 'Thorax\n* There is a mediastinal shift with the heart displaced to the right.\n* A bronchial pattern is present. \n* There is increased opacity in the cranioventral lung field, characterized as a alveolar pattern. \n* There are multiple massed noted in the thorax. \n* There is evidence of fluid in the pleural space.\n* The diaphragm is unremarkable. \n\nAbdomen\n* The spleen is visualized in the cranioventral abdomen.\n* The stomach is empty. \n* The visualized kidneys are within normal limits. \n\nMusculoskeletal\n* No appendicular fractures are noted. \n* No evidence of rib fracture is observed.\n* No aggressive osseous lesions identified.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1937, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'mediastinal-shift'}], 'report_conclusions': '* Given the increased opacity in the lungs and the presence of a bronchial pattern, bronchial plugging with secondary lung lobe collapse should be considered. Chronic bronchitis due to allergies or chronic bacterial infection should also be considered. \n - Correlate with clinical history and/or additional diagnostics and consider medical management.\n* Multiple pulmonary masses. Differentials may include primary neoplasia, metastatic neoplasia, infectious causes, or granulomas. \n - CT scan and additional diagnostics could be considered for a more definitive diagnosis. \n* Pleural effusion. Rule out chylothorax, pyothorax, neoplastic exudate, or other causes.\n - Consider therapeutic thoracocentesis and obtaining a sample for fluid analysis and cytology.\n* Visualization of the spleen may be normal variation or due to infiltrative disease such as lymphosarcoma, mast cell neoplasia, or other. \n - Consider abdominal ultrasound for further investigation.'}

{'bday': '2012-01-12', 'name': 'Juneau^Mika', 'breed': 'DSH', 'owner': 'Juneau^', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Morgan Animal Hospital ', 'email': '[email protected]', 'clinician': 'Morgan Animal Hospital'}

having episodes intermittently of coughing, was sneezing intermittently as well, for the past 3 months, not all the time, about once every 1 to 2 weeks, energy norma, eating/drinking normally, indoor only, on SD dry kibble and some can food daily drining/urinating normally, no vomiting or diarrhea. Some increase effort when breathing while here.auscult-mild incr BV lung sounds, heart sounds normal.

expert

['Respiratory-area']

['Coughing', 'Sneezing', 'Lung sounds']

['Diarrhea', 'Lethargic/tired', 'Vomiting', 'Heart Murmur', 'Eating normally']

[69, 230, 2470]

[76, 131, 256, 2175, 2535]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-04-28', 'name': 'Reuter^Whitlow^^^', 'breed': 'Labradoodle', 'owner': 'Reuter', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Town and Country Animal Hospital - Fairfax', 'email': '[email protected]', 'clinician': 'tnc9836'}, 'accept_tos': 'true', 'consult_info': {'case_info': '4 month history of mild limping LEFT forelimb. Mostly after a long walk or after playing. goes home. lays down, then gets up and limps of a few minutes, then gets better. If not playing hard for a few days, will stop limping when she gets up. She does have mild/moderate carpal hyper-extension bilaterally.', 'questions': 'Arthritis vs soft tissue injury vs tendonitis vs DJD vs other LEFT forelimb'}}

{'tags': {'userTags': ['standard'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1030, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1039, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 410, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 134.10700000000003, 'consult_name': 'M/S GEN - enthesopathy, no lame/pain', 'diagnosis_custom_text': 'Bony outgrowth with associated soft tissue thickening on the left distal ulna, likely incidental. The study is negative for fractures, luxation/subluxation and soft tissue swelling. Soft tissue injury or tendinopathy cannot be ruled out completely at this time.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical exam for clinical significance of the described bony outgrowth. ', 'recommendation_custom_fields': None}, {'id': 1046, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Forelimb Carpus - arthritis, no lameness', 'diagnosis_custom_text': 'Mild degenerative changes in the right distal forelimb as previously described.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2185, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2341, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-chronic'}, {'id': 2346, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-forelimb'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is bony proliferation associated with the lateral aspect of the left distal ulna. ', 'signal_name': 'enthesopathy', 'custom_fields': None}, {'id': 2446, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': {'___s1_': ['right']}}], 'diagnosis': [{'id': 1515, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Joint instability - carpal'}], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'internal_notes': '', 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is bony proliferation associated with the lateral aspect of the left distal ulna. There is degenerative joint disease affecting the right carpus. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid'}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity'}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'surgical-device'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'enthesopathy'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Implant Motion/Infection'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}], 'report_conclusions': 'Conclusions:\nBony outgrowth with associated soft tissue thickening on the left distal ulna, likely incidental. The study is negative for fractures, luxation/subluxation and soft tissue swelling. Soft tissue injury or tendinopathy cannot be ruled out completely at this time.\nMild degenerative changes in the right distal forelimb as previously described.\n\nRecommendations:\nCorrelate with physical exam for clinical significance of the described bony outgrowth.\nCorrelate with orthopedic examination.'}

{'bday': '2019-04-28', 'name': 'Reuter^Whitlow^^^', 'breed': 'Labradoodle', 'owner': 'Reuter', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Town and Country Animal Hospital - Fairfax', 'email': '[email protected]', 'clinician': 'tnc9836'}

4 month history of mild limping LEFT forelimb. Mostly after a long walk or after playing. goes home. lays down, then gets up and limps of a few minutes, then gets better. If not playing hard for a few days, will stop limping when she gets up. She does have mild/moderate carpal hyper-extension bilaterally.

Arthritis vs soft tissue injury vs tendonitis vs DJD vs other LEFT forelimb

expert

['Musculoskeletal-area']

['Lameness', 'Chronic lameness', 'Forelimb lameness', 'Canine Medium/Large Breed']

[]

[2185, 2341, 2346, 2656]

[]

['Joint instability - carpal']

[]

[1515]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-10-20', 'name': 'Halse^Jameson^^^', 'breed': 'Labrador Retriever', 'owner': 'Jesse', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Signal Hill Animal Clinic', 'email': '[email protected]', 'clinician': 'Signal Hill Animal Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt was presented for extreme lethargy and experiencing difficulty standing up', 'questions': 'Lethargy '}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'empty', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1043, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}, {'id': 1053, 'state': 'empty', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 197, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Splenomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 219, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 10.764, 'consult_name': 'Peritoneal - LAD, no trauma', 'diagnosis_custom_text': 'There appears to be free fluid in the abdomen. Rule out low oncotic pressure, portal hypertension, a neoplastic effusion, abdominal hemorrhage, peritonitis, or other potential sources of the free fluid identified in the abdomen.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 363, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 9.977, 'consult_name': 'Hindlimb Hip - hip OA, lameness', 'diagnosis_custom_text': 'Degenerative changes in the hips may be contributing to the reported signs. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 880, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 13.306, 'consult_name': 'limited evaluation', 'diagnosis_custom_text': 'Limited evaluation due to image quality artifact.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Due to limited evaluation, consider additional radiographic views or advanced imaging if a more thorough evaluation is needed. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 248, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Struggling to stand'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The spleen appears prominent on the vd view.', 'elapsedTime': 12.113, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a loss of serosal detail in the abdomen. Particularly in the cranioventral abdomen on the lateral views.', 'elapsedTime': 37.341, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2520, 'source': 'labelling', 'signal_name': 'screening-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}, {'id': 2673, 'source': 'labelling', 'signal_name': 'neoplasia-musculoskeletal'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe spleen appears prominent on the vd view. There is radiopaque material within the stomach. There is a loss of serosal detail in the abdomen. Particularly in the cranioventral abdomen on the lateral views. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is degenerative changes affecting the left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}], 'report_conclusions': 'Conclusions:\nLimited evaluation due to image quality artifact.\nThere appears to be free fluid in the abdomen. Rule out low oncotic pressure, portal hypertension, a neoplastic effusion, abdominal hemorrhage, peritonitis, or other potential sources of the free fluid identified in the abdomen.\nSplenomegaly. Differentials include benign etiologies (sedation if applicable, EMH and lymphoid hyperplasia), infiltrative disease (round cell neoplasia) and infectious etiologies (ie: tick borne diseases).\nDegenerative changes in the hips may be contributing to the reported signs.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nDue to limited evaluation, consider additional radiographic views or advanced imaging if a more thorough evaluation is needed.\nFor further assessment, advise abdominocentesis analysis and cytology of the free fluid in the abdomen and abdominal ultrasound.\nConsider abdominal ultrasound to further investigate clinical significance of the enlarged spleen and if enlargement is confirmed an FNA sample is recommended to determine etiology.\nCorrelate with orthopedic examination. Consider analgesic and monitor response to therapy.'}

{'bday': '2011-10-20', 'name': 'Halse^Jameson^^^', 'breed': 'Labrador Retriever', 'owner': 'Jesse', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Signal Hill Animal Clinic', 'email': '[email protected]', 'clinician': 'Signal Hill Animal Clinic'}

Pt was presented for extreme lethargy and experiencing difficulty standing up

Lethargy

standard

['screening-area', 'Systemic-area', 'neoplasia-musculoskeletal']

['Lethargic/tired', 'Struggling to stand', 'Canine Medium/Large Breed']

[]

[131, 248, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-04-12', 'name': 'Schacht^ZEVA', 'breed': 'Yorkshire Terrier', 'owner': 'Schacht^Melanie', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'ICU'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Zeva is a 12 YO FS Biewer Terrier who was presented for having intermittent gelatinous diarrhea for the last 2 days. Pet does have a history of pancreatitis. O reports pet's eyes have had green discharge and have matted shut the the last 3 days. Pet also has a history of allergies and alternates taking Cytopoint and Apoquel. O started applying previously prescribed ear drops, pet's ear was red at home. O gave Pepto-Bismol yesterday.\r\n\r\nPet takes Metaclopramide.\r\n\r\ncPL abnormal", 'questions': "Zeva is a 12 YO FS Biewer Terrier who was presented for having intermittent gelatinous diarrhea for the last 2 days. Pet does have a history of pancreatitis. O reports pet's eyes have had green discharge and have matted shut the the last 3 days. Pet also has a history of allergies and alternates taking Cytopoint and Apoquel. O started applying previously prescribed ear drops, pet's ear was red at home. O gave Pepto-Bismol yesterday.\r\n\r\nPet takes Metaclopramide.\r\n\r\ncPL abnormal"}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1027, 'state': 'normal', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 253, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Colon - hematochezia/diarroea, normal gut', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 431, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Renal - RMN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 638, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Discharge - ocular (eye)'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is increased opacity noted over the silhouette of the left kidney. ', 'signal_name': 'kidney-mineralization', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [{'id': 1003, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hypersensitivity (allergic) skin disorder - food hypersensitivity'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2661, 'source': 'ai', 'signal_name': 'Gi signs - pancreatitis/systemic'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears enlarged. There is increased opacity noted over the silhouette of the left kidney. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2487, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-distension'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nA cause for the described clinical signs is not determined from the radiographs. Given the history, colitis due to dietary indiscretion, stress, parasite, or other cause should be considered.\nThe opacity overlying the renal silhouette is representative of renal mineralization and likely chronic renal disease.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\n\nRecommendations:\nMedical management of the clinical signs is indicated at this time. Consider fecal testing and blood work for further investigation.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for renal disease.\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necesary for a defintive diagnosis. Correlate with blood work for clinical significance.'}

{'bday': '2012-04-12', 'name': 'Schacht^ZEVA', 'breed': 'Yorkshire Terrier', 'owner': 'Schacht^Melanie', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'ICU'}

Zeva is a 12 YO FS Biewer Terrier who was presented for having intermittent gelatinous diarrhea for the last 2 days. Pet does have a history of pancreatitis. O reports pet's eyes have had green discharge and have matted shut the the last 3 days. Pet also has a history of allergies and alternates taking Cytopoint and Apoquel. O started applying previously prescribed ear drops, pet's ear was red at home. O gave Pepto-Bismol yesterday. Pet takes Metaclopramide. cPL abnormal

Zeva is a 12 YO FS Biewer Terrier who was presented for having intermittent gelatinous diarrhea for the last 2 days. Pet does have a history of pancreatitis. O reports pet's eyes have had green discharge and have matted shut the the last 3 days. Pet also has a history of allergies and alternates taking Cytopoint and Apoquel. O started applying previously prescribed ear drops, pet's ear was red at home. O gave Pepto-Bismol yesterday. Pet takes Metaclopramide. cPL abnormal

standard

['Gastrointestinal-area', 'Gi signs - pancreatitis/systemic']

['Diarrhea', 'Discharge - ocular (eye)', 'Canine Small Breed']

[]

[76, 638, 2654]

[]

['Hypersensitivity (allergic) skin disorder - food hypersensitivity']

[]

[1003]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-03-06', 'name': 'WALSH^MERLE', 'breed': 'Australian Cattle Dog', 'owner': 'WALSH^BERNIE', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Owner saw that there was a hook with bait and a 6 inch leader line that went missing. Owner thinks that patient ate it. \r\n\r\nPatient was coughing after they realized it was missing. \r\n\r\nThey then feed patient about a cup of dry kibble when they got home.\r\n\r\nAte kibble fine.', 'questions': 'neck/thorax/abdomen'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'partial', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'id': 239, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 208.815, 'consult_name': 'Gastric - Small FB', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 116.444, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The stomach contains a metallic opacity that is like a fish hook. ', 'signal_name': 'stomach-n-foreign-material', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 612, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Foreign body'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe stomach contains a metallic opacity that is like a fish hook. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'soft-tissue-swelling'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}], 'report_conclusions': 'Conclusions:\nGastric foreign body consistent with the suspected hook, which may or may not pass on its own. \nNormal thorax study, with unremarkable cardiovascular structures and clear lungs. Cannot completely rule out upper or lower respiratory pathology.\n\nRecommendations:\nSummary:\nRecommend supportive care and follow-up radiographs in 12-24 hours to monitor the passage of the gastric foreign body. Consider surgical exploration if it is suspected that the foreign body may not pass on its own or may cause significant damage as it passes through the gastrointestinal tract. Also, repeat radiographs to monitor for any development of lung or cardiovascular pathology.'}

{'bday': '2016-03-06', 'name': 'WALSH^MERLE', 'breed': 'Australian Cattle Dog', 'owner': 'WALSH^BERNIE', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}

Owner saw that there was a hook with bait and a 6 inch leader line that went missing. Owner thinks that patient ate it. Patient was coughing after they realized it was missing. They then feed patient about a cup of dry kibble when they got home. Ate kibble fine.

neck/thorax/abdomen

standard

['Gastrointestinal-area']

['Coughing', 'Canine Medium/Large Breed']

[]

[69, 2656]

[]

['Foreign body']

[]

[612]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-03-21', 'name': 'SCHMIDT-WILLIAMS^CEASER', 'breed': 'DSH', 'owner': 'SCHMIDT-WILLIAMS', 'gender': 'M', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Emergency Pet Hospital of Glendora', 'email': '[email protected]', 'clinician': 'EPHG'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Repeat radiographs, post 24 hours, NPO, supportive care.', 'questions': 'Pet appears clinically well.'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': ['right-heart-enlargement', 'lung-diffuse-parenchymal', 'pulmonary-vessel-congestion']}, 'groups': [{'id': 1005, 'state': 'partial', 'source': 'rules'}, {'id': 1023, 'state': 'partial', 'source': 'rules'}], 'consult': [], 'signals': [{'id': 201, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Re-examination/Follow-up'}, {'id': 2356, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'fasted'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 1937, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-visible', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2522, 'source': 'ai', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe spleen is visualized in the cranioventral abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}], 'report_conclusions': ''}

{'bday': '2018-03-21', 'name': 'SCHMIDT-WILLIAMS^CEASER', 'breed': 'DSH', 'owner': 'SCHMIDT-WILLIAMS', 'gender': 'M', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Emergency Pet Hospital of Glendora', 'email': '[email protected]', 'clinician': 'EPHG'}

Repeat radiographs, post 24 hours, NPO, supportive care.

Pet appears clinically well.

expert

['Systemic-area']

['Re-examination/Follow-up', 'Fasted']

[]

[201, 2356]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-03-10', 'name': 'Blackshaw^George', 'breed': 'Siamese Mix', 'owner': 'Blackshaw^Johnathan', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'clinician': 'Ira Barzelai'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for vomiting past 2 days. Normal appetite. Previously on Prednisolone for possible IBD. CBC, Chem, T4, fPL, Urinalysis pending.', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 247, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 23.808, 'consult_name': 'Intestines - Normal, no cause for GI signs', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend supportive care. Correlate with lab testing for pancreatitis. Depending on lab results, follow-up imaging, abdominal ultrasound may also be helpful to further assess gastrointestinal pattern.', 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2535, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'eating-normally'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}], 'report_conclusions': 'Conclusions:\nThe study is most compatible with gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, hemorrhagic gastroenteritis and dietary indiscretion should be considered.\n\nRecommendations:\nRecommend supportive care. Correlate with lab testing for pancreatitis. Depending on lab results, follow-up imaging, abdominal ultrasound may also be helpful to further assess gastrointestinal pattern.'}

{'bday': '2016-03-10', 'name': 'Blackshaw^George', 'breed': 'Siamese Mix', 'owner': 'Blackshaw^Johnathan', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'clinician': 'Ira Barzelai'}

Presented for vomiting past 2 days. Normal appetite. Previously on Prednisolone for possible IBD. CBC, Chem, T4, fPL, Urinalysis pending.

expert

[]

['Vomiting', 'Eating normally']

[]

[256, 2535]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-02-05', 'name': 'Kay^Frankie^^^', 'breed': 'Mixed - Small', 'owner': 'Katie Kay', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Pet Care Center Clinic Esplanade- SVP', 'email': '[email protected]', 'clinician': 'Pet Care Center Esplanade'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Acute vomiting. Started last night. Last meal 5pm 4/29/24. Not eating or drinking today. Dental was done in October 2023, where pre-op labs CBC CHEM 15 was normal. \r\nExam- Discomfort on the abdomen palpation\r\nBAR on presentation. Normal Temp. \r\nCurrent Treatment- cerenia. \r\nSQ fluids\r\nRoyal canin GI diet. ', 'questions': 'Signs of FB, Pancreatitis, Mass effect, organ enlargement?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'normal', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}], 'consult': [{'id': 197, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Splenomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 204, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Peritoneal - Summation(FP)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 390, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - LS degeneration, no neuro signs', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the reported clinical signs is indicated at this time.\xa0Correlate with a minimum database including blood work, urinalysis and testing for pancreatitis.\xa0If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further assess gastrointestinal pattern.', 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 622, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'summation-structures', 'custom_fields': {'___s1_': ['mid']}}, {'id': 2418, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lumbosacral-degeneration', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 149, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [{'id': 50, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Fluid therapy administration - subcutaneous (SC)'}, {'id': 967, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Antiemetic'}], 'report_findings': 'Abdomen\nThe spleen appears prominent. There is an increased soft tissue opacity noted in the mid abdomen suspected to be summation of structures in the region. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are degenerative changes noted at the lumbosacral junction. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'summation-structures'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': 'Conclusions:\nThe study is unremarkable, although gastroenteritis cannot be ruled out. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion should be considered.\nSplenomegaly. Differentials include benign etiologies (sedation if applicable, EMH and lymphoid hyperplasia), infiltrative disease (round cell neoplasia) and infectious etiologies (ie: tick borne diseases).\nSummation of soft tissue structures as described previously is suspected to be overlap of the normal anatomy though a mass or lymphadenopathy in the region cannot be completely ruled out.\nLumbosacral degeneration.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time.\xa0Correlate with a minimum database including blood work, urinalysis and testing for pancreatitis.\xa0If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further assess gastrointestinal pattern.\nConsider abdominal ultrasound to further investigate clinical significance of the enlarged spleen and if enlargement is confirmed an FNA sample is recommended to determine etiology.\nConsider abdominal ultrasound for further investigation to rule out a mass or lymphadenopathy in the area.\nCorrelate with neurologic examination for clinical significance of lumbosacral degeneration.'}

{'bday': '2015-02-05', 'name': 'Kay^Frankie^^^', 'breed': 'Mixed - Small', 'owner': 'Katie Kay', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Pet Care Center Clinic Esplanade- SVP', 'email': '[email protected]', 'clinician': 'Pet Care Center Esplanade'}

Acute vomiting. Started last night. Last meal 5pm 4/29/24. Not eating or drinking today. Dental was done in October 2023, where pre-op labs CBC CHEM 15 was normal. Exam- Discomfort on the abdomen palpation BAR on presentation. Normal Temp. Current Treatment- cerenia. SQ fluids Royal canin GI diet.

Signs of FB, Pancreatitis, Mass effect, organ enlargement?

expert

['Gastrointestinal-area']

['Vomiting', 'Anorexia', 'Pain - abdominal', 'Canine Small Breed']

[]

[256, 606, 622, 2654]

[]

['Pancreatitis']

[]

[149]

[]

['Fluid therapy administration - subcutaneous (SC)', 'Antiemetic']

[]

[50, 967]

[]

{'patient': {'bday': '2021-11-02', 'name': 'HARVELLE^MAX', 'breed': 'Yorkshire Terrier', 'owner': 'HARVELLE^', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Best Care Animal Hospital Matthews & Charlotte', 'email': '[email protected]', 'clinician': 'Best Care Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P began limping 3 days ago. Leg is swollen. O does not know what may have happened.', 'questions': ' '}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'empty', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 406, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 126.27700000000002, 'consult_name': 'Subcut - Swelling, non specific, no trauma', 'diagnosis_custom_text': 'Soft tissue swelling is noted on the forelimb (assumed left). Due to a discrepancy with labeling on image 4 the affected limb can not be definitively discerned. No pathology observed in the associated bony structures. Differentials include cellulitis, edema, dermatitis, or less likely neoplastic disease.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 575, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mass/swelling - limb, upper'}, {'id': 2185, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the left', 'front limb']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2446, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is soft tissue swelling involving the left and front limb. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 722, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesions-of-the-third-phalanx'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'soft-tissue-swelling'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}], 'report_conclusions': 'Conclusions:\nSoft tissue swelling is noted on the forelimb (assumed left). Due to a discrepancy with labeling on image 4 the affected limb can not be definitively discerned. No pathology observed in the associated bony structures. Differentials include cellulitis, edema, dermatitis, or less likely neoplastic disease.\n\nRecommendations:\nRecommend medical management for soft tissue swelling and tissue sampling for further investigation, if warranted. Focal ultrasound with FNA sampling could also be considered.'}

{'bday': '2021-11-02', 'name': 'HARVELLE^MAX', 'breed': 'Yorkshire Terrier', 'owner': 'HARVELLE^', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Best Care Animal Hospital Matthews & Charlotte', 'email': '[email protected]', 'clinician': 'Best Care Animal Hospital'}

P began limping 3 days ago. Leg is swollen. O does not know what may have happened.

standard

['Musculoskeletal-area']

['Mass/swelling - limb', 'Lameness', 'Canine Small Breed']

[]

[575, 2185, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-05-11', 'name': 'Pratt^Patricia', 'breed': 'Beagle Mix', 'owner': 'Pratt^Jacob', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'clinician': 'Dr. Nair'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Decreased appetite for few days. Some lethargy noted at home. Ate food prior to presentation today. 10 days ago vomited twice and had one episode of hematochezia, but none since then. \r\nOn physical exam: Mild generalized discomfort in cranial abdomen. Euhydrated, normothermic. \r\nPending labs: CBC, Chem, UA, CPL, giardia snap pending. ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'elapsedTime': 64.635, 'consult_name': 'Post prandial stomach', 'custom_fields': None}, {'id': 233, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Pain causing non-specific signs', 'custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 622, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain-abdominal'}, {'id': 2352, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lab-work-pending'}, {'id': 2475, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Hematochezia'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is radio-opaque material noted within the small intestine.', 'elapsedTime': 9.852, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'The stomach is moderately distended with radiopaque material.', 'elapsedTime': 27.176, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2288, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'plication-distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe stomach is moderately distended with radiopaque material. There is an accumulation of fecal material in the colon. There is radio-opaque material noted within the small intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}], 'report_conclusions': 'A specific cause for the abdominal pain cannot be determined from the radiographs. Consider discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation, abdominal or other soft tissue origins. Taking into account the provided history, it cannot be determined if the initial cause of the vomiting and hematochezia still persists and could be contributing to the abdominal pain noted on physical exam.\n - Correlate with a minimum database including blood work and urinalysis. Follow up clinical re-evaluation and/or re-evaluation of radiographs in time or ultrasound may also be indicated.\n* There appears to be mild fecal retention. Rule out constipation. \n- Correlate with clinical history.\n* Gastric material is consistent with food/recent meal as indicated in the history provided. There is also material noted in the small intestines which is most consistent with food.\n\n\n'}

{'bday': '2021-05-11', 'name': 'Pratt^Patricia', 'breed': 'Beagle Mix', 'owner': 'Pratt^Jacob', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'clinician': 'Dr. Nair'}

Decreased appetite for few days. Some lethargy noted at home. Ate food prior to presentation today. 10 days ago vomited twice and had one episode of hematochezia, but none since then. On physical exam: Mild generalized discomfort in cranial abdomen. Euhydrated, normothermic. Pending labs: CBC, Chem, UA, CPL, giardia snap pending.

expert

['Gastrointestinal-area']

['Lethargic/tired', 'Hyporexia', 'Pain - abdominal', 'Lab work pending']

['Vomiting', 'Hematochezia']

[131, 607, 622, 2352]

[256, 2475]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-04-19', 'name': 'Warner^RAMPAGE', 'breed': 'Mix', 'owner': 'Warner^Clement', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Rampage is a 14 YO MN Lab mix who was presented for swollen paw and not being able to walk. P was walking this morning and stopped this afternoon.', 'questions': 'NA'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1037, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1038, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 374, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Forelimb Elbow - arthritis, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 379, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 406, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 17.908, 'consult_name': 'Subcut - Swelling, non specific, no trauma', 'diagnosis_custom_text': 'Soft tissue mass/swelling as described. No pathology observed in the associated bony structures. Differentials include cellulitis, edema, dermatitis, or, given the age of the patient, neoplastic disease.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 204, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Reluctant to walk'}, {'id': 575, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mass/swelling - limb, upper'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are degenerative changes noted in the shoulder. ', 'signal_name': 'shoulder-arthropathy', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the right', 'distal', 'front limb']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2446, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. There is soft tissue swelling involving the right, distal and front limb. There are degenerative changes noted in the shoulder. There are degenerative changes noted in the left and right elbow. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process'}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture'}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid'}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': 'Conclusions:\nSoft tissue mass/swelling as described. No pathology observed in the associated bony structures. Differentials include cellulitis, edema, dermatitis, or, given the age of the patient, neoplastic disease.\nDegenerative changes in the shoulder.\nDegenerative changes in the elbow.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nRecommend medical management for soft tissue swelling and tissue sampling for further investigation, if warranted. Focal ultrasound with FNA sampling could also be considered.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the shoulder.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2010-04-19', 'name': 'Warner^RAMPAGE', 'breed': 'Mix', 'owner': 'Warner^Clement', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}

Rampage is a 14 YO MN Lab mix who was presented for swollen paw and not being able to walk. P was walking this morning and stopped this afternoon.

expert

['Musculoskeletal-area']

['Reluctant to move/walk', 'Mass/swelling - limb', 'Canine Medium/Large Breed']

[]

[204, 575, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-11-09', 'name': 'Framel^Joey', 'breed': 'Poodle Mix', 'owner': 'Framel^Trish & David', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Hearthstone Animal Clinic', 'email': '[email protected]', 'clinician': 'Steve Pelton'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Painful, not eating, seems a little uncomfortable in the back/neck?', 'questions': '.'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}, {'id': 1054, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'id': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Spine - incidental VAN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1059, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 17.549, 'consult_name': 'Negative - No cause for pain/ panting/ heavy breathing', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend supportive care and further additional testing such as CBC, chemistry, serum ammonia, pre and postprandial bile acids, and urinalysis as clinically indicated. Re-evaluate as clinically indicated to further investigate the possible sources of discomfort.', 'recommendation_custom_fields': None}], 'signals': [{'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2186, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T13']}}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nVertebral anomaly is noted at T13. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': 'Conclusions:\nNo radiographic evidence for clinical signs described. Consider discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation, abdominal or other soft tissue origins.\nVertebral anomaly. Likely incidental.\n\nRecommendations:\nRecommend supportive care and further additional testing such as CBC, chemistry, serum ammonia, pre and postprandial bile acids, and urinalysis as clinically indicated. Re-evaluate as clinically indicated to further investigate the possible sources of discomfort.\nCorrelate with physical exam for clinical significance of the vertebral anomaly.'}

{'bday': '2014-11-09', 'name': 'Framel^Joey', 'breed': 'Poodle Mix', 'owner': 'Framel^Trish & David', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Hearthstone Animal Clinic', 'email': '[email protected]', 'clinician': 'Steve Pelton'}

Painful, not eating, seems a little uncomfortable in the back/neck?

.

expert

['Musculoskeletal-area', 'Systemic-area']

['Anorexia', 'Pain', 'Canine Medium/Large Breed']

[]

[606, 2186, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-04-22', 'name': 'houston^axel', 'breed': 'Boxer', 'owner': 'Jonikquea Houston', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'o states she woke up and noticed a pool of blood around the pt that appeared to be coming from the mouth. no v/d. e/d wnl. the pt was seen at rDVM on 4/8 for head tilting, weakness in pelvic limbs, slightly bloated belly and inappropriate urination.\r\n\r\npre-existing conditions- degenerative myelopathy, elevated liver enzymes\r\n\r\ncurrent meds- denamarin, amoxicillin 500mg, prednisone 20mg\r\n\r\ncbc, chem 17 and lytes and coags run prior to x-rays- coags and cbc wnl, chem and lytes- mostly unremarkable ', 'questions': 'concern for hematemesis '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1029, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 200, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Splenomegaly - Splenic mass', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 241, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Hematemesis, no cause noted', 'diagnosis_custom_text': 'The GI tract is normal in appearance with no evidence of obstruction or plication. Given the history of vomiting with blood, upper GI pathology, coagulopathy, or ulceration should be considered as a primary differential.\xa0Gastric material. This may represent food; however, foreign material cannot be entirely ruled out.\n\n', 'diagnosis_custom_fields': None, 'recommendation_custom_text': "Medical management of symptoms is indicated. If there is no response to treatment, symptoms worsen, or evidence of severe blood loss then endoscopy to evaluate the esophagus, stomach and duodenum is recommended. Further recommend coagulation panel and appropriate therapy as needed.\xa0Correlate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.", 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Diarrhea-c'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 282, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting with blood'}, {'id': 682, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Urination abnormal - oliguria'}, {'id': 2404, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'liver-enzymes-elevated'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2562, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'splenic-mass', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere appears to be a mass effect in the cranial abdomen with displacement of the abdominal contents left and ventral. The spleen appears prominent. There is distension of the stomach with presence of radiopaque material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'id': 2561, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'irregular-splenic-margins'}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'splenic-mass'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': "Conclusions:\nThe GI tract is normal in appearance with no evidence of obstruction or plication. Given the history of vomiting with blood, upper GI pathology, coagulopathy, or ulceration should be considered as a primary differential.\xa0Gastric material. This may represent food; however, foreign material cannot be entirely ruled out.\nThe changes noted in the spleen are consistent with a splenic mass, but other abdominal origins cannot be excluded. Both benign and malignant etiologies are possible.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nMedical management of symptoms is indicated. If there is no response to treatment, symptoms worsen, or evidence of severe blood loss then endoscopy to evaluate the esophagus, stomach and duodenum is recommended. Further recommend coagulation panel and appropriate therapy as needed.\xa0Correlate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nConsider abdominal ultrasound and/or exploratory laparotomy for further investigation to determine the nature of the possible mass identified.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified."}

{'bday': '2017-04-22', 'name': 'houston^axel', 'breed': 'Boxer', 'owner': 'Jonikquea Houston', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}

o states she woke up and noticed a pool of blood around the pt that appeared to be coming from the mouth. no v/d. e/d wnl. the pt was seen at rDVM on 4/8 for head tilting, weakness in pelvic limbs, slightly bloated belly and inappropriate urination. pre-existing conditions- degenerative myelopathy, elevated liver enzymes current meds- denamarin, amoxicillin 500mg, prednisone 20mg cbc, chem 17 and lytes and coags run prior to x-rays- coags and cbc wnl, chem and lytes- mostly unremarkable

concern for hematemesis

expert

['Gastrointestinal-area']

['Hematemesis (vomiting blood)', 'Urination abnormal - oliguria', 'Elevated liver enzymes']

['Diarrhea', 'Vomiting']

[282, 682, 2404]

[76, 256]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-03-15', 'name': 'Murphy^WILLIAM', 'breed': 'DSH', 'owner': 'Murphy^Thomas', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'presents for vomiting on and off for 1 week it has gotten progressively worse the last 3 days. \r\nBBW cre 2.4, lactate 3.5', 'questions': 'na'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'normal', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 232, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Peritoneal - Bates body', 'diagnosis_custom_text': "Nodular fat necrosis (Bate's body) noted in the abdomen. Likely incidental.", 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 247, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Normal, no cause for GI signs', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['cervical']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': "There are multiple mineralized focal soft tissue nodules located in the caudal abdomen likely representing a Bate's body (idiopathic fat necrosis). ", 'signal_name': 'bates-body', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [{'id': 1310, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'lactate-levels'}, {'id': 1392, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'blood-serum-creatinine-kinase-determination'}], 'report_findings': "Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere are multiple mineralized focal soft tissue nodules located in the caudal abdomen likely representing a Bate's body (idiopathic fat necrosis). The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the cervical spine. The rest of the observed musculoskeletal system is within normal limits.", 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'bates-body'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': "Conclusions:\nThe study is most compatible with gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness such as pancreatitis, food allergy, inflammatory bowel disease, and dietary indiscretion should be considered.\nNodular fat necrosis (Bate's body) noted in the abdomen. Likely incidental.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nRecommend supportive care. Consider lab testing for pancreatitis. Depending on lab results, follow-up imaging, abdominal ultrasound may also be helpful to further assess gastrointestinal pattern.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified."}

{'bday': '2014-03-15', 'name': 'Murphy^WILLIAM', 'breed': 'DSH', 'owner': 'Murphy^Thomas', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}

presents for vomiting on and off for 1 week it has gotten progressively worse the last 3 days. BBW cre 2.4, lactate 3.5

na

standard

['Gastrointestinal-area']

['Vomiting']

[]

[256]

[]

[]

[]

[]

[]

['Blood test: Lactate level', 'Blood test: Serum creatinine kinase determination']

[]

[1310, 1392]

[]

{'patient': {'bday': '2014-02-07', 'name': 'Aune^Gunner', 'breed': 'Shepherd, German', 'owner': 'Aune^Monty and Toni', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Norwich Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Norwich Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Vomiting off and on, normal appetite, HX of bilateral valve enlargement on pimobenden, Therapy for DJD/spondylosis, CBC/Chem/CPL-WNL,', 'questions': 'FB vs GI neoplasia'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'partial', 'source': 'labelling'}, {'id': 1006, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'partial', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 204, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Peritoneal - Summation(FP)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 239, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 16.868000000000002, 'consult_name': 'Gastric - Small FB', 'diagnosis_custom_text': 'Gastric foreign material which may or may not pass on its own.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign material.', 'recommendation_custom_fields': None}, {'id': 243, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 39.636, 'consult_name': 'Intestines - 2 pops, no FB', 'diagnosis_custom_text': "Presence of two populations of small intestine most commonly represents a mechanical obstruction though severe enteritis cannot always be ruled out. There is a small amount of mineral opacity material noted in the small intestines which will most likely pass on it's own.", 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 308, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Neoplasia - Tracheobronchial lymph node', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 383, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'elapsedTime': 15.609, 'consult_name': 'Spine - pain, bridging spondylosis', 'diagnosis_custom_text': 'Severe bridging spondylosis. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider exercise restriction and analgesics for severe bridging spondylosis. Consider an MRI scan for further assessment.', 'recommendation_custom_fields': None}, {'id': 879, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Hepatomegaly - Mild', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Anorexia'}, {'id': 2332, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'canine'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['cervical, thoracic and lumbar']}}, {'id': 15, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-obstruction', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is small amount of mineral foreign material located within the small intestine. ', 'elapsedTime': 16.893, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': None}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-foreign-material', 'custom_fields': {'___s1_': ['mineralized'], '___s2_': ['with a gravel like']}}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L7-S1']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is an increased soft tissue opacity noted in right cranial abdomen noted on the VD view. ', 'elapsedTime': 43.78, 'signal_name': 'summation-structures', 'custom_fields': None}, {'id': 2418, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lumbosacral-degeneration', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2498, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Lumbosacral-stenosis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2563, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Tracheobronchial lymph node', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [{'id': 404, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Heart (cardiac) valve disorder'}, {'id': 1540, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Osteoarthritis (osteoarthrosis, degenerative joint disease (DJD))'}], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}], 'internal_notes': "Not sure about tracheobronchal lnn\n\nsorry didn't finish properly\nThis case was automatically escalated by the system due to reservervation timeout in the stat codes channel.", 'recommendations': [{'id': 1055, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'pimobendan'}], 'report_findings': 'Thorax\nThere is a rounded soft tissue opacity noted in the region of the carina. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The stomach contains a mineralized opacity with a gravel like structure. There is small amount of mineral foreign material located within the small intestine. There is presence of distension of a portion of small intestine and a population of non-distended intestine. There is an increased soft tissue opacity noted in right cranial abdomen noted on the VD view. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the cervical, thoracic and lumbar spine. There are degenerative changes noted at the lumbosacral junction. There appears to be misalignment of the sacrum with L7. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp'}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'summation-structures'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability'}, {'id': 2469, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'narrowed-mainstem-bronchi'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass'}, {'id': 2558, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bulla'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2563, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Tracheobronchial lymph node'}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-bridging'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hmg-mild'}], 'report_conclusions': "Conclusions:\nSoft tissue mass noted in the thorax is most consistent with tracheobronchial lymphadenopathy.\nPresence of two populations of small intestine most commonly represents a mechanical obstruction though severe enteritis cannot always be ruled out. There is a small amount of mineral opacity material noted in the small intestines which will most likely pass on it's own.\nGastric foreign material which may or may not pass on its own.\nSummation of soft tissue structures as described previously is suspected to be overlap of the normal anatomy though a mass or lymphadenopathy in the region cannot be completely ruled out.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\nSevere bridging spondylosis.\n\nRecommendations:\nCorrelate with clinical history and additional diagnostics for clinical significance of the described tracheobronchial lymph node.\nRecommend abdominal ultrasound for confirmation of intestinal obstruction prior to exploratory surgery. Exploratory surgery may be considered based on the patient's clinical status.\nRecommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign material.\nConsider abdominal ultrasound for further investigation to rule out a mass or lymphadenopathy in the area.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.\nConsider exercise restriction and analgesics for severe bridging spondylosis. Consider an MRI scan for further assessment."}

{'bday': '2014-02-07', 'name': 'Aune^Gunner', 'breed': 'Shepherd, German', 'owner': 'Aune^Monty and Toni', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Norwich Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Norwich Veterinary Hospital'}

Vomiting off and on, normal appetite, HX of bilateral valve enlargement on pimobenden, Therapy for DJD/spondylosis, CBC/Chem/CPL-WNL,

FB vs GI neoplasia

standard

['Gastrointestinal-area', 'Neoplasia-area']

['Vomiting', 'canine', 'Canine Medium/Large Breed']

['Anorexia']

[256, 2332, 2656]

[606]

['Heart (cardiac) valve disorder', 'Osteoarthritis (osteoarthrosis, degenerative joint disease (DJD))']

[]

[404, 1540]

[]

['Pimobendan']

[]

[1055]

[]

{'patient': {'bday': '2010-02-27', 'name': 'Neuman^AMBER', 'breed': 'Chihuahua', 'owner': 'Neuman^Janet', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Owner noticed today abdomen was distended. They are not sure if she's defecating", 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 185, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Hepatomegaly- severe(ill)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 894, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'folded spleen', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 508, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Abdominal distension'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The spleen appears prominent noted on the VD view', 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe cardiac silhouette is mildly enlarged in the right lateral projection. The remainder of the observed thorax is within normal limits. No additional abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears enlarged. The spleen appears prominent noted on the VD view. There is distension of the stomach with presence of radiopaque material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'spleen-splenomegaly'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule'}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nHepatomegaly consistent with active infiltration. Rule out neoplasia versus inflammatory or endocrinopathy or benign causes.\nThe spleen appears prominent. Consider folded spleen or abnormal position of the spleen though splenic congestion or mass cannot be ruled out.\nGastric material is most consistent with food/recent meal but foreign material cannot fully be ruled out..\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling , or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nConsider abdominal ultrasound for further investigation of the prominent spleen and to assess for folded spleen or abnormal position, as well as to evaluate for splenic congestion or mass.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2010-02-27', 'name': 'Neuman^AMBER', 'breed': 'Chihuahua', 'owner': 'Neuman^Janet', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}

Owner noticed today abdomen was distended. They are not sure if she's defecating

expert

['Gastrointestinal-area']

['Abdominal distension']

[]

[508]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-01-27', 'name': 'Rivera^LUCKY', 'breed': 'DSH', 'owner': 'Rivera^Lauren', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'AEHVolusia'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented in respiratory distress. \r\n\r\nHe was diagnosed with HCM in November and started on Pimobendan, Gabapentin and Clopidogrel. He has been fine since. ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 280, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': '* Presence of cardiomegaly, pulmonary inflitrates and accumulation of fluid in the pleural space are consistent with congestive heart failure. \n - Consider echocardiogram and treatment with diuretics plus possible thoracocentesis. ', 'elapsedTime': 18.778, 'consult_name': 'Cardiomegaly feline - symptomatic (fluid build up)', 'custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'Aerophagia', 'custom_fields': None}], 'signals': [{'id': 2179, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}], 'findings': [{'id': 6, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'lung-pleural-effusion', 'custom_fields': None}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 715, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'lung-pulmonary-pattern', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2280, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['mixed interstitial to alveolar']}}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2315, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': None}], 'diagnosis': [{'id': 358, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Cardiomyopathy - Hypertrophic Obstructive Cardiomyopathy (HOCM)'}], 'questions': [], 'recommendations': [], 'report_findings': 'Thorax\nA bronchial pattern is present. There is increased opacity throughout the lung fields, characterized as a mixed interstitial to alveolar pattern. There is evidence of fluid in the pleural space. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is distension of the stomach with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}], 'report_conclusions': '* Presence of cardiomegaly, pulmonary inflitrates and accumulation of fluid in the pleural space are consistent with congestive heart failure. \n - Consider echocardiogram and treatment with diuretics plus possible thoracocentesis. \n* The gas distension observed in the GI tract is most consistent with aerophagia.'}

{'bday': '2016-01-27', 'name': 'Rivera^LUCKY', 'breed': 'DSH', 'owner': 'Rivera^Lauren', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'AEHVolusia'}

Patient presented in respiratory distress. He was diagnosed with HCM in November and started on Pimobendan, Gabapentin and Clopidogrel. He has been fine since.

expert

[]

['Respiratory distress']

[]

[2179]

[]

['Cardiomyopathy - Hypertrophic Obstructive Cardiomyopathy (HOCM)']

[]

[358]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-04-19', 'name': 'Aiken/Meyers^MATISSE', 'breed': 'Australian Shepherd', 'owner': 'Aiken/Meyers^Morgen/Victoria', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'ICU'}, 'accept_tos': 'true', 'consult_info': {'case_info': '9YO MI who was presented for sudden onset of acute seizure activity\r\nDull, lateral recumbency, post ictal, hydration appears wnl, OU wnl, AU wnl, oral NSF, nasal NSF, regular rhythm; no murmur detected, lungs auscultate wnl, abdomen palpates wnl; no obvious organomegaly/masses palpated, no rectal exam, musculature wnl, hypermetric x4, skin wnl; hair coat good condition, peripheral LN wnl, external genitalia wnl, no nystagmus on presentation but vertical and rotary nystagmus developed post ictal', 'questions': 'Seizures- brain lesion vs toxin ingestion vs infectious vs other- OPEN'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1013, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1023, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}, {'id': 1096, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 411, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Neuro - No cause for seizures', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 424, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Repros - PMG, intact male, asymptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 628, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Seizure(s)'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1635, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'prostate-visible', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}], 'diagnosis': [{'id': 1712, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Seizure disorder'}], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. The prostate is prominent. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 707, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'prostate-mineralization'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2254, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'utd-secondary-to-fetus'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2451, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Prostate-fp'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule'}, {'id': 2561, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins'}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': 'Conclusions:\nA cause for the reported seizures is not identified in the images provided. \nIncreased size of the prostate gland is likely secondary to benign hypertrophy, being an intact male. \nGastric material noted is consistent with food/recent meal.\n\nRecommendations:\nConsider conducting a biochemistry profile, CBC, and urinalysis to evaluate further for extra-cranial causes of seizures. Additionally, correlate with rectal exam and clinical signs to determine the clinical significance of the enlarged prostate.'}

{'bday': '2015-04-19', 'name': 'Aiken/Meyers^MATISSE', 'breed': 'Australian Shepherd', 'owner': 'Aiken/Meyers^Morgen/Victoria', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'ICU'}

9YO MI who was presented for sudden onset of acute seizure activity Dull, lateral recumbency, post ictal, hydration appears wnl, OU wnl, AU wnl, oral NSF, nasal NSF, regular rhythm; no murmur detected, lungs auscultate wnl, abdomen palpates wnl; no obvious organomegaly/masses palpated, no rectal exam, musculature wnl, hypermetric x4, skin wnl; hair coat good condition, peripheral LN wnl, external genitalia wnl, no nystagmus on presentation but vertical and rotary nystagmus developed post ictal

Seizures- brain lesion vs toxin ingestion vs infectious vs other- OPEN

expert

['Musculoskeletal-area', 'neuro-area', 'Systemic-area']

['Seizure(s)', 'Canine Medium/Large Breed']

[]

[628, 2656]

[]

['Seizure disorder']

[]

[1712]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-04-29', 'name': 'WRIGHT^TATOR', 'breed': 'Russian Blue', 'owner': 'WRIGHT^', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Vetcheck Pet Urgent Care Center- Fishers ', 'email': '[email protected]', 'clinician': 'VetCheck'}, 'accept_tos': 'true', 'consult_info': {'case_info': "O brought P in after he vomited at ~4:45 this evening. O says that the vomit was clear, liquid, and foamy. Per O, P immediately went to the litterbox after vomiting and strained to defecate for 4-6 minutes. O says that P then went upstairs and vomited 2-3 more times. Per O, P was acting normal beforehand and was e/d well today, no v/d. Per O, P has not ate anything he shouldn't have or had any new food or treats lately.", 'questions': 'Constipation vs GI foreign material/obstruction??'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1023, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 195, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spleen feline - Visible', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 476, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Colon - Constipation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 500, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - FB small (incidental)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 833, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Rugal folds vs GMT vs mass', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 243, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Straining to defaecate'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['small amount of mineral']}}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 1937, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-visible', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2288, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'plication-distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe spleen is visualized in the cranioventral abdomen. There is radiopaque material within the stomach. There is an accumulation of fecal material in the colon. There is small amount of mineral foreign material located within the small intestine and some mildly dilated small bowel. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'id': 2487, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-distension'}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule'}, {'id': 2561, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins'}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}], 'report_conclusions': 'Conclusions:\nFecal retention noted is consistent with constipation.\nVisualization of the spleen may be normal variation or due to infiltrative disease such as lymphosarcoma, mast cell neoplasia, or other.\nSoft tissue opacity noted in the stomach. This may represent rugal folds, however thickening of the gastric wall, gastric mass, or gastric material cannot be ruled out.\nSmall intestinal foreign material as described may pass on its own. No definitive evidence of obstruction noted. \n\nRecommendations:\nTreatment for constipation/obstipation is indicated at this time.\nConsider abdominal ultrasound to further investigate clinical significance of the visualized spleen and if enlargement is confirmed an FNA sample is recommended.\nConsider abdominal ultrasound and endoscopy for further investigation of the soft tissue opacity noted in the stomach.\nConsider follow up radiographs to ensure passage of the described intestinal foreign body. Monitor for development of clinical signs.'}

{'bday': '2018-04-29', 'name': 'WRIGHT^TATOR', 'breed': 'Russian Blue', 'owner': 'WRIGHT^', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Vetcheck Pet Urgent Care Center- Fishers ', 'email': '[email protected]', 'clinician': 'VetCheck'}

O brought P in after he vomited at ~4:45 this evening. O says that the vomit was clear, liquid, and foamy. Per O, P immediately went to the litterbox after vomiting and strained to defecate for 4-6 minutes. O says that P then went upstairs and vomited 2-3 more times. Per O, P was acting normal beforehand and was e/d well today, no v/d. Per O, P has not ate anything he shouldn't have or had any new food or treats lately.

Constipation vs GI foreign material/obstruction??

expert

['Gastrointestinal-area']

['Straining to defaecate', 'Vomiting', 'Feline']

[]

[243, 256, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-03-22', 'name': 'Heath^Lucy', 'breed': 'Pit Bull Terrier Mix', 'owner': 'Heath^Alan', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Middle Georgia Veterinary Emergency Center', 'email': '[email protected]', 'clinician': 'MGVEX'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P was attacked by 3 dogs earlier in the day. no other history given', 'questions': 'NA'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': ['gastric-fb', 'pylorus-displacement', 'Gastric wall thickening']}, 'groups': [{'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1025, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 496, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 7.755, 'consult_name': 'Subcut - Puncture wounds, not penetrating', 'diagnosis_custom_text': 'The subcutaneous gas and tissue swelling noted is consistent with external puncture wounds. No evidence of penetration through the body wall. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is gas noted in the soft tissue of the thorax, ventral abdomen and cranially positioned pelvic limb. ', 'elapsedTime': 27.425, 'signal_name': 'subcutaneous-gas', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is soft tissue swelling involving shoulder, neck, and the ventral, thorax. ', 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}], 'diagnosis': [{'id': 2327, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Bite injury'}], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is soft tissue swelling involving shoulder, neck, and the ventral, thorax. There is gas noted in the soft tissue of the thorax, ventral abdomen and cranially positioned pelvic limb. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}], 'report_conclusions': 'Conclusions:\nThe subcutaneous gas and tissue swelling noted is consistent with external puncture wounds. No evidence of penetration through the body wall.\n\nRecommendations:\nCorrelate with clinical history of trauma.'}

{'bday': '2012-03-22', 'name': 'Heath^Lucy', 'breed': 'Pit Bull Terrier Mix', 'owner': 'Heath^Alan', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Middle Georgia Veterinary Emergency Center', 'email': '[email protected]', 'clinician': 'MGVEX'}

P was attacked by 3 dogs earlier in the day. no other history given

expert

['Musculoskeletal-area']

[]

[]

[]

[]

['Bite injury']

[]

[2327]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-01-29', 'name': 'Carpenter^TEVY', 'breed': 'Doberman Pinscher', 'owner': 'Carpenter^James', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Repeat fasted rads to compare to earlier study', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 192, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Hepatic - Small', 'custom_fields': None}, {'id': 723, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'Fasting to check gastric emptying- empty stomach ', 'custom_fields': None}, {'id': 726, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'Follow up from possible SIO- resolution of GI pattern', 'custom_fields': None}, {'id': 832, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': None, 'consult_name': 'Pyloric displacement', 'custom_fields': None}], 'signals': [{'id': 2405, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'follow-up-study'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2262, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'small-liver', 'custom_fields': None}, {'id': 2285, 'source': 'labelling', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'The pylorus is displaced anticlockwise. ', 'signal_name': 'pylorus-displacement', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2520, 'source': 'labelling', 'signal_name': 'screening-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe liver appears small with the gastric axis displaced cranially. The pylorus is displaced anticlockwise. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-liver'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'pylorus-displacement'}], 'report_conclusions': '* Comparing to previous images, the material noted in the stomach appears to have passed. \n - Medical management of clinical signs is indicated at this time.\n* No evidence of obstruction is noted in the current study. The intestinal pattern noted on previous radiographs appears to have resolved.\n - Medical management of clinical signs is indicated at this time.\n* The liver appears small. This may be secondary to conformation but cirrhosis or vascular anomaly cannot be ruled out.\n - Consider biochemical profile and possible bile acids testing to confirm adequate hepatic function of the small liver.\n* Abnormal positioning of the pylorus observed suspected to be secondary to prior history of gastropexy.'}

{'bday': '2021-01-29', 'name': 'Carpenter^TEVY', 'breed': 'Doberman Pinscher', 'owner': 'Carpenter^James', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}

Repeat fasted rads to compare to earlier study

expert

['screening-area']

['Follow up study']

[]

[2405]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-04-26', 'name': 'Harhman^Sulu', 'breed': 'Domestic Shorthair', 'owner': 'Harhman^Greg', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Viking Veterinary Hospital ', 'email': '[email protected]', 'clinician': 'Viking Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt presents for continued lethargy, hyporexia starting on the 17th of April. Prev FIV +. PE: BCS 3/9, muscle wasted, dehydrated, stomatitis. Occasional vomiting per O. \r\n\r\nAfast- possible scant abdominal effusion. Tfast- WNLs. ', 'questions': 'R/o GI obstruction, abdominal masses- next step includes rec AUS to O'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}], 'consult': [{'id': 220, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Peritoneal Feline - LAD, no pleural fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 251, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Colon - Foreign body', 'diagnosis_custom_text': 'Colonic foreign material\xa0as described.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Monitor for passage of described colonic foreign material in the stool.', 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Hindlimb Hip - hip OA, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 849, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Intestines - Limited detail', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 698, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Cachexia'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2482, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'dehydration'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'colon-foreign-material', 'custom_fields': {'___s1_': ['a small amount of mineral'], '___s2_': ['descending']}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left']}}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 59, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Intestinal obstruction'}, {'id': 214, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Stomatitis'}, {'id': 215, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Stomatitis - ulcerative'}, {'id': 2351, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'peritoneal-fluid'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2518, 'source': 'ai', 'signal_name': 'oral-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}], 'recommendations': [{'id': 1087, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'fiv-feline-immunodeficiency-virus-test'}, {'id': 1154, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'abdominal-ultrasound'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is a small amount of mineral opacity foreign material located within the descending colon. There is loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is degenerative changes affecting the left coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}], 'report_conclusions': 'Conclusions:\nThere appears to be free fluid in the abdomen. No concurrent pleural fluid to indicate heart failure. Rule out FIP, low oncotic pressure, portal thrombosis/hypertension, a neoplastic effusion.\nDue to the decreased serosal detail in the abdomen, thorough evaluation of the small intestine is limited.\nColonic foreign material\xa0as described.\nDegenerative joint disease of the hips.\n\nRecommendations:\nConsider general blood work, abdominocentesis and analysis of the abdominal fluid to help determine etiology. An abdominal ultrasound may also be helpful.\nConsider abdominal ultrasound for further investigation of the small intestines.\nMonitor for passage of described colonic foreign material in the stool.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the hips.'}

{'bday': '2018-04-26', 'name': 'Harhman^Sulu', 'breed': 'Domestic Shorthair', 'owner': 'Harhman^Greg', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Viking Veterinary Hospital ', 'email': '[email protected]', 'clinician': 'Viking Veterinary Hospital'}

Pt presents for continued lethargy, hyporexia starting on the 17th of April. Prev FIV +. PE: BCS 3/9, muscle wasted, dehydrated, stomatitis. Occasional vomiting per O. Afast- possible scant abdominal effusion. Tfast- WNLs.

R/o GI obstruction, abdominal masses- next step includes rec AUS to O

expert

['Gastrointestinal-area', 'oral-area', 'Systemic-area']

['Lethargic/tired', 'Vomiting', 'Hyporexia', 'Cachexia', 'Feline', 'Dehydration']

[]

[131, 256, 607, 698, 2327, 2482]

[]

['Intestinal obstruction', 'Stomatitis', 'Stomatitis - ulcerative', 'Peritoneal fluid']

[]

[59, 214, 215, 2351]

[]

['FIV (feline immunodeficiency virus) test', 'Abdominal ultrasound']

[]

[1087, 1154]

[]

{'patient': {'bday': '2013-01-18', 'name': 'Schmitt^Rosie', 'breed': 'Chihuahua', 'owner': 'Schmitt^Lisa', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Gardens Animal Hospital', 'email': '[email protected]', 'clinician': 'Gardens Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'PP for limping on Right front leg, started 2 days ago. Swelling around RF leg', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 394, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* Chip fracture identified of the distal right ulna as evidenced by a small bony fragment separated from the main portion of the bone. \n - Consider CT scan for further investigation. Based on clinical signs, splinting and exercise restriction may be adequate versus orthopedic consult and addressing the fracture surgically. ', 'elapsedTime': 14.196, 'consult_name': 'Chip fracture', 'custom_fields': None}, {'id': 490, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Soft tissue swelling over a joint', 'custom_fields': {'___d1_': ['right carpus']}}], 'signals': [{'id': 2187, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Swelling'}, {'id': 2346, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-forelimb'}], 'findings': [{'id': 17, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is a chip fracture of the right distal ulna as seen on the VD. ', 'elapsedTime': 28.174000000000003, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is soft tissue swelling involving the right, radius, ulna ad carpus area. ', 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2446, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is mild degenerative joint disease affecting the right carpus. ', 'elapsedTime': 2.855, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-area'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is a chip fracture of the right distal ulna as seen on the VD. There is soft tissue swelling involving the right, radius, ulna ad carpus area. There is mild degenerative joint disease affecting the right carpus. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 17, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'fracture-limb-fracture'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'carpal-metacarpal-osteophytosis'}], 'report_conclusions': '* Chip fracture identified of the distal right ulna as evidenced by a small bony fragment separated from the main portion of the bone. \n - Consider CT scan for further investigation. Based on clinical signs, splinting and exercise restriction may be adequate versus orthopedic consult and addressing the fracture surgically. \n* Soft tissue swelling associated with the right carpus. This is likely extra-capsular though a mild intracapsular component cannot be ruled out. \n - Consider careful palpation and fine needle aspirate sampling with cytology to determine etiology. Assessment of this joint for instability may be beneficial as would cross-section imaging.'}

{'bday': '2013-01-18', 'name': 'Schmitt^Rosie', 'breed': 'Chihuahua', 'owner': 'Schmitt^Lisa', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'Gardens Animal Hospital', 'email': '[email protected]', 'clinician': 'Gardens Animal Hospital'}

PP for limping on Right front leg, started 2 days ago. Swelling around RF leg

standard

['Musculoskeletal-area', 'neuro-area']

['Swelling', 'Forelimb lameness']

[]

[2187, 2346]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-02-26', 'name': 'Vong^Mitty', 'breed': 'Australian Shepherd ', 'owner': 'Kristine^Vong', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Lakeside Animal Clinic - Houston', 'email': '[email protected]', 'clinician': 'Lakeside Animal Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Chronic diarrhea. GI profile labwork appeared normal, ultrasounds have shown inflammation of the small bowel; recent ultrasound and radiographs show large amounts of fluid filled bowels. ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Food vs foreign, asymptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 249, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 12.745, 'consult_name': 'Intestines - Underlying enteropathy(chronic)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with abdominal ultrasound and/or intestinal biopsies for further investigation of the changes noted in the G.I. tract. Correlate with bloodwork and urinalysis.', 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb Hip - hip OA, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': {'___s1_': ['gas and fluid']}}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is radiopaque material within the stomach. There is diffuse distension of the small intestine with gas and fluid. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is degenerative joint disease affecting the left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': 'Conclusions:\nChanges noted in the G.I. tract and small intestines are most consistent with an underlying enteropathy. Differentials include chronic enteritis, IBD or neoplastic etiology.\nGastric material. This is consistent with food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\nDegenerative joint disease of the hips.\n\nRecommendations:\nCorrelate with abdominal ultrasound and/or intestinal biopsies for further investigation of the changes noted in the G.I. tract. Correlate with bloodwork and urinalysis.\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of non-obstructive foreign material.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the hips.'}

{'bday': '2016-02-26', 'name': 'Vong^Mitty', 'breed': 'Australian Shepherd ', 'owner': 'Kristine^Vong', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Lakeside Animal Clinic - Houston', 'email': '[email protected]', 'clinician': 'Lakeside Animal Clinic'}

Chronic diarrhea. GI profile labwork appeared normal, ultrasounds have shown inflammation of the small bowel; recent ultrasound and radiographs show large amounts of fluid filled bowels.

expert

['Gastrointestinal-area']

['Diarrhea']

[]

[76]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-01-03', 'name': 'escobar^dobby^^^', 'breed': 'Yorkshire Terrier', 'owner': 'Tiana Escobar', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Katy'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet is presented for dental consult. During the PE noted heart murmur grade 3/6. Pet is showing lethargy at home as per O. BW is WNL.', 'questions': 'CHF Vs Neoplasia Vs Open'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 239, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Small FB', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 273, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiac - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 302, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Trachea - no cough, redundant tracheal membrane', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The stomach contains a mineralized opacity that has the appearance of bone shards, bets appreciated on the VD view. ', 'signal_name': 'stomach-n-foreign-material', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['cervical']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart measures above the normal range. There is increased soft tissue opacity within the cervical region of the trachea. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The stomach contains a mineralized opacity that has the appearance of bone shards, bets appreciated on the VD view. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nThe VHS is calculated above the normal range. However, the cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy.\nGastric foreign body which may or may not pass on its own.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nThe trachealis redundancy can be an early stage of collapsing trachea. If the patient is not coughing this is likely an incidental finding.\n\nRecommendations:\nConsider an echocardiogram and blood pressure measurement for further investigation to rule out underlying cardiac disease.\nRecommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign body.\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.'}

{'bday': '2013-01-03', 'name': 'escobar^dobby^^^', 'breed': 'Yorkshire Terrier', 'owner': 'Tiana Escobar', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Katy'}

Pet is presented for dental consult. During the PE noted heart murmur grade 3/6. Pet is showing lethargy at home as per O. BW is WNL.

CHF Vs Neoplasia Vs Open

expert

['cardiovascular-area', 'Systemic-area']

['Lethargic/tired', 'Heart Murmur', 'Canine Small Breed']

[]

[131, 2175, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-03-05', 'name': 'Taylor^RYNN', 'breed': 'DSH', 'owner': 'Taylor^Bambi', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'PP for acting lethargic at home, not wanting to eat, and had a large bout of bloody urine. Bladder appears slightly thickened on U/S during cystocentesis.', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 421, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 293.018, 'consult_name': 'Bladder Feline - Normal urinary, symptomatic (FLUTD)', 'diagnosis_custom_text': "The cause for the patient's urinary issues are not noted. Given the history and the unremarkable radiographic appearance of the urinary tract, feline lower urinary tract disease would be a primary differential. There is a suspicious opacity over the bladder however this is suspected to be secondary to summation of structures or possible mineralization of surrounding structures rather than true urolithiasis.", 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with biochemistry profile and urinalysis. Consider an abdominal ultrasound for further investigation of the mineral opacity structure. Abdominal ultrasound maybe beneficial for further investigation of the bladder as normal radiograph does not rule out radiolucent stones, neoplasia and polyps.', 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 274, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Urinating abnormally'}, {'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}], 'recommendations': [], 'report_findings': 'Thorax\nEnlarged cardiac silhouette. The remainder of the observed thorax is within normal limits. \n\nAbdomen\nThere is radiopaque material within the stomach. Increased opacity is noted over the silhouette of the urinary bladder on the left lateral projection. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nIncreased body habitus. There is spondylosis deformans noted in the thoracolumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'body-score'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'bladder-calculi-fp'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': "Conclusions:\nThe cause for the patient's urinary issues are not noted. Given the history and the unremarkable radiographic appearance of the urinary tract, feline lower urinary tract disease would be a primary differential. There is a suspicious opacity over the bladder however this is suspected to be secondary to summation of structures or possible mineralization of surrounding structures rather than true urolithiasis.\nCardiomegaly. \nGastric material is consistent with food/recent meal.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nCorrelate with biochemistry profile and urinalysis. Consider an abdominal ultrasound for further investigation of the mineral opacity structure. Abdominal ultrasound maybe beneficial for further investigation of the bladder as normal radiograph does not rule out radiolucent stones, neoplasia and polyps.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.\nConsider echocardiography for underlying disease associated with enlarged cardiac silhouette. "}

{'bday': '2017-03-05', 'name': 'Taylor^RYNN', 'breed': 'DSH', 'owner': 'Taylor^Bambi', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}

PP for acting lethargic at home, not wanting to eat, and had a large bout of bloody urine. Bladder appears slightly thickened on U/S during cystocentesis.

expert

['urinary-area']

['Lethargic/tired', 'Urination abnormal - hematuria', 'Hyporexia']

[]

[131, 274, 607]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-11-21', 'name': 'Vazquez^RAJAH', 'breed': 'Mix', 'owner': 'Vazquez^Christina', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Rajah is a 8 YO MN Lab mix who was presented for excessive panting. Last time p did this he was diagnosed with sand impaction. O unsure if that is happening again.', 'questions': 'Bone ingestion?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'ready', 'source': 'labelling'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': 'Spondylosis deformans. Likely incidental.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 500, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Intestines - FB small (incidental)', 'diagnosis_custom_text': 'Small intestinal material as described likely incidental. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Follow up radiographs to ensure passage of the described material may also be considered however, monitor for development of clinical signs.', 'recommendation_custom_fields': None}, {'id': 704, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Gastric - True FB, symptomatic', 'diagnosis_custom_text': 'Gastric foreign body suspected to be causing the described clinical signs; concerning that it may not pass on its own. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Endoscopy or inducing emesis may be a consideration, dependent on the gastric material present. Surgical exploration of the abdomen for removal may need to be considered. ', 'recommendation_custom_fields': None}, {'id': 879, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Hepatomegaly - Mild', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 92, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 177, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 251, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The liver appears enlarged. ', 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is material in the small intestine with the appearance of ingesta noted. ', 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': None}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The stomach (pylorus) contains a mineralized opacity with a bone shard appearing structure. ', 'signal_name': 'stomach-n-foreign-material', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2288, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'plication-distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [{'id': 623, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Foreign body - intestinal, small'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe stomach (pylorus) contains a mineralized opacity with a bone-shard-appearing structure. There is an accumulation of fecal material in the colon. There is material in the small intestine, and the appearance of ingesta is noted. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nGastric foreign material within the stomach (antrum and pylorus) causing gastric distension and the described clinical signs; concerning that it may not pass on its own.\nSmall intestinal material, as described, is likely incidental.\nMild fecal retention. Rule out decreased peristalsis and ileus.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nTreat supportively with IV fluids and antinausea medication if is only bone material. Endoscopy could be tried but there is a large amount material. Inducing emesis may be a consideration, but will likely be low-yield and complications could occur - bones could be stuck in the esophagus. Surgical exploration of the abdomen for removal may need to be considered.\nFollow-up radiographs to ensure passage of the described material may also be considered; however, monitor for the development of clinical signs.\nCorrelate with clinical history to rule out constipation.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2015-11-21', 'name': 'Vazquez^RAJAH', 'breed': 'Mix', 'owner': 'Vazquez^Christina', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}

Rajah is a 8 YO MN Lab mix who was presented for excessive panting. Last time p did this he was diagnosed with sand impaction. O unsure if that is happening again.

Bone ingestion?

expert

['Gastrointestinal-area']

['Dietary indiscretion', 'Panting', 'Foreign body ingestion']

[]

[92, 177, 251]

[]

['Foreign body - intestinal, small']

[]

[623]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-09-25', 'name': 'Rodriguez^Cooper', 'breed': 'Other Breed', 'owner': 'Rodriguez^Alexandra', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'West Houston Veterinary Medical Associates', 'email': '[email protected]', 'clinician': 'West Houston Veterinary Medical Associates '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for a year long history on intermittent gagging episodes. ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'Gastric - Post prandial ', 'custom_fields': None}, {'id': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': "* The cause of the patient's described clinical signs is not identified in the radiographs provided. The results of this study are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, masses. Consider an upper airway etiology.\n - A more detailed upper airway exam may be useful for further investigation. Correlate with a minimum database including blood work and urinalysis. Further historical context and/or follow up evaluation may be indicated. ", 'elapsedTime': 135.527, 'consult_name': 'No cause for non-specific signs', 'custom_fields': None}], 'signals': [{'id': 521, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Gagging/retching'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2518, 'source': 'labelling', 'signal_name': 'oral-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is distension of the stomach with presence of radiopaque material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}], 'report_conclusions': "* The cause of the patient's described clinical signs is not identified in the radiographs provided. The results of this study are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, masses. Consider an upper airway etiology.\n - A more detailed upper airway exam may be useful for further investigation. Correlate with a minimum database including blood work and urinalysis. Further historical context and/or follow up evaluation may be indicated. \n* Gastric material is consistent with food/recent meal. "}

{'bday': '2013-09-25', 'name': 'Rodriguez^Cooper', 'breed': 'Other Breed', 'owner': 'Rodriguez^Alexandra', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'West Houston Veterinary Medical Associates', 'email': '[email protected]', 'clinician': 'West Houston Veterinary Medical Associates '}

Patient presented for a year long history on intermittent gagging episodes.

expert

['oral-area']

['Gagging/retching']

[]

[521]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-08-01', 'name': 'Alvarez Vargas^CHAVO', 'breed': 'Mix', 'owner': 'Alvarez Vargas^Daniel', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for sudden onset of vomiting today. ate dinner around 5pm, vomited 15+ times since then. occasional blood in vomit. onset of urinating in house for last week. ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': ['fluid-distension-SI', 'ileus-diffuse-distension-SI', 'summation-structures', 'fluid-wispy', 'focal-loss-detail']}, 'consult': [{'id': 241, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Upper GI ulceration(hematemsis)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 425, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Repros - PMG, abnormal', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 282, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting with blood'}, {'id': 679, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Polyuria'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1635, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'prostate-visible', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe prostate is prominent. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 707, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'prostate-mineralization'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 745, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'uterus-distension-old'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2451, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Prostate-fp'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}], 'report_conclusions': 'Conclusions:\nThe GI tract is normal in appearance with no evidence of obstruction or plication. Given the history of vomiting with blood, upper GI pathology or ulceration should be considered as a primary differential.\nProstatomegaly may be secondary to hyperplasia, hypertrophy, prostatitis, neoplasia, prostatic or paraprostatic cyst.\n\nRecommendations:\nConsider endoscopy to examine the esophagus, stomach, and proximal duodenum to check for upper GI pathology or ulceration. Medical management of GI ulceration is indicated.\nFor further assessment, consider abdominal ultrasound. A biopsy should be considered if the prostatic parenchyma appears abnormal. Correlate with rectal exam and clinical signs.'}

{'bday': '2021-08-01', 'name': 'Alvarez Vargas^CHAVO', 'breed': 'Mix', 'owner': 'Alvarez Vargas^Daniel', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}

Patient presented for sudden onset of vomiting today. ate dinner around 5pm, vomited 15+ times since then. occasional blood in vomit. onset of urinating in house for last week.

expert

['urinary-area', 'Gastrointestinal-area']

['Vomiting', 'Hematemesis (vomiting blood)', 'Polyuria (PU)']

[]

[256, 282, 679]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-02-13', 'name': 'Loukitcheva^Hazell', 'breed': 'Australian Shepherd', 'owner': 'Loukitcheva^Anastasia', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Lenity Vet Specialists + Emergency Care', 'email': '[email protected]', 'clinician': 'Lenity Vet Specialists'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for lethargy, shaking, and possible abdominal pain. Taken to RDVM earlier today - PE normal per owners. Rx gabapentin. Gave first dose ~2pm and then went for a walk; normal appetite, urination, and defecation. Around an hour ago started seeming uncomfortable again. Panting. Gave second dose of gabapentin at 1am. Looks like stomach is spasming. No V/D/C/S. No known dietary indiscretions. Might get into something if she could. No known trauma. Might be PUPD. ', 'questions': 'Fever of unknown origin.'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/ lethargy', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 92, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': "Eaten something shouldn't have"}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 177, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Traumatic-injury'}, {'id': 545, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 620, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 622, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Pain - abdominal'}, {'id': 686, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Polyuria/polydipsia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': "Conclusions:\nThe cause of the patient's described clinical signs is not identified in the radiographs provided. Gastric material noted is consistent with food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\n\nRecommendations:\nSummary:\nCorrelate with a minimum database including blood work and urinalysis. Further historical context and/or follow-up evaluation may be indicated. Re-evaluation of radiographs in time or ultrasound may also be indicated to further investigate the reported non-specific signs.\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of non-obstructive foreign material."}

{'bday': '2021-02-13', 'name': 'Loukitcheva^Hazell', 'breed': 'Australian Shepherd', 'owner': 'Loukitcheva^Anastasia', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Lenity Vet Specialists + Emergency Care', 'email': '[email protected]', 'clinician': 'Lenity Vet Specialists'}

Presented for lethargy, shaking, and possible abdominal pain. Taken to RDVM earlier today - PE normal per owners. Rx gabapentin. Gave first dose ~2pm and then went for a walk; normal appetite, urination, and defecation. Around an hour ago started seeming uncomfortable again. Panting. Gave second dose of gabapentin at 1am. Looks like stomach is spasming. No V/D/C/S. No known dietary indiscretions. Might get into something if she could. No known trauma. Might be PUPD.

Fever of unknown origin.

expert

['Systemic-area']

['Lethargic/tired', 'Panting', 'Fever/pyrexia', 'Tremors/shaking/trembling', 'Pain - abdominal', 'Polyuria/polydipsia', 'Canine Medium/Large Breed']

['Dietary indiscretion', 'Traumatic injury']

[131, 177, 545, 620, 622, 686, 2656]

[92, 259]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-02-04', 'name': 'Dottie Murphy', 'breed': 'Papillon', 'owner': 'Cindy', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Princess Animal Hospital ', 'email': '[email protected]', 'clinician': 'Princess Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for 1 week of coughing. Owner mentioned she will cough even during her naps. On physical exam:Normal temperature, normal hydration status, normal heart rate and rhythm, no murmur auscultated. Tachypnea, labored breathing, wet crackles on lung auscultation on both hemithorax. Enlarged belly. Performed POCUS and free fluid was found on abdominal cavity, clear fluid was obtained after abdominocentesis. ', 'questions': 'Concern for right heart failure. Is there an increase in the vena cava size? Would it be advised starting diuretics and following up with cardiologist? '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'Hepatomegaly- benign', 'custom_fields': None}, {'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Post prandial stomach', 'custom_fields': None}, {'id': 219, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': '* There appears to be free fluid in the abdomen. Rule out low oncotic pressure, portal hypertension, a neoplastic effusion, abdominal hemorrhage or other potential sources of the free fluid identified in the abdomen.\n - For further assessment, advise abdominal ultrasound.', 'elapsedTime': 3.412, 'consult_name': 'Abdominal fluid', 'custom_fields': None}, {'id': 276, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': '* Generalized cardiomegaly concerning for cardiomyopathy. Concurrent pericardial effusion cannot be entirely ruled out. Given the pleural effusion, hepatomegaly, and peritoneal effusion, there is concern for right sided heart failure. Pulmonary hypertension or heartworm disease are potential differentials. Mild pulmonary edema noted, diuretic therapy targeting heart disease are often recommended in similar cases.\n - Consider echocardiogram and consultation with a cardiologist. ', 'elapsedTime': 98.746, 'consult_name': 'Right sided heart failure', 'custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'custom_text': None, 'consult_name': 'Disc narrowing with spondylosis', 'custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 508, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Abdominal distension'}, {'id': 663, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Dyspnoea - without coughing'}, {'id': 666, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2175, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart-Murmur'}, {'id': 2177, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Arrhythmia'}, {'id': 2197, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'cardiac disease and congestive heart failure'}, {'id': 2358, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fever'}, {'id': 2482, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'dehydration'}, {'id': 2536, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-crackles-sounds'}, {'id': 2537, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'temperature-normal'}], 'findings': [{'id': 6, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'lung-pleural-effusion', 'custom_fields': None}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is spondylosis deformans noted in the cervical and thoracolumbar spine. ', 'signal_name': 'spondylosis-spondylosis', 'custom_fields': None}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2280, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is a mild increased opacity throughout the lung fields, characterized as a unstructured interstitial pattern. ', 'elapsedTime': 4.614, 'signal_name': 'lung-fields-opacity', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2294, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urinary-tract', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is intervertebral disc space narrowing at the cervical and thoracolumbar spine. ', 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'The VHS is normal however the cardiac silhouette appears enlarged with a globoid appearance on the VD.', 'elapsedTime': 22.012, 'signal_name': 'globoid-heart', 'custom_fields': None}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'custom_text': 'Caudal Vena Cava appears normal in size. ', 'elapsedTime': 48.894, 'signal_name': 'Caudal Vena Cava Distention', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2509, 'source': 'labelling', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [{'id': 977, 'source': 'labelling', 'recommendation_name': 'Diuretic'}, {'id': 2014, 'source': 'labelling', 'recommendation_name': 'abdominocentesis-c'}], 'report_findings': 'Thorax\n* The VHS is normal however the cardiac silhouette appears enlarged with a globoid appearance on the VD.\n* No left atrial enlargement is present.\n* There is a mild increased opacity throughout the lung fields, characterized as a unstructured interstitial pattern. \n* No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. \n* The trachea is unremarkable with normal diameter. \n* There is evidence of fluid in the pleural space.\n* The diaphragm is unremarkable. \n* Caudal Vena Cava appears normal in size. \n\nAbdomen\n* The liver appears enlarged. \n* There is radiopaque material within the stomach. \n* The small intestines appear within normal limits. \n* There is no evidence of a mass or mass effect within the abdomen. \n* There is loss of serosal detail in the abdomen. \n* The visualized kidneys are within normal limits. \n* The urinary tract is normal. \n* The urinary bladder is within normal limits. \n* No evidence of urolithiasis. \n\nMusculoskeletal\n* No appendicular fractures are noted. \n* No evidence of rib fracture is observed.\n* No aggressive osseous lesions identified. \n* There is intervertebral disc space narrowing at the cervical and thoracolumbar spine. \n* There is spondylosis deformans noted in the cervical and thoracolumbar spine. \n* There is adequate acetabular coverage of the femoral heads with no subluxation noted. \n* There are no degenerative changes noted in the coxofemoral joints. \n* The coxofemoral joints and pelvis are unremarkable.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 712, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2432, 'source': 'labelling', 'history': True, 'confidence': 2, 'signal_name': 'globoid-heart'}, {'id': 2608, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Caudal Vena Cava Distention'}], 'report_conclusions': '* Generalized cardiomegaly concerning for cardiomyopathy. Concurrent pericardial effusion cannot be entirely ruled out. Given the pleural effusion, hepatomegaly, and peritoneal effusion, there is concern for right sided heart failure. Pulmonary hypertension or heartworm disease are potential differentials. Mild pulmonary edema noted, diuretic therapy targeting heart disease are often recommended in similar cases.\n - Consider echocardiogram and consultation with a cardiologist. \n* Hepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out. \n - Correlate with blood work for clinical significance. Consider abdominal ultrasound for further investigation.\n* Gastric material is consistent with food/recent meal. \n* There appears to be free fluid in the abdomen. Rule out low oncotic pressure, portal hypertension, a neoplastic effusion, abdominal hemorrhage or other potential sources of the free fluid identified in the abdomen.\n - For further assessment, advise abdominal ultrasound.\n* Presence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration. \n - Correlate with physical exam findings and consider advanced imaging such as MRI. '}

{'bday': '2013-02-04', 'name': 'Dottie Murphy', 'breed': 'Papillon', 'owner': 'Cindy', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'Princess Animal Hospital ', 'email': '[email protected]', 'clinician': 'Princess Animal Hospital'}

Presented for 1 week of coughing. Owner mentioned she will cough even during her naps. On physical exam:Normal temperature, normal hydration status, normal heart rate and rhythm, no murmur auscultated. Tachypnea, labored breathing, wet crackles on lung auscultation on both hemithorax. Enlarged belly. Performed POCUS and free fluid was found on abdominal cavity, clear fluid was obtained after abdominocentesis.

Concern for right heart failure. Is there an increase in the vena cava size? Would it be advised starting diuretics and following up with cardiologist?

expert

['cardiovascular-area', 'Respiratory-area', 'Gastrointestinal-area']

['Coughing', 'Abdominal distension', 'Dyspnea', 'Tachypnoea', 'Cardiac Disease And Congestive Heart Failure', 'Lung crackles/lung sounds']

['Heart Murmur', 'Arrhythmia', 'fever', 'Dehydration', 'normal temperature']

[69, 508, 663, 666, 2197, 2536]

[2175, 2177, 2358, 2482, 2537]

[]

[]

[]

[]

[]

['Diuretic', 'Abdominocentesis']

[]

[977, 2014]

{'patient': {'bday': '2021-02-14', 'name': 'Degler^PEARLA', 'breed': 'Shih Tzu', 'owner': 'Degler^Judith', 'gender': 'O', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for 2 day history of vomiting and diarrhea. Up to date on vaccines, no diet changes', 'questions': 'Assessment of the GI tract'}}

{'tags': {'userTags': ['incorrect consistency prompt'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 244, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* Presence of two populations of small intestine most commonly represents a mechanical obstruction though severe enteritis cannot always be ruled out. \n - Consider abdominal ultrasound for further investigation of the intestinal tract. Medical management with follow-up radiographs may also be a consideration if the patient is closely monitored for any change in status.', 'consult_name': 'Intestines - Poss 2 pops, no FB', 'custom_fields': None}, {'id': 833, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Gastric - Rugal folds vs GMT vs mass', 'custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 2181, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Acute-Vomiting-c'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There appears to be presence of distension of a portion of small intestine and a population of non-distended intestine. ', 'signal_name': 'intestines-small-obstruction', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2316, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intestine-fm', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'internal_notes': "I see what might be foreign material in the mid ventral abdomen on the L lateral and in the mid cranial abdomen on the R lateral - I'm not sure if I'm being oversensitive.", 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere appears to be presence of distension of a portion of small intestine and a population of non-distended intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': '* Presence of two populations of small intestine most commonly represents a mechanical obstruction though severe enteritis cannot always be ruled out. \n - Consider abdominal ultrasound for further investigation of the intestinal tract. Medical management with follow-up radiographs may also be a consideration if the patient is closely monitored for any change in status.\n* Soft tissue opacity noted in the stomach. This may represent rugal folds, however thickening of the gastric wall, gastric mass, or gastric material cannot be ruled out. \n - Consider abdominal ultrasound and endoscopy for further investigation of the soft tissue opacity noted in the stomach.'}

{'bday': '2021-02-14', 'name': 'Degler^PEARLA', 'breed': 'Shih Tzu', 'owner': 'Degler^Judith', 'gender': 'O', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

{'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}

Presented for 2 day history of vomiting and diarrhea. Up to date on vaccines, no diet changes

Assessment of the GI tract

expert

['Gastrointestinal-area']

['Diarrhea', 'Acute vomiting']

[]

[76, 2181]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-11-01', 'name': 'aranda', 'breed': 'Alaskan Husky', 'owner': 'liliana', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'North Line Pet Clinic/Tidwell Pet Clinic', 'email': '[email protected]', 'clinician': 'Tidwell pet clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'pet is present for twisting neck towards right side past 4 days, pain on palpation when moving the neck to the right position', 'questions': 'pain on neck ;unable to walk'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1013, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 424, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Repros - PMG, intact male, asymptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 843, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 27.784, 'consult_name': 'Spine - No cause for neck/back pain', 'diagnosis_custom_text': 'No cause for the described pain is identified on the films provided. This does not rule out intervertebral disc disease or other infectious/inflammatory causes affecting the spinal cord. The reported clinical signs and lack of other abnormalities highly suggest partial prolapse of an intervertebral disc. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 847, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 22.319, 'consult_name': 'Bladder - Urine retention, no obstruction, dog', 'diagnosis_custom_text': 'The urinary bladder is distended. Suspected to be urinary retention secondary to anxiety or lack of access to urinate outside.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 204, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Reluctant to walk'}, {'id': 626, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Head tilt'}, {'id': 2442, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - neck'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1635, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'prostate-visible', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2252, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': None}, {'id': 2265, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe prostate is prominent. There is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 707, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'prostate-mineralization'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'patellar-luxation'}, {'id': 2254, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'utd-secondary-to-fetus'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'urinary-bladder-distension'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2451, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Prostate-fp'}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}], 'report_conclusions': 'Conclusions:\nNo cause for the described pain is identified on the films provided. This does not rule out intervertebral disc disease or other infectious/inflammatory causes affecting the spinal cord. The reported clinical signs and lack of other abnormalities highly suggest partial prolapse of an intervertebral disc.\nIncreased size of the prostate gland is likely secondary to benign hypertrophy being an intact male.\nThe urinary bladder is distended. Suspected to be urinary retention secondary to anxiety or lack of access to urinate outside, however, an underlying neurologic cause for the urinary retention is also considered. \n\nRecommendations:\nAdvanced imaging, such as a CT scan with myelogram or MRI is recommended for further investigation. Consider medical management with analgesics, muscle relaxants, and exercise restriction, and if pain persists or neurologic consultation is not available. \nCorrelate with rectal exam and clinical signs for clinical significance of the enlarged prostate.\nBiochemistry profile and urinalysis may be considered if there is concern for calculi.'}

{'bday': '2022-11-01', 'name': 'aranda', 'breed': 'Alaskan Husky', 'owner': 'liliana', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'North Line Pet Clinic/Tidwell Pet Clinic', 'email': '[email protected]', 'clinician': 'Tidwell pet clinic'}

pet is present for twisting neck towards right side past 4 days, pain on palpation when moving the neck to the right position

pain on neck ;unable to walk

expert

['Musculoskeletal-area']

['Reluctant to move/walk', 'Head tilt', 'Pain - neck', 'Canine Medium/Large Breed']

[]

[204, 626, 2442, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-07-13', 'name': 'MIRANDA^STELLA^^^', 'breed': 'Terrier Mix', 'owner': 'Elsy', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Katy'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented in clinic today for limping on the right hind limb. Patient was chasing a cat outside in the backyard when it was wet about a week ago. Patient is currently weight bearing on the right hind limb and painful when palpating or stretching. Owner has been giving joint supplements at home and tried massaging the leg to help with the pain. No known history of chronic conditions and patient is still eating and drinking normal. No signs of vomiting, diarrhea, sneezing or coughing. DVM Yeruva sent patient home with some joint supplements, pain and anti-inflammatory medications.', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 362, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'Hindlimb Stifle - small breed, no cause for lameness', 'custom_fields': None}, {'id': 381, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* Degenerative changes in the left distal limb as previously described. \n - Correlate with orthopedic examination for further evaluation of the degenerative changes.', 'elapsedTime': 9.089, 'consult_name': 'Hindlimb Tarsus - arthritis, no lameness', 'custom_fields': None}], 'signals': [{'id': 629, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - musculoskeletal'}, {'id': 2345, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}], 'findings': [{'id': 10, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': None}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 870, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': {'___s1_': ['left']}}, {'id': 2193, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'Stifle', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2252, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is degenerative joint disease affecting the left tarsus. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 812, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'dental-tooth-periapical-lucency-class'}, {'id': 815, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'dental-tooth-attachment-loss-class'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'patellar-luxation'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'palate-canals'}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'tympanic-bulla'}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses'}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'nasal-cavity'}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-fracture'}, {'id': 2311, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-abl'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'laryngeal-opacity'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement'}], 'report_conclusions': "* No source of the patient's reported signs is identified in the study. The patellas being in normal location does not exclude patellar luxation as a diagnosis. \n* Degenerative changes in the left distal limb as previously described. \n - Correlate with orthopedic examination for further evaluation of the degenerative changes."}

{'bday': '2013-07-13', 'name': 'MIRANDA^STELLA^^^', 'breed': 'Terrier Mix', 'owner': 'Elsy', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Katy'}

Patient presented in clinic today for limping on the right hind limb. Patient was chasing a cat outside in the backyard when it was wet about a week ago. Patient is currently weight bearing on the right hind limb and painful when palpating or stretching. Owner has been giving joint supplements at home and tried massaging the leg to help with the pain. No known history of chronic conditions and patient is still eating and drinking normal. No signs of vomiting, diarrhea, sneezing or coughing. DVM Yeruva sent patient home with some joint supplements, pain and anti-inflammatory medications.

standard

['Musculoskeletal-area']

['Pain - musculoskeletal', 'Hindlimb lameness']

[]

[629, 2345]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-05-01', 'name': 'BUCKETS', 'breed': 'Olde English Bulldogge', 'owner': 'Bobila', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Emergency Pet Hospital of Glendora', 'email': '[email protected]', 'clinician': 'EPHG'}, 'accept_tos': 'true', 'consult_info': {'case_info': '10 month old english bulldog with a suspected small intestinal obstruction. Repeat radiographs 6 hours. P has received IVF, no excessive panting while in care.', 'questions': 'Partial gastric obstruction'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'ready', 'source': 'labelling'}], 'consult': [{'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 6.001, 'consult_name': 'Hindlimb Hip - chronic hip dysplasia, HOA and HIC', 'diagnosis_custom_text': 'Evidence of hip subluxation/joint laxity with mild arthritic changes secondary to hip dysplasia.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with orthopedic examination for further evaluation.', 'recommendation_custom_fields': None}, {'id': 696, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Spine - TID/CID with VAN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 874, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 15.713, 'consult_name': 'Gastric - Large FB', 'diagnosis_custom_text': 'Suspect gastric foreign body not expected to be able to pass on its own. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 201, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Re-examination/Follow-up'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There appears to be a soft tissue opacity noted within the stomach. It is better appreciated on the right lateral view in the fundus region and on the vd view between left rib 12 and 13. There is mild gas distension of the small intestines with no obstructive pattern or foreign material appreciated.', 'elapsedTime': 21.71, 'signal_name': 'stomach-n-foreign-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T10']}}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['right']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['T9-T10', 'T10-T11']}}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [{'id': 59, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Intestinal obstruction'}, {'id': 2437, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'gastric-mechanical-obstruction1'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere appears to be a soft tissue opacity noted within the stomach. It is better appreciated on the right lateral view in the fundus region and on the vd view between left rib 12 and 13. There is mild gas distension of the small intestines with no obstructive pattern or foreign material appreciated. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at T9-T10 and T10-T11. Vertebral anomaly is noted at T10. There is evidence of hip incongruity of the left and right hip. There is degenerative joint disease affecting the right and left coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2229, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2270, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thin-bcs'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}], 'report_conclusions': 'Conclusions:\nSuspect gastric foreign body not expected to be able to pass on its own.\nEvidence of hip subluxation/joint laxity with mild arthritic changes secondary to hip dysplasia.\nPresence of disc space narrowing associated with vertebral anomaly is suggestive of disc degeneration.\n\nRecommendations:\nDepending on the gastric material present, consideration may be given to inducing emesis, endoscopy or surgical exploration of the abdomen. Abdominal ultrasound may be useful to determine the character of the gastric material.\nCorrelate with orthopedic examination for further evaluation.\nConsider advanced imaging such as MRI for further investigation of the disc space narrowing associated with vertebral anomaly. Correlate with physical exam findings.'}

{'bday': '2024-05-01', 'name': 'BUCKETS', 'breed': 'Olde English Bulldogge', 'owner': 'Bobila', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Emergency Pet Hospital of Glendora', 'email': '[email protected]', 'clinician': 'EPHG'}

10 month old english bulldog with a suspected small intestinal obstruction. Repeat radiographs 6 hours. P has received IVF, no excessive panting while in care.

Partial gastric obstruction

expert

['Gastrointestinal-area']

['Re-examination/Follow-up']

[]

[201]

[]

['Intestinal obstruction', 'Gastric mechanical obstruction']

[]

[59, 2437]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-08-06', 'name': 'Bella', 'breed': 'shepherd german', 'owner': 'Hodges', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Bayview Pet Services (Newmarket, ON)', 'email': '[email protected]', 'clinician': 'Bayview Pet Services'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Owner noted blood in pee. Body temperature 103.4. Eating/drinking normal. Dog in pain, was on meloxicam', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* Presence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration. \n - Correlate with physical exam findings and consider advanced imaging such as MRI. ', 'consult_name': 'Disc narrowing with spondylosis', 'custom_fields': None}, {'id': 895, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': "* The cause of the patient's described clinical signs is not identified in the radiographs provided. No evidence of bladder calculi or debris.\n - Correlate with urinalysis findings. An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps.", 'elapsedTime': 78.864, 'consult_name': 'no evidence of bladder calculi or debris', 'custom_fields': None}], 'signals': [{'id': 2186, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is spondylosis deformans noted in the lumbar spine. There are degenerative changes noted in the articular facets of L1-L3.', 'signal_name': 'spondylosis-spondylosis', 'custom_fields': None}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2286, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'colon-distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L5-L6']}}], 'diagnosis': [{'id': 2192, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Haematuria'}], 'questions': [{'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at L5-L6. There is spondylosis deformans noted in the lumbar spine. There are degenerative changes noted in the articular facets of L1-L3. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}], 'report_conclusions': "* The cause of the patient's described clinical signs is not identified in the radiographs provided. No evidence of bladder calculi or debris.\n - Correlate with urinalysis findings. An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps.\n* Presence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration. \n - Correlate with physical exam findings and consider advanced imaging such as MRI. "}

{'bday': '2014-08-06', 'name': 'Bella', 'breed': 'shepherd german', 'owner': 'Hodges', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'Bayview Pet Services (Newmarket, ON)', 'email': '[email protected]', 'clinician': 'Bayview Pet Services'}

Owner noted blood in pee. Body temperature 103.4. Eating/drinking normal. Dog in pain, was on meloxicam

expert

['urinary-area']

['Pain']

[]

[2186]

[]

['Haematuria']

[]

[2192]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-01-29', 'name': 'Cali', 'breed': 'Cavalier King Charles Spaniel', 'owner': 'Johnson', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Dublin Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Dublin Vet'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'crying 3 days ago, noticed diarrhea and vomiting as of yesterday. pet is anorectic since yesterday. noticed blood in stool today and diarrhea is watery.\r\npet is sensitive on abdominal palpation and having ataxia on hind quarter. ', 'questions': 'rule out foreign body/other'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1015, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1024, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'normal', 'source': 'labelling'}, {'id': 1027, 'state': 'partial', 'source': 'labelling'}, {'id': 1032, 'state': 'ready', 'source': 'labelling'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}, {'id': 1096, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 714, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 41.627, 'consult_name': 'Intestines - Hemorrhagic gastro enteritis (vom+diarr).', 'diagnosis_custom_text': 'A cause for the described vomiting and diarrhea is not determined from the radiographs. Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential. Colitis due to stress, dietary indiscretion, parasite, or other cause cannot be ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 71, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Crying'}, {'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 520, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Faecal appearance abnormal - other'}, {'id': 601, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gait abnormality - ataxia'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 622, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2475, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2290, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-foreign-body', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}, {'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'internal_notes': 'undefined\nThis case was automatically escalated by the system due to reservervation timeout in the stat codes channel.', 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. There is evidence of hip incongruity of the left and right hip. There is degenerative changes affecting the left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score'}, {'id': 2229, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2290, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-foreign-body'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail'}, {'id': 2572, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Hiatal hernia'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': "Conclusions:\nA cause for the described vomiting and diarrhea is not determined from the radiographs. Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential. Colitis due to stress, dietary indiscretion, parasite, or other cause cannot be ruled out.\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nMedical management of the clinical signs is indicated at this time. Consider fecal testing and blood work for further investigation.\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified."}

{'bday': '2020-01-29', 'name': 'Cali', 'breed': 'Cavalier King Charles Spaniel', 'owner': 'Johnson', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Dublin Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Dublin Vet'}

crying 3 days ago, noticed diarrhea and vomiting as of yesterday. pet is anorectic since yesterday. noticed blood in stool today and diarrhea is watery. pet is sensitive on abdominal palpation and having ataxia on hind quarter.

rule out foreign body/other

standard

['neuro-area', 'Gastrointestinal-area', 'Vomiting-FB/obstruction']

['Crying/yelping', 'Diarrhea', 'Vomiting', 'abnormal fecal appearance', 'Gait abnormality - ataxia', 'Anorexia', 'Pain - abdominal', 'Hematochezia']

['Canine Medium/Large Breed']

[71, 76, 256, 520, 601, 606, 622, 2475]

[2656]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-03-31', 'name': 'Gulledge^RYDER', 'breed': 'Mix', 'owner': 'Gulledge^Aubrey', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': '6 month history of on and off vomiting and diarrhea, getting progressively worse the past couple months. She is anorexic, lethargic and losing weight as well. Last meal was 6:30 last night.', 'questions': 'complete'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'excluded', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/ lethargy', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 273, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Cardiac - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 140, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2289, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'summation-structures', 'custom_fields': {'___s1_': ['cranial']}}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart is borderline enlarged. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is an increased soft tissue opacity noted in the cranial abdomen suspected to be summation of structures in the region. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'summation-structures'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-bridging'}], 'report_conclusions': "Conclusions:\nThe cause of the patient's described clinical signs is not identified in the radiographs provided.\nThe cardiac silhouette appears to be normal in size. This does not rule out early occult heart disease. \nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nCorrelate with a minimum database including blood work and urinalysis. Further historical context and/or follow up evaluation may be indicated. Re-evaluation of radiographs in time or ultrasound may also be indicated to further investigate the reported non-specific signs.\nConsider an echocardiogram and blood pressure measurment for further investigation to rule out underlying cardiac disease if there is a murmur. \nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified."}

{'bday': '2010-03-31', 'name': 'Gulledge^RYDER', 'breed': 'Mix', 'owner': 'Gulledge^Aubrey', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}

6 month history of on and off vomiting and diarrhea, getting progressively worse the past couple months. She is anorexic, lethargic and losing weight as well. Last meal was 6:30 last night.

complete

expert

['Gastrointestinal-area']

['Diarrhea', 'Lethargic/tired', 'Losing weight', 'Vomiting', 'Anorexia']

[]

[76, 131, 140, 256, 606]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-02-03', 'name': 'White^ROXIE', 'breed': 'Mix', 'owner': 'White^Elizabeth', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Repeat radiographs following 10 hour fast', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 247, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* Comparing to previous images, there appears to be mild distension of the small intestines/colon with gas. No obvious obstructive pattern or foreign material is noted on this study. This does not completely rule out an occult foreign body.\n - Continue with supportive care. Abdominal ultrasound may be useful to look for non-obstructive, soft tissue opacity foreign body. Consider follow-up radiographs if clinical signs progress. ', 'elapsedTime': 144.08299999999997, 'consult_name': 'Intestines - Normal, no cause for GI signs', 'custom_fields': None}], 'signals': [], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2286, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'colon-distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [{'id': 2015, 'source': 'labelling', 'recommendation_name': 'abdominal-radiographs-fast-c'}, {'id': 2053, 'source': 'labelling', 'recommendation_name': 'radiographs-recheck-12-c'}], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}], 'report_conclusions': '* Comparing to previous images, there appears to be mild distension of the small intestines/colon with gas. No obvious obstructive pattern or foreign material is noted on this study. This does not completely rule out an occult foreign body.\n - Continue with supportive care. Abdominal ultrasound may be useful to look for non-obstructive, soft tissue opacity foreign body. Consider follow-up radiographs if clinical signs progress. '}

{'bday': '2021-02-03', 'name': 'White^ROXIE', 'breed': 'Mix', 'owner': 'White^Elizabeth', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}

Repeat radiographs following 10 hour fast

expert

['Gastrointestinal-area']

[]

[]

[]

[]

[]

[]

[]

[]

[]

['Fasting Abdominal gradiographs', 'Repeat radiographs']

[]

[2015, 2053]

{'patient': {'bday': '2020-12-31', 'name': 'BONNIE', 'breed': 'SHIH TSU', 'owner': 'WARILLAS', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'My Pet Hospital in Pinecrest', 'email': '[email protected]', 'clinician': 'My Pet Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': "Presented because of occlusion problems after falling of the bed 2 hr ago. P' mouth is painful.\xa0\r\n\r\nThere is a hematoma on the lateral aspect of the right 4th premolar. There is mobility and crepitation between the P3 and P4. No other significative lesion. no neurological problems at PE.\xa0\r\n\r\n", 'questions': 'Rule out Mandibular fracture, and skull trauma.\xa0'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 416, 'state': 'normal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Skull - oral pain, normal skull, no visible dental lesions', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 489, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Subcut - Swelling, trauma', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 533, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mass/swelling - oral (mouth)'}, {'id': 623, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - oral (mouth)'}, {'id': 2444, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'bleeding-oral'}, {'id': 2473, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Crepitus'}, {'id': 2530, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'patient-fell'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the right']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2307, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None}, {'id': 2308, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': None}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': {'___s1_': []}}, {'id': 2312, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tmj-luxation-subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2518, 'source': 'labelling', 'signal_name': 'oral-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is distension of the stomach with presence of radiopaque material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is soft tissue swelling involving the right. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 812, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'dental-tooth-periapical-lucency-class'}, {'id': 815, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'dental-tooth-attachment-loss-class'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass'}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals'}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tympanic-bulla'}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'frontal-sinuses'}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'nasal-cavity'}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture'}, {'id': 2311, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-abl'}, {'id': 2312, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tmj-luxation-subluxation'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': 'Conclusions:\nSoft tissue swelling as described. Consistent with history of trauma and local hemorrhage/hematoma.\nGastric material is consistent with food/recent meal.\nNormal skull radiographs.\n\nRecommendations:\nCorrelate with physical exam findings for clinical significance of the soft tissue swelling.\nConsider sedated oral exam and dental radiography.'}

{'bday': '2020-12-31', 'name': 'BONNIE', 'breed': 'SHIH TSU', 'owner': 'WARILLAS', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'My Pet Hospital in Pinecrest', 'email': '[email protected]', 'clinician': 'My Pet Hospital '}

Presented because of occlusion problems after falling of the bed 2 hr ago. P' mouth is painful.  There is a hematoma on the lateral aspect of the right 4th premolar. There is mobility and crepitation between the P3 and P4. No other significative lesion. no neurological problems at PE. 

Rule out Mandibular fracture, and skull trauma. 

expert

['Musculoskeletal-area', 'oral-area']

['Mass/swelling - oral (mouth)', 'Pain - oral (mouth)', 'oral bleeding', 'Crepitus', 'Fell/dropped']

[]

[533, 623, 2444, 2473, 2530]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-01-14', 'name': 'Charlie^DINO', 'breed': 'Chihuahua', 'owner': 'Charlie^Charlotte', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'ICU'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for possible CHF after coughing all night.\r\n\r\nHe was started on vetmedin approximately 8 months ago after having an echo done with rDVM.\r\n\r\nHe does have a history of sensitive stomach.\r\n\r\nNo V/D\r\nE/D normally\r\n\r\nOn exam: 4/6 L systolic murmur, bilateral crackles\r\n\r\nCurrent medications: Vetmedin', 'questions': 'Patient presented for possible CHF after coughing all night.\r\n\r\nHe was started on vetmedin approximately 8 months ago after having an echo done with rDVM.\r\n\r\nHe does have a history of sensitive stomach.\r\n\r\nNo V/D\r\nE/D normally\r\n\r\nOn exam: 4/6 L systolic murmur, bilateral crackles\r\n\r\nCurrent medications: Vetmedin'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'ready', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 268, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly - Symptomatic , on meds', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 47.316, 'consult_name': 'Gastric - Aerophagia', 'diagnosis_custom_text': 'The gas distension observed in the GI tract is may be secondary to aerophagia. Cannot rule out possible pyloric outflow obstruction, gastritis or post prandial stomach.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with clinical signs and exam for clinical significance of gastric distension. Correlate with patients last meal time.', 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2463, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Heart murmur'}, {'id': 2536, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-crackles-sounds'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbosacral']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The liver appears enlarged with rounded margins on the left lateral view.', 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['unstructured interstitial']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}], 'recommendations': [{'id': 1055, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'pimobendan'}], 'report_findings': 'Thorax\nThe heart appears to be enlarged with evidence of left atrial enlargement. There is increased opacity throughout the lung fields, characterized as a unstructured interstitial pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged with rounded margins on the left lateral view. There is distension of the stomach with presence of radiopaque material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbosacral spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-diffuse-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver'}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish'}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nLeft sided congestive heart failure with pulmonary edema.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nThe gas distension observed in the GI tract is may be secondary to aerophagia. Cannot rule out possible pyloric outflow obstruction, gastritis or post prandial stomach.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nConsider increasing diuretic therapy to help reduce pulmonary edema. Supportive care such as oxygen therapy may also be indicated. A blood pressure measurement is suggested. Further re-evaluation of cardiac medication may also be considered.\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necesary for a defintive diagnosis. Correlate with blood work for clinical significance.\nCorrelate with clinical signs and exam for clinical significance of gastric distension. Correlate with patients last meal time.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2015-01-14', 'name': 'Charlie^DINO', 'breed': 'Chihuahua', 'owner': 'Charlie^Charlotte', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'ICU'}

Patient presented for possible CHF after coughing all night. He was started on vetmedin approximately 8 months ago after having an echo done with rDVM. He does have a history of sensitive stomach. No V/D E/D normally On exam: 4/6 L systolic murmur, bilateral crackles Current medications: Vetmedin

Patient presented for possible CHF after coughing all night. He was started on vetmedin approximately 8 months ago after having an echo done with rDVM. He does have a history of sensitive stomach. No V/D E/D normally On exam: 4/6 L systolic murmur, bilateral crackles Current medications: Vetmedin

expert

['cardiovascular-area']

['Coughing', 'Heart murmur', 'Lung crackles/lung sounds']

[]

[69, 2463, 2536]

[]

[]

[]

[]

[]

['Pimobendan']

[]

[1055]

[]

{'patient': {'bday': '2012-08-24', 'name': 'Hatzl-Patterson^Dakota', 'breed': 'Australian Shepherd', 'owner': 'Hatzl-Patterson^Nina Michele', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Arlington Animal Hospital and 24 Hour Emergency Center ', 'email': '[email protected]', 'clinician': 'Arlington Animal Hospital & 24 Hour Emergency'}, 'accept_tos': 'true', 'consult_info': {'case_info': '2-3 days of paraparesis, PE rear limbs normal reflexes, no or minimal deep pain present, no pain on palpation ', 'questions': 'etiology of paralysis'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': None, 'consult_name': 'Post prandial stomach', 'custom_fields': None}, {'id': 358, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Stifle arthritis, not the primary problem', 'custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'Hip dysplasia', 'custom_fields': None}, {'id': 412, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'No cause for hind limb neuro signs', 'custom_fields': None}], 'signals': [{'id': 630, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Paresis/paralysis'}, {'id': 2186, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pain'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There are degenerative changes noted in one of the stifles. ', 'signal_name': 'knee-osteophytosis', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-area'}], 'recommendations': [], 'report_findings': 'Abdomen\n* There is distension of the stomach with presence of radiopaque material. \n* The small intestines appear within normal limits. \n* There is no evidence of a mass or mass effect within the abdomen. \n* The serosal detail of the abdomen is normal. \n* The urinary bladder is within normal limits. \n* No evidence of urolithiasis. \n\nMusculoskeletal\n* No appendicular fractures are noted. \n* No aggressive osseous lesions identified. \n* The spine is radiographically normal. \n* No significant intervertebral disc space narrowing is identified. \n* There is evidence of hip incongruity of the left and right hip. \n* There is degenerative joint disease affecting the left and right coxofemoral joint. \n* There are degenerative changes noted in one of the stifles.', 'additionalSignals': [{'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2229, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-dysplasia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}], 'report_conclusions': '* No specific cause for the described signs is identified on the radiographs provided. Based on the clinical signs, TL myelopathy is suspected.\n - For further investigation, consider advanced imaging such as myelogram or an MRI scan.\n* Osteoarthritis of the hips secondary to hip dysplasia.\n - Correlate with orthopedic examination.\n* Osteoarthritis of the stifles.\n - Correlate with orthopedic examination.\n* Gastric material is consistent with food/recent meal. '}

{'bday': '2012-08-24', 'name': 'Hatzl-Patterson^Dakota', 'breed': 'Australian Shepherd', 'owner': 'Hatzl-Patterson^Nina Michele', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'Arlington Animal Hospital and 24 Hour Emergency Center ', 'email': '[email protected]', 'clinician': 'Arlington Animal Hospital & 24 Hour Emergency'}

2-3 days of paraparesis, PE rear limbs normal reflexes, no or minimal deep pain present, no pain on palpation

etiology of paralysis

expert

['Musculoskeletal-area', 'neuro-area']

['Paresis/paralysis']

['Pain']

[630]

[2186]

[]

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[]

[]

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{'patient': {'bday': '2022-11-11', 'name': 'Ori', 'breed': 'Labrador Retriever', 'owner': 'Litman', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Huronia Veterinary Emergency Clinic (ON, Canada)', 'email': '[email protected]', 'clinician': 'HVEC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Owner noticed lameness on friday May 10th 2024, then the patient started non weight bearing on the right hind leg on May 11 @ 12pm. Blood work recently at rdvm - wnl according to owner', 'questions': 'Painful on palpation of right hind tarsus. Painful on manipulation of tarsus.'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'empty', 'source': 'labelling'}, {'id': 1054, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'id': 391, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 21.653, 'consult_name': 'Negative - no cause for lameness', 'diagnosis_custom_text': "The cause of the patient's described clinical signs is not definitively determined in the radiographs provided. The study is negative for fractures, luxation or subluxation. This does not rule out a soft tissue injury or neuropathy at this time.\n", 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 490, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Subcut - Swelling, associated with a joint', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2185, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 10, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 870, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the right', 'tarsal joint']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is soft tissue swelling involving the right and tarsal joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 722, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesions-of-the-third-phalanx'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'soft-tissue-swelling'}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture'}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}, {'id': 2690, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'submandibular-swelling'}], 'report_conclusions': "Conclusions:\nSoft tissue swelling associated with the area as described. This is likely extra-capsular though a mild intracapsular component cannot be ruled out.\nThe cause of the patient's described clinical signs is not definitively determined in the radiographs provided. The study is negative for fractures, luxation or subluxation. This does not rule out a soft tissue injury or neuropathy at this time.\n\nRecommendations:\nConsider careful palpation and fine needle aspirate sampling with cytology to determine etiology. Assessment of the affected joint for instability may be beneficial as would cross-section imaging.\nRecommend medical management for soft tissue injury and exercise restriction. If exam suggests more than a soft tissue injury or there is no response to treatment, consider sedation and additional views of the region of interest +/- orthopedic consult."}

{'bday': '2022-11-11', 'name': 'Ori', 'breed': 'Labrador Retriever', 'owner': 'Litman', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Huronia Veterinary Emergency Clinic (ON, Canada)', 'email': '[email protected]', 'clinician': 'HVEC'}

Owner noticed lameness on friday May 10th 2024, then the patient started non weight bearing on the right hind leg on May 11 @ 12pm. Blood work recently at rdvm - wnl according to owner

Painful on palpation of right hind tarsus. Painful on manipulation of tarsus.

standard

['Musculoskeletal-area']

['Lameness', 'Canine Medium/Large Breed']

[]

[2185, 2656]

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{'patient': {'bday': '2021-07-10', 'name': 'Le^Cali^^^', 'breed': 'Mixed', 'owner': 'Amy Le', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' United Pet Hospital', 'email': '[email protected]', 'clinician': 'Dr. Mandeep Bhullar'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Wheezing. Coughing. Heart murmur 2/6.', 'questions': 'Wheezing. Coughing. Heart murmur 2/6.'}}

{'tags': {'userTags': ['Four'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'ready', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1099, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly - GEN, unstructured interstitial, CHF', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2456, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Wheezing'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['mixed interstitial to alveolar']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 402, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Heart (cardiac) murmur - innocent'}], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}], 'internal_notes': 'Not very detailed description of what is going on in the lungs and if there is more the practiioner should know or do to help this patient BEFORE they can get an echocardiogram.', 'recommendations': [], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart. There is increased opacity throughout the lung fields, characterized as a mixed interstitial to alveolar pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is an accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial'}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement'}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift'}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}], 'report_conclusions': 'Conclusions:\nGeneralized cardiomegaly and unstructured interstitial pattern throughout the lungs as described above. Possible differentialS include: valvular disease leading to insufficiency, DCM with pulmonary edema or pulmonary hypertension.\nMild fecal retention. Rule out constipation.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nFor further assessment, an echocardiogram and blood pressure measurement would be optimal. Diuretics, as pre-load reducer, are a mainstay of reducing pulmonary edema. Supportive care such as oxygen therapy may be indicated. Additional cardiac medication should also be considered.\nCorrelate with clinical history to rule out constipation.'}

{'bday': '2021-07-10', 'name': 'Le^Cali^^^', 'breed': 'Mixed', 'owner': 'Amy Le', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': ' United Pet Hospital', 'email': '[email protected]', 'clinician': 'Dr. Mandeep Bhullar'}

Wheezing. Coughing. Heart murmur 2/6.

Wheezing. Coughing. Heart murmur 2/6.

expert

['cardiovascular-area', 'Respiratory-area']

['Coughing', 'Wheezing']

[]

[69, 2456]

[]

['Heart (cardiac) murmur - innocent']

[]

[402]

[]

[]

[]

[]

[]

{'patient': {'bday': '2009-12-30', 'name': 'Jackson^Boomer', 'breed': 'Schnauzer, Miniature', 'owner': 'Jackson^Melanie', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Animal Care Center of Shorewood', 'email': '[email protected]', 'clinician': 'ACC Shorewood'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'SEEN ABOUT 3 WEEKS AGO ( 1/2/24 ) FOR COUGH / AND VOMITING\r\nBLOOD WORK CBC - CHEM WAS NORMAL AT THAT POINT ( 3 WEEKS AGO ) \r\nBACK IN TODAY FOR RECHECK BECAUSE CONTINUES TO VOMIT EVERY OTHER DAY (BUT STILL HAVING NORMAL BM ) CONTINUES TO COUGH ( HEART MURMUR 4/6 , NOT ON ANY HEART MEDS )\r\nALSO LOST 2.2 LBS IN 2 WEEKS ( WAS 20 LBS ) \r\nPATIENT IS 14 YEARS OLD ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 192, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': None, 'consult_name': 'Small liver', 'custom_fields': None}, {'id': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'custom_text': None, 'consult_name': 'Incidental VAN', 'custom_fields': None}, {'id': 247, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'No cause of GI signs', 'custom_fields': None}, {'id': 269, 'state': 'normal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Cardiac Normal - canine, heart murmer', 'custom_fields': None}, {'id': 299, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'No cause for respiratory signs, small breed', 'custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 140, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2175, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Heart-Murmur'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': ['L1']}}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2262, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'small-liver', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2286, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'colon-distension-si', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears small with the gastric axis displaced cranially. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nVertebral anomaly is noted at L1. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking'}, {'id': 2262, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'small-liver'}], 'report_conclusions': '* The study is most compatible with gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, hemorrhagic gastroenteritis and dietary indiscretion should be considered.\n - Recommend supportive care. Consider lab testing for pancreatitis. Depending on lab results, follow-up imaging, abdominal ultrasound may also be helpful.\n* No cause for the described respiratory signs has been determined from this radiographic study. Bronchitis or dynamic airway collapse cannot be ruled out.\n - For further evaluation endoscopic evaluation, lower airway sampling and a respiratory PCR could be considered if the patient does not respond to medical management.\n* The cardiovascular structures appear normal. This does not rule out valvular disease.\n - Consider echocardiogram to investigate the reported heart murmur. \n* The liver appears small. This may be secondary to conformation but cirrhosis or vascular anomaly cannot be ruled out.\n - Biochemical profile and possible bile acids testing is recommended to confirm adequate hepatic function.\n* Vertebral anomaly. Likely incidental.\n - Correlate with physical exam.'}

{'bday': '2009-12-30', 'name': 'Jackson^Boomer', 'breed': 'Schnauzer, Miniature', 'owner': 'Jackson^Melanie', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'Animal Care Center of Shorewood', 'email': '[email protected]', 'clinician': 'ACC Shorewood'}

SEEN ABOUT 3 WEEKS AGO ( 1/2/24 ) FOR COUGH / AND VOMITING BLOOD WORK CBC - CHEM WAS NORMAL AT THAT POINT ( 3 WEEKS AGO ) BACK IN TODAY FOR RECHECK BECAUSE CONTINUES TO VOMIT EVERY OTHER DAY (BUT STILL HAVING NORMAL BM ) CONTINUES TO COUGH ( HEART MURMUR 4/6 , NOT ON ANY HEART MEDS ) ALSO LOST 2.2 LBS IN 2 WEEKS ( WAS 20 LBS ) PATIENT IS 14 YEARS OLD

standard

[]

['Coughing', 'Losing weight', 'Vomiting', 'Heart Murmur']

[]

[69, 140, 256, 2175]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-07-21', 'name': 'Fisk^CHARLIE', 'breed': 'Mix', 'owner': 'Fisk^Casey', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Charlie is a 6 MO M Doodle dog who was presented for vomiting that started last night. P is otherwise acting normal. It started with a mucoid stool that happened 2 days ago, but stool has been normal ever since.', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 248, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Gastroenteritis', 'custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2286, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'colon-distension-si', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}], 'report_conclusions': '* Gastroenteritis is considered the most likely source of signs. No complete obstructive pattern is identified although an obstruction cannot be completely excluded radiographically.\n - Medical management of the clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound.'}

{'bday': '2023-07-21', 'name': 'Fisk^CHARLIE', 'breed': 'Mix', 'owner': 'Fisk^Casey', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

{'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}

Charlie is a 6 MO M Doodle dog who was presented for vomiting that started last night. P is otherwise acting normal. It started with a mucoid stool that happened 2 days ago, but stool has been normal ever since.

expert

['Gastrointestinal-area']

['Vomiting']

[]

[256]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-09-01', 'name': 'Harley', 'breed': 'Rottweiler', 'owner': 'O Donnell', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Town and Country Animal Hospital - Fairfax', 'email': '[email protected]', 'clinician': 'Dr. Simpkins'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Lameness since a puppy, left forelimb, off and on, orthopedic surgeon thought it was growing pain', 'questions': 'lameness in front right'}}

{'tags': {'userTags': ['expert'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1030, 'state': 'ready', 'source': 'labelling'}, {'id': 1037, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1038, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1039, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 378, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 12.014, 'consult_name': 'Forelimb Shoulder - SAR, bicepital groove mineralization', 'diagnosis_custom_text': 'The mineralization associated with the bicipital groove of the shoulder(s) is indicative of bicipital or supraspinatus tendinopathy. Degenerative changes in the shoulder also noted.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1046, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Forelimb Carpus - arthritis, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1066, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Forelimb Elbow - Fragmented medial coronoid process', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2185, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2346, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-forelimb'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2364, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fragmented-medial-coronoid', 'custom_fields': None}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is bony proliferation/mineralization associated with the intertubercular groove of the right shoulder.', 'elapsedTime': 10.512, 'signal_name': 'enthesopathy', 'custom_fields': None}, {'id': 2446, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is mild degenerative joint disease affecting the right carpus. ', 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nMusculoskeletal\nThere is bony proliferation/mineralization associated with the intertubercular groove of the right shoulder. There are degenerative changes noted in the left and right shoulder. There are degenerative changes noted in the left and right elbow. There is new bone production on the proximal border of the anconeal process and changes to the medial coronoid process indicative of a fragmented medial coronoid process. There is mild degenerative joint disease affecting the right carpus. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention'}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation'}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body'}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction'}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture'}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture'}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization'}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small'}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly'}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs'}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material'}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension'}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible'}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect'}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail'}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible'}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture'}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process'}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fragmented-medial-coronoid'}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'enthesopathy'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers'}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency'}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}], 'report_conclusions': 'Conclusions:\nThe changes noted in the elbow are supportive of a fragmented medial coronoid process.\nThe mineralization associated with the bicipital groove of the shoulder(s) is indicative of bicipital or supraspinatus tendinopathy. Degenerative changes in the shoulder also noted.\nDegenerative changes in the distal forelimb as previously described.\n\nRecommendations:\nAdditional views of the elbow or advanced imaging may be indicated. Orthopedic consultation is recommended as surgery is often the treatment of choice for the condition.\nCorrelate with orthopedic examination for further evaluation of the mineralization associated with the bicipital groove of the shoulder.\nCorrelate with orthopedic examination.'}

{'bday': '2021-09-01', 'name': 'Harley', 'breed': 'Rottweiler', 'owner': 'O Donnell', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Town and Country Animal Hospital - Fairfax', 'email': '[email protected]', 'clinician': 'Dr. Simpkins'}

Lameness since a puppy, left forelimb, off and on, orthopedic surgeon thought it was growing pain

lameness in front right

standard

['Musculoskeletal-area']

['Lameness', 'Forelimb lameness']

[]

[2185, 2346]

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