Datasets:

AinaTersol-SignalPET

/

previous_cycle_flow_artifacts__dataset

like 0

{'patient': {'bday': '2022-10-16', 'name': 'Parker^Toast', 'breed': 'Shorthair, Domestic', 'owner': 'Parker^Ezra', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'clinician': 'Parmjit Dhillon'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Feeding tube placed 4/20/24 - brown discharge/sneezing noted 4/23/24. Returned today as when O was feeding him through tube rapid breathing noted post, unsure if primary cause, overall ADR - hypothermic, weight loss, HCM noted previously, thickened SI/intestines. \r\n\r\nNo sedation given for radiographs\r\nBW performed - azotemia noted, low potassium - progressed from diagnostics previously performed 4/19/24', 'questions': 'R/O - aspiration pneumonia, other? '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'rules'}, {'id': 1020, 'state': 'partial', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1024, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 210, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 25.284, 'consult_name': 'Cardiomegaly feline - asymptomatic, no clinical signs', 'diagnosis_custom_text': 'Concern for an enlarged cardiac silhouette may be related to the age of the patient, but the feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. No evidence of failure is identified. Rule out incidental finding versus cardiomyopathy.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 331, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Resp Pleural - small fissure line', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Gastric - Aerophagia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 441, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'elapsedTime': 19.218, 'consult_name': 'Intestines - Functional ileus', 'diagnosis_custom_text': 'Diffuse distension of the GI tract is consistent with functional ileus. A portion of distended bowel is observed, however, given its location it cannot be differentiated from colon. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider repeat radiographs and/or abdominal ultrasound to further investigate for ileus. Medical management of the clinical signs (if any) may be indicated at this time.', 'recommendation_custom_fields': None}, {'id': 879, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Hepatomegaly - Mild', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 941, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Parenchymal - Interstitial Lung Pattern', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 100, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Hypothermic'}, {'id': 140, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 150, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Nose discharge/Nasal discharge'}, {'id': 230, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Sneezing'}, {'id': 666, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2330, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': "Not himself/ain't doing right"}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'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': 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': 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': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2279, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['left and right'], '___s2_': ['interstitial']}}, {'id': 2283, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'feeding-tube', 'custom_fields': {'___s1_': ['caudal esophagus']}}, {'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': 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': 2315, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': None}, {'id': 2316, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intestine-fm', 'custom_fields': None}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': {'___s1_': ['gas']}}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'pleural-fissure', 'custom_fields': {'___s1_': ['cranioventral']}}, {'id': 2453, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hyperinflation-lungs', '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': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 354, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Cardiomyopathy - Feline hypertrophic cardiomyopathy'}, {'id': 520, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Azotaemia (unspecified)'}, {'id': 536, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hypokalaemia'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2520, 'source': 'labelling', 'signal_name': 'screening-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}, {'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], 'internal_notes': 'CDP ISo CVP. cant change signals\nThis case was automatically escalated by the system due to reservervation timeout in the stat codes channel.', 'recommendations': [], 'report_findings': 'Thorax\nThe heart measures above the normal range. A bronchial pattern is present. There is increased opacity in the left and right cranioventral lung field, characterized as a moderate interstitial pattern. There is a generalized decrease in lung opacity. A feeding tube is noted terminating in the caudal esophagus. A pleural fissure line is noted in the cranioventral thorax. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is distension of the stomach with gas. There is presence of distension of a portion of small intestine and a population of non-distended intestine. There is diffuse distension of the small intestine 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': 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': 2, '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': 'labelling', 'history': False, 'confidence': 2, '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': 'labelling', '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': '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': 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': 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': 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': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2283, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feeding-tube'}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'palate-canals'}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'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': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'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': 2436, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'ileus-diffuse-distension-SI'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'thymus-present'}, {'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': 2449, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'pleural-fissure'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'hyperinflation-lungs'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'laryngeal-opacity'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'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': 2603, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Pharynx Narrowing'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'hmg-mild'}], 'report_conclusions': 'Conclusions:\nUnstructured interstitial lung pattern identified. Infectious (bronchopneumonia or early aspiration pneumonia), inflammatory etiologies should be considered with fungal and neoplastic causes less likely.\nConcern for an enlarged cardiac silhouette may be related to the age of the patient, but the feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. No evidence of failure is identified. Rule out incidental finding versus cardiomyopathy.\nThe pleural fissure line noted may represent a small amount of pleural fluid. Thickening of the pleura/pleuritis or artifactual appearance cannot be ruled out.\nThe gas distension observed in the GI tract is most consistent with aerophagia.\nDiffuse distension of the GI tract is consistent with functional ileus. A portion of distended bowel is observed, however, given its location it cannot be differentiated from colon.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\n\nRecommendations:\nRecommend respiratory PCR, respiratory lavage for cytological exam, culture and sensitivity. Fungal titers should also be considered if history warrants. Bronchoscopy and/or CT scan may be necessary depending on response to therapy.\nConsider echocardiogram to rule out a cardiomyopathy.\nCorrelate with history for the clinical significance of the noted pleural fissure line.\nCorrelate with clinical signs and exam for clinical significance of gastric gas distension.\nConsider repeat radiographs and/or abdominal ultrasound to further investigate for ileus. Medical management of the clinical signs (if any) may be indicated at this time.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.'}

{'bday': '2022-10-16', 'name': 'Parker^Toast', 'breed': 'Shorthair, Domestic', 'owner': 'Parker^Ezra', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Feeding tube placed 4/20/24 - brown discharge/sneezing noted 4/23/24. Returned today as when O was feeding him through tube rapid breathing noted post, unsure if primary cause, overall ADR - hypothermic, weight loss, HCM noted previously, thickened SI/intestines. No sedation given for radiographs BW performed - azotemia noted, low potassium - progressed from diagnostics previously performed 4/19/24

R/O - aspiration pneumonia, other?

expert

['Gastrointestinal-area', 'screening-area', 'Systemic-area', 'Resp signs - general']

['Hypothermic', 'Losing weight', 'Discharge - nasal', 'Sneezing', 'Tachypnoea', 'Feline', "Ain't doin right (ADR)"]

[]

[100, 140, 150, 230, 666, 2327, 2330]

[]

['Cardiomyopathy - Feline hypertrophic cardiomyopathy', 'Azotemia (unspecified)', 'Hypokalaemia']

[]

[354, 520, 536]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-04-03', 'name': 'DOMINGUEZ^GINGER', 'breed': 'PAPILLON', 'owner': 'DOMINGUEZ^ERLINDA', 'gender': 'F', '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': '“Ginger” presents for acute vomiting, not eating for the past 3.5 days. “Ginger” ate 3.5 days ago in the morning, but vomiting started and “Ginger” has not been eating since. Vomiting stopped but started up again yesterday and this morning. ', 'questions': 'Severe azotemia, leukocytosis, owner not sure if pet is spayed.'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'normal', 'source': 'labelling'}, {'id': 1029, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'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': 247, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 38.002, 'consult_name': 'Intestines - Normal, no cause for GI signs', 'diagnosis_custom_text': '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. Cannot rule out chronic kidney disease. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Gastric - Aerophagia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, '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': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-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': 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': 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': 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': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['multiple areas in the lumber spine']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2315, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', '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': 520, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Azotaemia (unspecified)'}], '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 liver appears enlarged. There is distension of the stomach with gas. 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': 3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'labelling', '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': 'labelling', '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': 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': -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': 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': 'labelling', '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': 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': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension'}, {'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': 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': 2319, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone-na'}, {'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': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp'}, {'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': -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': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'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': 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:\nNo 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. Given the severe azotemia it is likely that renal disease is the cause of the vomiting. \nThe gas distension observed in the GI tract is most consistent with aerophagia.\nSpondylosis deformans. Likely incidental.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\n\nRecommendations:\nRecommend supportive care. A UA with culture is indicated, as well as potentially testing for leptospirosis. Aabdominal ultrasound may also be helpful to further assess GI tract and the kidneys. \nCorrelate with clinical signs and exam for clinical significance of gastric gas distension.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.'}

{'bday': '2012-04-03', 'name': 'DOMINGUEZ^GINGER', 'breed': 'PAPILLON', 'owner': 'DOMINGUEZ^ERLINDA', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

“Ginger” presents for acute vomiting, not eating for the past 3.5 days. “Ginger” ate 3.5 days ago in the morning, but vomiting started and “Ginger” has not been eating since. Vomiting stopped but started up again yesterday and this morning.

Severe azotemia, leukocytosis, owner not sure if pet is spayed.

expert

['Gastrointestinal-area']

['Vomiting', 'Anorexia', 'Canine Small Breed']

[]

[256, 606, 2654]

[]

['Azotemia (unspecified)']

[]

[520]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-03-29', 'name': 'Fan^Fudge', 'breed': 'RAGDOLL', 'owner': 'Fan^Katherine', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Vellore Woods Veterinary Clinic - Vaughan', 'email': '[email protected]', 'clinician': 'Ray Nejad'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Chronic Weight Loss\r\nHyporexia\r\nTendency to eat toys(plastic type and feather types\r\nBCS 4/9\r\nUnder Tongue Clear\r\nprominent ribs and dorsal vertebra\r\nAte a few kibbles this morning at 7 am', 'questions': 'Gastric FB is likely+ an intestinal distention make me to think about partial GI obstruction'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'normal', 'source': 'labelling'}, {'id': 1027, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 429, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Renal - SKD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 488, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - No Fb visible, poss ingestion', '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': 140, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'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': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 798, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-small', 'custom_fields': {'___s1_': ['left and right']}}, {'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': 2287, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The small intestines are turgid. There is mild distension of the colon with gas and fecal material.', 'elapsedTime': 22.555, '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}, {'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': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-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 distension of the stomach with presence of radiopaque material. The small intestines are fluid filled. There is mild distension of the colon with gas and fecal material. The left and right kidney measures below normal range. 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': 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': -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': -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': 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': 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': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp'}, {'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': 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': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}], 'report_conclusions': "Conclusions:\nNo evidence of foreign body or intestinal obstruction noted in the radiographs provided. Presence of occult foreign material cannot completely be excluded radiographically.\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nThe small kidney(s) may indicate chronic renal disease.\n\nRecommendations:\nAbdominal ultrasound may be useful to look for non-obstructive, soft tissue opacity or gastrointestinal foreign body. Consider follow up radiographs or barium study if clinical signs develop.\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 biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation of the small kidney(s)."}

{'bday': '2021-03-29', 'name': 'Fan^Fudge', 'breed': 'RAGDOLL', 'owner': 'Fan^Katherine', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Vellore Woods Veterinary Clinic - Vaughan', 'email': '[email protected]', 'clinician': 'Ray Nejad'}

Chronic Weight Loss Hyporexia Tendency to eat toys(plastic type and feather types BCS 4/9 Under Tongue Clear prominent ribs and dorsal vertebra Ate a few kibbles this morning at 7 am

Gastric FB is likely+ an intestinal distention make me to think about partial GI obstruction

expert

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

['Dietary indiscretion', 'Losing weight', 'Hyporexia', 'Feline']

[]

[92, 140, 607, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-12-12', 'name': 'Dubrall^Chanel', 'breed': 'Terrier Yorkshire', 'owner': 'Dubrall^Eric', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'clinician': 'FVEPH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for shaking tonight, unbalanced, drooling, collapsing.\r\nDiarrhea and vomiting started Saturday but resolved.\r\nStill eating.\r\nWas doing well previously.\r\nLast heat was 2 months ago.\r\nCurrently on apoquel.\r\nStarted getting cytopoint injection in December for alllergies.\r\n\r\nPE: Tense distended abdomen, otherwise nsf. No murmur heard', 'questions': 'r/o Gastroenteritis vs Seizure vs Cardiomegaly vs Open dx'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1015, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1096, 'state': 'inprogress', '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': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 266, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly - asymptomatic, no LAE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 99, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Fainting episodes'}, {'id': 531, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Hypersalivation'}, {'id': 601, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gait abnormality - ataxia'}, {'id': 620, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 2535, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'eating-normally'}, {'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': 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': 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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is distension of the stomach with presence of radiopaque-mineral material. ', '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}, {'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': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart appears to be enlarged and the intrathoracic trachea near the corina appears dorsally displaced. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is distension of the stomach with presence of radiopaque-mineral 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': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -2, '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': 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': -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': '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': 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': 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': 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': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'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': 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': 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': 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'}, {'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 cardiac silhouette appears enlarged, with no evidence of left atrial enlargement and no evidence of decompensation. \nHepatomegaly is consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out. \nGastric material noted may represent food, however, foreign material cannot be entirely ruled out.\n\nRecommendations:\nAn echocardiogram with blood pressure measurement and/or radiographic monitoring every 9 to 12 months could be considered for further evaluation. Consultation with a cardiologist could be considered for medication recommendations.\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.\nCorrelate with information regarding the patient's most recent meal and consider repeat fasted abdominal radiographs or ultrasound in 12-24 hours to assess gastric emptying. Additionally, consider bloodwork (CBC/Chemistry) to evaluate for systemic causes of the patient's clinical signs. "}

{'bday': '2013-12-12', 'name': 'Dubrall^Chanel', 'breed': 'Terrier Yorkshire', 'owner': 'Dubrall^Eric', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'clinician': 'FVEPH'}

Presented for shaking tonight, unbalanced, drooling, collapsing. Diarrhea and vomiting started Saturday but resolved. Still eating. Was doing well previously. Last heat was 2 months ago. Currently on apoquel. Started getting cytopoint injection in December for alllergies. PE: Tense distended abdomen, otherwise nsf. No murmur heard

r/o Gastroenteritis vs Seizure vs Cardiomegaly vs Open dx

standard

['Gastrointestinal-area']

['Syncopal/fainting episodes', 'Hypersalivation', 'Gait abnormality - ataxia', 'Tremors/shaking/trembling', 'Eating normally', 'Canine Small Breed']

[]

[99, 531, 601, 620, 2535, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-01-01', 'name': 'Walters^RUDY', 'breed': 'Mix', 'owner': 'Walters^David', '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': 'Pt presenting for not wanting to walk starting yesterday after a nail trim. ', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 356, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': '* Osteoarthritis of the stifle. \n - Consider medical management including rest for osteoarthritis of the stifle. Consider additional lateral radiographs of the left stifle to assess stifle effusion.', 'elapsedTime': 181.804, 'consult_name': 'Hindlimb Stifle - stifle arthritis, lameness', 'custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'Hindlimb Hip - hip OA, no lameness', 'custom_fields': None}, {'id': 711, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'M/S GEN - obese, arthritis', 'custom_fields': None}], 'signals': [{'id': 204, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Reluctant to walk'}], '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': 764, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left']}}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is mild degenerative joint disease affecting the right coxofemoral joint. ', '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': 2269, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'obese', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2320, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'knee-joint-effusion-na', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is mild degenerative joint disease affecting the right coxofemoral joint. There are factors affecting the stifle preventing adequate interpretation of the joint space. There are degenerative changes noted in the left stifle. The patient appears to be in generous body condition. 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': 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': 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': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'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': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'patellar-luxation'}, {'id': 2269, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'obese'}, {'id': 2320, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion-na'}], 'report_conclusions': '* Osteoarthritis of the stifle. \n - Consider medical management including rest for osteoarthritis of the stifle. Consider additional lateral radiographs of the left stifle to assess stifle effusion.\n* Degenerative joint disease of the hips.\n - Correlate with orthopedic examination for further evaluation of degenerative joint disease of the hips.\n* The patient appears to be overweight with degenerative joint changes as described. \n - Recommend a weight loss plan for the patient. Correlate with orthopedic examination.'}

{'bday': '2010-01-01', 'name': 'Walters^RUDY', 'breed': 'Mix', 'owner': 'Walters^David', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

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

Pt presenting for not wanting to walk starting yesterday after a nail trim.

expert

['Musculoskeletal-area']

['Reluctant to move/walk']

[]

[204]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-02-24', 'name': 'Phillips^TANK', 'breed': 'Boxer', 'owner': 'Phillips^Aron', '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': 'Patient collapsed at home and was pale. Examination revealed an arrhythmia (V-tach vs. v-fib). no murmur', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, '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': 3, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 719, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiac - Syncope', 'diagnosis_custom_text': 'No cause for the reported syncope has been determined from this radiographic study. The lungs are clear with no evidence of pathology. \n* The VHS is calculated above normal range, however the cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend additional diagnostics such as a neurological exam or an echocardiogram, a blood pressure measurement and a consultation with a cardiologist to further investigate cardiogenic causes of the reported syncope.', 'recommendation_custom_fields': None}], 'signals': [{'id': 65, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Collapsed'}, {'id': 674, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mucous membranes abnormal - pale'}, {'id': 2177, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Arrhythmia'}, {'id': 2463, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart murmur'}], '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': 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': 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': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [], '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 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': 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': 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': -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': 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': 787, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'tracheal-narrowing'}, {'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': 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': 2, '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': 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': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion'}, {'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': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'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': 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:\nNo cause for the reported syncope has been determined from this radiographic study. The lungs are clear with no evidence of pathology. \n* The VHS is calculated above normal range, however the cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy.\nGastric material is consistent with food/recent meal.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nRecommend additional diagnostics such as a neurological exam or an echocardiogram, a blood pressure measurement and a consultation with a cardiologist to further investigate cardiogenic causes of the reported syncope.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2015-02-24', 'name': 'Phillips^TANK', 'breed': 'Boxer', 'owner': 'Phillips^Aron', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Patient collapsed at home and was pale. Examination revealed an arrhythmia (V-tach vs. v-fib). no murmur

expert

[]

['Collapsed', 'Mucous membranes abnormal - pale', 'Arrhythmia']

['Heart murmur']

[65, 674, 2177]

[2463]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-01-08', 'name': 'Unknown', 'breed': 'Boxer Mix', 'owner': 'Animal Welfare Services', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Springer Animal Hospital', 'email': '[email protected]', 'clinician': 'Springer Animal Hospital'}, 'accept_tos': '1', 'consult_info': {'case_info': 'trauma to RH leg - ongoing lameness for about 2 months', 'questions': 'looking to assess for signs of injury, recent or healed on all films, RH is only area that clinically appears to bother dog'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': None, 'consult_name': 'Post prandial stomach', 'custom_fields': None}, {'id': 356, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': '* Osteoarthritis of the stifle. No evidence of stifle effusion or instability. Fracture cannot be ruled out due to overlap.\n - Medical management including rest could be considered at this time.', 'elapsedTime': 19.814, 'consult_name': 'Stifle arthritis, lameness', 'custom_fields': None}], 'signals': [{'id': 2341, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lameness-chronic'}, {'id': 2345, 'source': 'labelling', 'history': True, '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': 19, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'shoulder-arthropathy', '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': 764, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There are degenerative changes noted in the right stifle. ', 'elapsedTime': 9.201, 'signal_name': 'knee-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 870, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'tarsal-metatarsal-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': 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': 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': 2287, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'distension-si', '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': 2300, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2308, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}], 'diagnosis': [], 'questions': [], 'recommendations': [], 'report_findings': 'Thorax\n* Lung fields are clear. \n* No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. \n* The trachea is unremarkable with normal diameter. \n* The pleural space is normal. \n* The diaphragm is unremarkable. \n\nAbdomen\n* The spleen is normal in size and contour. \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\nMusculoskeletal\n* No appendicular fractures are noted. \n* No evidence of rib fracture is observed.\n* No aggressive osseous lesions identified. \n* The spine is radiographically normal. \n* No significant intervertebral disc space narrowing is identified. \n* The nasal cavities and frontal sinuses have a normal opacity. \n* The bones of the skull are within normal limits with no aggressive lesions or fractures noted.\n* There are no degenerative changes noted in the shoulders. \n* There are no degenerative changes noted in the elbows. \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. \n* No stifle effusion is identified. \n* There are degenerative changes noted in the right stifle. \n* The tarsal joints are unremarkable, no evidence of degenerative changes.', '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': -3, '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': -2, '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': -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': -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': 762, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'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': 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': 2308, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'frontal-sinuses'}, {'id': 2309, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'nasal-cavity'}, {'id': 2310, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'skull-fracture'}, {'id': 2311, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'skull-abl'}], 'report_conclusions': '* Osteoarthritis of the stifle. No evidence of stifle effusion or instability. Fracture cannot be ruled out due to overlap.\n - Medical management including rest could be considered at this time.\n* Gastric material is consistent with food/recent meal. '}

{'bday': '2024-01-08', 'name': 'Unknown', 'breed': 'Boxer Mix', 'owner': 'Animal Welfare Services', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

trauma to RH leg - ongoing lameness for about 2 months

looking to assess for signs of injury, recent or healed on all films, RH is only area that clinically appears to bother dog

standard

[]

['Chronic lameness', 'Hindlimb lameness']

[]

[2341, 2345]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-01-07', 'name': 'Fiona', 'breed': 'chihuahua mix', 'owner': 'Smith', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Town and Country Animal Hospital - Fairfax', 'email': '[email protected]', 'clinician': 'Dr. Freeman'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Presented for possible spinal injury. Owner said that patient's condition started on approximately 03/16/2024 when patient did not want to go on walks. Patient also yelped when picked up at 4:30 AM on 03/18/2024, per owner. ", 'questions': 'Spinal injury'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 441, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Intestines - Functional ileus', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 695, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 46.565, 'consult_name': 'Spine - lumbosacral stenosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 71, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Crying'}, {'id': 631, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pain - spinal'}], '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': 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': 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': 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': 2436, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': None}, {'id': 2498, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Lumbosacral-stenosis', 'custom_fields': None}], 'diagnosis': [{'id': 1793, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Spinal cord injury'}], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-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. There is diffuse distension of the small intestine with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere 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': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'labelling', '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': -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': 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': -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': -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': 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': 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': -2, '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': 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': 2498, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}], 'report_conclusions': 'Conclusions:\nChanges in the lumbosacral spine are concerning for lumbosacral stenosis.\nGastric material is consistent with food/recent meal.\nDiffuse distension of the GI tract with no evidence of obstruction is consistent with functional ileus.\n\nRecommendations:\nConsider medical management for soft tissue injury and exercise restriction, and if pain persists or neurologic signs develop, consider advanced imaging such as a myelogram, CT or MRI for further investigation. It is unclear how severe current neurologic signs are and if a neuro exam localizes the pain as these factors would be important when deciding how to proceed with this case. \nConsider repeat radiographs and/or abdominal ultrasound to further investigate for ileus. Medical management of the clinical signs (if any) may be indicated at this time.'}

{'bday': '2014-01-07', 'name': 'Fiona', 'breed': 'chihuahua mix', 'owner': 'Smith', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Presented for possible spinal injury. Owner said that patient's condition started on approximately 03/16/2024 when patient did not want to go on walks. Patient also yelped when picked up at 4:30 AM on 03/18/2024, per owner.

Spinal injury

expert

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

['Crying/yelping', 'Pain - spinal']

[]

[71, 631]

[]

['Spinal cord injury']

[]

[1793]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-03-22', 'name': 'Posadas^Sebastian', 'breed': 'Domestic Shorthair', 'owner': 'Posadas^Scarlett', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'clinician': 'Kristie Villicana'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'repeat rads from a couple weeks ago. \r\np has not been interested in eating today. no vomiting. currently on prednisolone. Lethargy and mild labored breathing. painful when picking up/abdomen area', 'questions': 'r/o anything of concern '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1006, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'labelling'}, {'id': 1022, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'partial', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 203, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Peritoneal - Mass unknown, significant fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 340, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Neoplasia - TMS, mild pleural effusion', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 201, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Re-examination/Follow-up'}, {'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': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], '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': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1932, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': {'___s1_': ['mid'], '___s2_': ['small intestines']}}, {'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': 2279, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['left'], '___s2_': ['interstitial to alveolar']}}, {'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}, {'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': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'A suspicious rounded soft tissue mass is noted in the cranial mediastinum. ', 'elapsedTime': 4.417, 'signal_name': 'cranial-mediastinal-mass', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2514, 'source': 'ai', 'signal_name': 'Reproductive-area'}, {'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2522, 'source': 'ai', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is increased opacity in the left cranioventral lung field, characterized as a interstitial to alveolar pattern. A suspicious rounded soft tissue mass is noted in the cranial mediastinum. 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 presence of radiopaque material. In the mid abdomen, there is displacement of small intestines. There is loss of serosal detail in the 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': 2, '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': 'labelling', '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': 'ray', 'history': False, 'confidence': 0, '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': 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': 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': -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': -2, 'signal_name': 'general-cardiomegaly'}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass'}, {'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': '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': 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': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift'}, {'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': 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': 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': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'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': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'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': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'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': 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': 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': 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:\nThere is presence of peritoneal effusion and evidence of an abdominal mass of which the origin cannot be determined. \nPleural effusion and potential thoracic mass lesion noted, differentials include neoplastic or infectious etiologies. Artifactual change secondary to the pleural effusion is also considered. \nGastric material noted, may represent food however foreign material cannot be entirely ruled out.\n\nRecommendations:\nAdvise abdominocentesis to collect fluid for cytology and analysis, and consider abdominal ultrasound +/- CT scan to further investigate the abdominal mass.\nConsider thoracocentesis, fluid analysis, and repeat radiographs to further refine the diagnosis of the potential pulmonary mass lesion. \nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying."}

{'bday': '2013-03-22', 'name': 'Posadas^Sebastian', 'breed': 'Domestic Shorthair', 'owner': 'Posadas^Scarlett', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'clinician': 'Kristie Villicana'}

repeat rads from a couple weeks ago. p has not been interested in eating today. no vomiting. currently on prednisolone. Lethargy and mild labored breathing. painful when picking up/abdomen area

r/o anything of concern

expert

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

['Dyspnoea', 'Lethargic/tired', 'Re-examination/Follow-up', 'Anorexia', 'Pain - abdominal', 'Feline']

['Vomiting']

[50, 131, 201, 606, 622, 2327]

[256]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-04-29', 'name': 'Sims^Peanut', 'breed': 'Chihuahua, Smooth', 'owner': 'Sims^Patsy', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Lake Worth Animal Clinic', 'email': '[email protected]', 'clinician': 'Emil Banoub'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Lethargic, not eating.\r\nPhysical exam: muffled heart sounds, panting during exam with abdominal breathing, painful on abdomen. ', 'questions': 'Lethargy and anorexia. '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1019, 'state': 'partial', 'source': 'labelling'}, {'id': 1020, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1032, 'state': 'empty', 'source': 'labelling'}, {'id': 1034, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1037, 'state': 'empty', 'source': 'labelling'}, {'id': 1038, 'state': 'empty', 'source': 'labelling'}, {'id': 1041, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1044, 'state': 'ready', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 331, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Pleural - small fissure line', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 879, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly - Mild', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1100, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly - possible pattern, panting/difficulty breathing', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 177, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 622, 'source': 'ai', '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': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': {'___s1_': []}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', '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': 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': 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': 2449, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'pleural-fissure', 'custom_fields': {'___s1_': ['left and right']}}, {'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': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', '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': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'internal_notes': 'ran out of time ', '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 that is most marked in the peri-hilar region on the lateral views. A pleural fissure line is noted in the left and right thorax on the V/D view. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There 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': -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': -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': 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': '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': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas'}, {'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': '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': 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': -3, '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': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift'}, {'id': 2259, 'source': 'ray', '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': 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': 0, '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': 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': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid'}, {'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': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity'}, {'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': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'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': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'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': 2449, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'pleural-fissure'}, {'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': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'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': 2579, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tortuous vessels'}, {'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': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement'}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe'}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hmg-mild'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}], 'report_conclusions': 'Conclusions:\nThe cardiac silhouette appears enlarged making cardiac disease with pulmonary edema a realistic potential cause of the clinical signs. \nThe pleural fissure line noted may represent a small amount of pleural fluid. Thickening of the pleura/pleuritis or artifactual appearance cannot be ruled out.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nIdeally, an echocardiogram and blood pressure measurement (as soon as possible) are recommended to investigate further. If an echo cannot be done expeditiously, then consider diuretic therapy in the interim.\nCorrelate with history for the clinical significance of the noted pleural fissure line.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.'}

{'bday': '2016-04-29', 'name': 'Sims^Peanut', 'breed': 'Chihuahua, Smooth', 'owner': 'Sims^Patsy', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Lake Worth Animal Clinic', 'email': '[email protected]', 'clinician': 'Emil Banoub'}

Lethargic, not eating. Physical exam: muffled heart sounds, panting during exam with abdominal breathing, painful on abdomen.

Lethargy and anorexia.

expert

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

['Lethargic/tired', 'Panting', 'Hyporexia', 'Pain - abdominal', 'Canine Small Breed']

[]

[131, 177, 607, 622, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-04-06', 'name': 'SESTAK^YOSHI', 'breed': 'FIELD SPANIEL', 'owner': 'SESTAK^MARTINA', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'clinician': 'WPP'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt presented for eval after having progressively worsening diarrhea that began around 7:15 p.m. last night (5/7). O fed pt a new bone treat, which pt only got the filling out of the bone. Pt ingested the treat around 3:00 p.m. Pt had PM meal around 6:30 p.m. Then the diarrhea began around 7:15 p.m. The diarrhea has worsened to being straight liquid and pt has v little control over the BM. Pt has not had any vomiting. UTD on prev and vaccs. ', 'questions': 'GI signs'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1027, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Gastric - Post prandial ', '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}], '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': 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': 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': 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': 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': 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': 2487, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'colon-distension', 'custom_fields': {'___s1_': ['diffuse', 'moderate'], '___s2_': ['gas']}}], '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 is radiopaque material within the stomach. There is diffuse and moderate distension of the colon 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': 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': -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': 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': -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': -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': 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': 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': 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': 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': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2487, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'colon-distension'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'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 clinical signs is not determined from the radiographs. Given the history, colitis due to dietary indiscretion, stress, parasite, or other cause should be considered.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nMedical management of the clinical signs is indicated at this time. Consider fecal testing and blood work for further investigation.'}

{'bday': '2021-04-06', 'name': 'SESTAK^YOSHI', 'breed': 'FIELD SPANIEL', 'owner': 'SESTAK^MARTINA', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'clinician': 'WPP'}

Pt presented for eval after having progressively worsening diarrhea that began around 7:15 p.m. last night (5/7). O fed pt a new bone treat, which pt only got the filling out of the bone. Pt ingested the treat around 3:00 p.m. Pt had PM meal around 6:30 p.m. Then the diarrhea began around 7:15 p.m. The diarrhea has worsened to being straight liquid and pt has v little control over the BM. Pt has not had any vomiting. UTD on prev and vaccs.

GI signs

standard

['Gastrointestinal-area']

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

['Vomiting']

[76, 2656]

[256]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-02-20', 'name': 'Bush^ABBY', 'breed': 'Pembroke Welsh Corgi', 'owner': 'Bush^Dorthy', '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': 'Abby is a 11 YO FS Pembroke Welsh Corgi who was presented for rear leg weakness, falling over, and inappropriate urination/defecation in the house. O states p has been urinating and defecating in the house the last 2 days, which is very abnormal for her.\r\n', 'questions': ''}}

{'tags': {'userTags': ['standard'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'elapsedTime': 32.424, 'consult_name': 'Spine - incidental VAN', 'diagnosis_custom_text': 'Spondylosis deformans and vertebral anomaly. Likely incidental.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical exam for clinical significance of the spondylosis and vertebral anomaly.', 'recommendation_custom_fields': None}, {'id': 273, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Cardiac - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, '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': 374, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 8, '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': 6, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 391, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'M/S GEN - no cause for lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 431, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Renal - RMN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, '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': 625, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Behavioural abnormality'}, {'id': 681, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Urination abnormal - inappropriate urination'}, {'id': 2527, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'paresis-paralysis-both'}], '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': 19, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['left and right']}}, {'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 and right']}}, {'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': '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': 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': 'Vertebral anomaly is noted at T13. ', 'signal_name': 'vert-anomaly-class', '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': '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': 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': 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}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-area'}, {'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart appears to be enlarged. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is increased opacity noted over the silhouette of the left and right kidney. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. Vertebral anomaly is noted at T13. There are degenerative changes noted in the left and right shoulder. There are degenerative changes noted in the left and right elbow. There is degenerative joint disease 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': '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': 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': -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': 762, 'source': 'labelling', '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': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'id': 880, 'source': 'labelling', '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': 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': 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': 2231, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body'}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'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': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'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': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation'}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement'}, {'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': 2, 'signal_name': 'hmg-mild'}], 'report_conclusions': "Conclusions:\nThe cause of the patient's described clinical signs is not identified in the radiographs provided. The study is negative for fractures, luxation or subluxation, and soft tissue swelling. This does not rule out a soft tissue injury or neuropathy at this time.\nDegenerative joint disease of the hips.\nThe VHS is calculated above normal range, however the cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy.\nThe opacity overlying the renal silhouette is representative of renal mineralization and likely chronic renal disease.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\nDegenerative changes in the shoulder.\nSpondylosis deformans and vertebral anomaly. Likely incidental.\nDegenerative changes in the elbow.\n\nRecommendations:\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.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the hips.\nConsider an echocardiogram and blood pressure measurment for further investigation to rule out underlying cardiac disease.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for renal disease.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the shoulder.\nCorrelate with physical exam for clinical significance of the spondylosis and vertebral anomaly.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow."}

{'bday': '2013-02-20', 'name': 'Bush^ABBY', 'breed': 'Pembroke Welsh Corgi', 'owner': 'Bush^Dorthy', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Abby is a 11 YO FS Pembroke Welsh Corgi who was presented for rear leg weakness, falling over, and inappropriate urination/defecation in the house. O states p has been urinating and defecating in the house the last 2 days, which is very abnormal for her.

expert

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

['Behavioural abnormality', 'Urination abnormal - inappropriate urination', 'Paresis/paralysis both hindlimbs']

[]

[625, 681, 2527]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-06-22', 'name': 'Ortiz^Kokomo', 'breed': 'Yorkshire Terrier', 'owner': 'Ortiz^Pamela', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presents for GI symptoms from primary DVM - was dx with pancreatitis today. ', 'questions': 'Does the diagnosis fit the radiographic picture?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 247, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 65.128, 'consult_name': 'Intestines - Normal, no cause for GI signs', 'diagnosis_custom_text': 'The study is most compatible with pancreatitis or gastroenteritis. No obstructive pattern or foreign body is visible although cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, hemorrhagic gastroenteritis and dietary indiscretion can be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Supportive care is recommended. Consider lab testing for pancreatitis and 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': [], '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': 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': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [{'id': 149, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}], '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\nSmall bowel loops mildly turgid without evidence of obstruction\nColon is air filled with moderate corrugation\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nSpiky mineralised extension to L & R lesser trohanter of proximal femur may be suggestive of iliopsoas tendinopathy (enthesiophytosis)\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': -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': 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': 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': -2, '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': 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': 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': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation'}], 'report_conclusions': 'Conclusions:\nThe study is most compatible with pancreatitis or gastroenteritis. No obstructive pattern or foreign body is visible although cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, hemorrhagic gastroenteritis and dietary indiscretion can be considered.\nSpiky mineralised extension to L & R lesser trohanter of proximal femur may be suggestive of iliopsoas tendinopathy (enthesiophytosis)\n\nRecommendations:\nSupportive care is recommended. Consider lab testing for pancreatitis and follow-up imaging with abdominal ultrasound or serial radiographs to rule out gastroenteritis, dietary indiscretion, pancreatitis or a systemic illness causing secondary GI signs.'}

{'bday': '2020-06-22', 'name': 'Ortiz^Kokomo', 'breed': 'Yorkshire Terrier', 'owner': 'Ortiz^Pamela', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Patient presents for GI symptoms from primary DVM - was dx with pancreatitis today.

Does the diagnosis fit the radiographic picture?

expert

['Gastrointestinal-area']

[]

[]

[]

[]

['Pancreatitis']

[]

[149]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-12-18', 'name': 'Bryan^Maksim^^^', 'breed': 'Mixed - Small', 'owner': 'Bryan', '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': 'Maks presented for back/abdominal pain in October 2023. We did radiographs at that time revealing urinary bladder stones. A cystotomy was performed to remove stones and Maks was switched to a urinary diet. He has had intermittent vomiting since then, and presented for acute pain and vomiting last night to the ER where they did a POCUS and saw shadowing that appeared to be stones. Recheck rads were performed today. Maks was also coughing during his visit so chest radiographs were performed. ', 'questions': 'Bladder stones, pneumonia on R lateral? AI says prostate, felt prominent but not large on PE'}}

{'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': 1020, 'state': 'normal', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 299, 'state': 'normal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 29.506, 'consult_name': 'Resp Bronchial - Normal lungs, small breed', 'diagnosis_custom_text': 'No cause for the described respiratory signs (coughing) has been determined from this radiographic study. The lungs appear clear with no evidence of pathology. Bronchitis or dynamic airway collapse cannot be ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'For further evaluation fluoroscopy, +/- (endoscopic) bronchoscopic evaluation, lower airway sampling and a respiratory PCR could be considered if the patient does not respond to medical management.', 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'elapsedTime': 4.831, 'consult_name': 'Spine - TID/CID with spondylosis', 'diagnosis_custom_text': 'Presence of disc space narrowing associated with ventral spondylosis and disc mineralization\xa0 is suggestive of disc degeneration.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis and disc mineralization if warranted.', 'recommendation_custom_fields': None}, {'id': 425, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'elapsedTime': 7.142, 'consult_name': 'Repros - PMG, neutered', 'diagnosis_custom_text': 'Prostatomegaly may be secondary to hyperplasia, hypertrophy, prostatitis, neoplasia, prostatic or paraprostatic cyst. ', '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}, {'id': 433, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Bladder - UBC, no URC, no obstruction', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'normal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 250.287, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': 'Given the normal appearance of the GI tract and clinical history provided, clinical signs (vomiting) is likely secondary due to renal pathology. However, a gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the vomiting is indicated at this time. If 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': 69, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2186, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-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': 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_': ['right']}}, {'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': 1635, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The prostate appears mildly enlarged on the right lateral abdominal view.', 'elapsedTime': 17.54, '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': 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': 2290, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-foreign-body', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L6-L7']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'mineralized-disk', 'custom_fields': {'___s1_': ['L6-L7']}}, {'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': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 2158, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Urolithiasis'}], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}, {'id': 2522, 'source': 'labelling', 'signal_name': 'Systemic-area'}, {'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears enlarged. The prostate appears mildly enlarged on the right lateral abdominal view. There is increased opacity noted over the silhouette of the right kidney. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at L6-L7. There is evidence of mineralized disc material noted at L6-L7. There 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': 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': 707, 'source': 'labelling', 'history': False, 'confidence': -3, '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': -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': 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': 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': -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': 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': 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': 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': 0, 'signal_name': 'joint-luxation'}, {'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': 2290, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-foreign-body'}, {'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': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-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': 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': 2451, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Prostate-fp'}, {'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': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas'}, {'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': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'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': 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'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing-fp'}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp'}], 'report_conclusions': 'Conclusions:\nCystic calculi identified, no obstruction noted.\nThe opacity overlying the renal silhouette is representative of renal mineralization and likely chronic renal disease.\nGiven the normal appearance of the GI tract and clinical history provided, clinical signs (vomiting) is likely secondary due to renal pathology. However, a gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion cannot be ruled out.\nNo cause for the described respiratory signs (coughing) has been determined from this radiographic study. The lungs appear clear with no evidence of pathology. Bronchitis or dynamic airway collapse cannot be ruled out.\nProstatomegaly may be secondary to hyperplasia, hypertrophy, prostatitis, neoplasia, prostatic or paraprostatic cyst.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nPresence of disc space narrowing associated with ventral spondylosis and disc mineralization\xa0 is suggestive of disc degeneration.\n\nRecommendations:\nConsider dissolution diet or cystotomy based on additional clinical input. Abdominal ultrasound may also yield more information. Complete urinalysis and culture is recommended.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for renal disease.\nMedical management of the vomiting is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further assess gastrointestinal pattern.\nFor further evaluation of teh cough, fluoroscopy, +/- (endoscopic) bronchoscopic evaluation, lower airway sampling and a respiratory PCR could be considered if the patient does not respond to medical management.\nFor further assessment, consider abdominal ultrasound. A biopsy or FNA for cytology should be considered if the prostatic parenchyma appears abnormal. Correlate with rectal exam and clinical signs.\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.\nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis and disc mineralization if warranted.'}

{'bday': '2014-12-18', 'name': 'Bryan^Maksim^^^', 'breed': 'Mixed - Small', 'owner': 'Bryan', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Maks presented for back/abdominal pain in October 2023. We did radiographs at that time revealing urinary bladder stones. A cystotomy was performed to remove stones and Maks was switched to a urinary diet. He has had intermittent vomiting since then, and presented for acute pain and vomiting last night to the ER where they did a POCUS and saw shadowing that appeared to be stones. Recheck rads were performed today. Maks was also coughing during his visit so chest radiographs were performed.

Bladder stones, pneumonia on R lateral? AI says prostate, felt prominent but not large on PE

expert

['Respiratory-area', 'urinary-area', 'Gastrointestinal-area', 'Systemic-area', 'Gi signs - Systemic vs general']

['Coughing', 'Vomiting', 'Pain', 'Canine Small Breed']

[]

[69, 256, 2186, 2654]

[]

['Urolithiasis']

[]

[2158]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-04-09', 'name': 'Thomas^Teagan', 'breed': 'PITBULL', 'owner': 'Thomas^Kirsten', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Canyon Lake Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Bryan'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'HX hepatic neoplasia \r\n4/6 heart murmur; no cough \r\nLemon-sized Lipoma L thorax Large pedunculated skin tag R elbow Single cutaneous hemangiomas abdomen/R medial hock Small lipoma R lateral abdomen behind ribs', 'questions': 'Large hepatic mass R side, recent weight loss, BW normal, pulmonary metastasize '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'rules'}, {'id': 1020, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'inprogress', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1038, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1053, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 189, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Hepatomegaly - Mass', 'diagnosis_custom_text': 'Suspected hepatic mass. Differentials may include neoplasia, nodular hyperplasia, abscess, hematoma, cyst. Neoplasia should be considered a highly likely possibility given the history of multiple growths, and systemic symptoms. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 201, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 20.97, 'consult_name': 'Peritoneal - Mass unknown, no fluid', 'diagnosis_custom_text': 'Suspected abdominal mass caudal to the stomach of unclear origin. Likely spleen. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 213, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Negative - No thoracic masses', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 216, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Bronchial - age-related bronchitis', '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': 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}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Coughing'}, {'id': 140, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2386, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'met-check'}, {'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': 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': 703, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is an irregular, soft tissue opacity mass visualized in the cranial dorsal abdomen caudal to the stomach. ', 'elapsedTime': 28.51, 'signal_name': 'peritoneal-mass', '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': 762, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['caudally positioned']}}, {'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': 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': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2368, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-mass', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 974, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Neoplasm - hepatic (liver)'}, {'id': 2122, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Lipoma - abdominal wall'}, {'id': 2124, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Lipoma - thoracic (chest) wall'}], 'questions': [{'id': 2520, 'source': 'labelling', 'signal_name': 'screening-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}, {'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], 'recommendations': [], 'report_findings': 'Thorax\nA bronchial pattern is present. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is the appearance of a mass associated with the right liver. There is an irregular, soft tissue opacity mass visualized in the cranial dorsal abdomen caudal to the stomach on the lateral view. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. There are degenerative changes noted in the caudally positioned elbow. 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': -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': 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': 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': -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': 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': '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': -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': 2259, 'source': 'ray', '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': -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': 2302, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'ununited-anconeal-process'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid'}, {'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': 2375, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'angular-limb-deformity'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'summation-structures'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'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': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'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': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail'}, {'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': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal 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'}, {'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:\nSuspected hepatic mass. Differentials may include neoplasia, nodular hyperplasia, abscess, hematoma, cyst.\nNo evidence of pulmonary metastatic disease.\nBronchial pattern is most consistent with the age of the patient. Lower airway disease cannot be entirely ruled out.\nSpondylosis deformans. Likely incidental.\nDegenerative changes in the elbow.\n\nRecommendations:\nConsider abdominal ultrasound and sampling via FNA or biopsy, &/or surgical removal with histopathology for further investigation of the suspected hepatic mass to determine etiology.\nCorrelate with physical exam and clinical signs to rule out possible bronchial disease.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow.'}

{'bday': '2013-04-09', 'name': 'Thomas^Teagan', 'breed': 'PITBULL', 'owner': 'Thomas^Kirsten', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Canyon Lake Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Bryan'}

HX hepatic neoplasia 4/6 heart murmur; no cough Lemon-sized Lipoma L thorax Large pedunculated skin tag R elbow Single cutaneous hemangiomas abdomen/R medial hock Small lipoma R lateral abdomen behind ribs

Large hepatic mass R side, recent weight loss, BW normal, pulmonary metastasize

expert

['screening-area', 'Neoplasia-area', 'Resp signs - general']

['Losing weight', 'Heart Murmur', 'Metastasis check', 'Canine Medium/Large Breed']

['Coughing']

[140, 2175, 2386, 2656]

[69]

['Neoplasm - hepatic (liver)', 'Lipoma - abdominal wall', 'Lipoma - thoracic (chest) wall']

[]

[974, 2122, 2124]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-01-01', 'name': 'Eevee ^Cooper', 'breed': 'Domestic Short Hair', 'owner': 'Sandy Cooper', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Elles Road Veterinary Centre', 'email': '[email protected]', 'clinician': 'Elles Road Veterinary Centre'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'My own cat who was rehomed after being brought in to spay and she had a diaphragmatic hernia and was heavily pregnant! Age unknown .... best guess 8-10 years. Recently started having an inspiratory, grunting respiration - hence the radiographs ! Eating normally but sitting as a "hunched kitty". ?? Calcified areas ventral ant. thorax ', 'questions': 'Reason for respiratory distress '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 201, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': '* Suspected abdominal mass of unclear origin. Given the location, origination from the spleen may be suspected but cannot definitively be determined. \n - Consider abdominal ultrasound and FNA sampling to further investigate the suspected abdominal mass.', 'consult_name': 'Peritoneal - Mass unknown, no fluid', 'custom_fields': None}, {'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': '* Gastric material is consistent with food/recent meal. ', 'consult_name': 'Gastric - Post prandial ', 'custom_fields': None}, {'id': 653, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': '* No cause for the described respiratory signs has been determined from this radiographic study. Asthma or bronchitis cannot be ruled out.\n - For further evaluation of the reported respiratory signs, endoscopic evaluation, lower airway sampling and a respiratory PCR could be considered if the patient does not respond to medical management.', 'consult_name': 'Resp Bronchial - Normal lungs, feline', 'custom_fields': None}, {'id': 838, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* Mineralization noted within the thorax may be seoncdary to age related changes though chronic lower airway inflammation or neoplasia cannot be ruled out. \n - Correlate with clinical history and exam findings for further investigation of the mineralization noted.', 'elapsedTime': 35.085, 'consult_name': 'Resp Bronchial - mineralized bronchi', 'custom_fields': None}], 'signals': [{'id': 588, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Abnormal Posture'}, {'id': 663, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Dyspnoea - without coughing'}, {'id': 2179, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2535, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'eating-normally'}], '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': 703, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is an irregular opaque mass visualized in the mid to caudal area of left abdomen noted in the VD/DV view.', 'elapsedTime': 78.363, 'signal_name': 'peritoneal-mass', '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': 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': 'There is a small, mineralized/calcified nodule noted in the cranioventral thorax. ', 'elapsedTime': 20.962, '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': 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': 1635, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hernia - diaphragmatic'}], 'questions': [{'id': 2509, 'source': 'labelling', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}], 'recommendations': [{'id': 955, 'source': 'labelling', 'recommendation_name': 'Elective neutering - ovariohysterectomy (spay, "spey")'}], 'report_findings': 'Thorax\nThere is a small, mineralized/calcified nodule noted in the cranioventral thorax. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is an irregular opaque mass visualized in the mid to caudal area of left abdomen noted in the VD/DV 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': 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': 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': -3, 'signal_name': 'vert-cervical-narrowing'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-mass'}, {'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': 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': 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': 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': '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'}], 'report_conclusions': '* No cause for the described respiratory signs has been determined from this radiographic study. Asthma or bronchitis cannot be ruled out.\n - For further evaluation of the reported respiratory signs, endoscopic evaluation, lower airway sampling and a respiratory PCR could be considered if the patient does not respond to medical management.\n* Mineralization noted within the thorax may be seoncdary to age related changes though chronic lower airway inflammation or neoplasia cannot be ruled out. \n - Correlate with clinical history and exam findings for further investigation of the mineralization noted.\n* Suspected abdominal mass of unclear origin. Given the location, origination from the spleen may be suspected but cannot definitively be determined. \n - Consider abdominal ultrasound and FNA sampling to further investigate the suspected abdominal mass.\n* Gastric material is consistent with food/recent meal. '}

{'bday': '2014-01-01', 'name': 'Eevee ^Cooper', 'breed': 'Domestic Short Hair', 'owner': 'Sandy Cooper', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'Elles Road Veterinary Centre', 'email': '[email protected]', 'clinician': 'Elles Road Veterinary Centre'}

My own cat who was rehomed after being brought in to spay and she had a diaphragmatic hernia and was heavily pregnant! Age unknown .... best guess 8-10 years. Recently started having an inspiratory, grunting respiration - hence the radiographs ! Eating normally but sitting as a "hunched kitty". ?? Calcified areas ventral ant. thorax

Reason for respiratory distress

expert

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

['Posture abnormal - other', 'Dyspnea', 'Respiratory distress']

['Eating normally']

[588, 663, 2179]

[2535]

['Hernia - diaphragmatic']

[]

[1635]

[]

[]

['Elective neutering - ovariohysterectomy (spay, "spey")']

[]

[955]

{'patient': {'bday': '2015-03-12', 'name': 'Lozano^ALICE', 'breed': 'Maltese Mix', 'owner': 'Lozano^Rina/ Ines', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'AEHVolusia'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Patient presented for hospitalization after being diagnosed with DKA at rDVM. \r\n\r\nOwner went on a trip a few weeks ago and P was doing well. Not long after, she started drinking excessively. O took P to her friend's rDVM as she is from out of town and they did an ultrasound and ruled out pyometra. The bloodwork was sent out. rDVM called them yesterday and recommended they go to an ER for hospitalization as P is in DKA\r\n\r\nChemistry: ALT 1339, ALP 8999, BUN 40.6, IP 7.4, Glu >600, GGT 173, TBili 0.6\r\nEPOC: pH 7.320, BUN 41, Glu 562", 'questions': 'DKA\r\nPancreatitis\r\nElevated Liver Values'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'partial', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'ready', 'source': 'labelling'}, {'id': 1037, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 186, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Hepatomegaly- Endocrine', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Given the history and radiographic findings, this is likely secondary to the reported DKA. An abdominal ultrasound with FNA sample or biopsy can be useful to rule out other causes.', 'recommendation_custom_fields': None}, {'id': 379, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'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': 428, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Renal - RMG', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider an abdominal ultrasound for further investigation of the enlarged kidney(s).', 'recommendation_custom_fields': None}], 'signals': [{'id': 617, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Polydipsia'}, {'id': 2404, 'source': 'labelling', '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_': ['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': 19, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['left and right']}}, {'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': 797, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-renomegaly', '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': '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': 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_': ['T12-T13']}}, {'id': 2315, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', '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': [{'id': 566, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Diabetic ketoacidosis (DKA)'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2524, 'source': 'labelling', 'signal_name': 'Endocrine-area'}], '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 distension of the stomach with gas. The left kidney measures above normal range. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at T12-T13. There is spondylosis deformans noted in the thoracolumbar spine. There are degenerative changes noted in the left and right shoulder. 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': 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': 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': 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': 0, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation'}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, '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': 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': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'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': 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 a metabolic/endocrine hepatopathy. Other etiologies including vacuolar or EMH/nodular hyperplasia, infiltrative neoplasia, or acute hepatitis cannot be ruled out.\nThe gas distension in the stomach is likely due to aerophagia. \nThe kidneys are at the upper limits of normal which may represent an acute kidney injury. Other differentials include pyelonephritis, neoplasia, and hydronephrosis.\nDegenerative changes in the shoulder.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\n\nRecommendations:\nGiven the history and radiographic findings, this is likely secondary to the reported DKA. An abdominal ultrasound with FNA sample or biopsy can be useful to rule out other causes.\nConsider an abdominal ultrasound for further investigation of the enlarged kidney(s).\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the shoulder.\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': '2015-03-12', 'name': 'Lozano^ALICE', 'breed': 'Maltese Mix', 'owner': 'Lozano^Rina/ Ines', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Patient presented for hospitalization after being diagnosed with DKA at rDVM. Owner went on a trip a few weeks ago and P was doing well. Not long after, she started drinking excessively. O took P to her friend's rDVM as she is from out of town and they did an ultrasound and ruled out pyometra. The bloodwork was sent out. rDVM called them yesterday and recommended they go to an ER for hospitalization as P is in DKA Chemistry: ALT 1339, ALP 8999, BUN 40.6, IP 7.4, Glu >600, GGT 173, TBili 0.6 EPOC: pH 7.320, BUN 41, Glu 562

DKA Pancreatitis Elevated Liver Values

standard

['Gastrointestinal-area', 'Endocrine-area']

['Polydipsia', 'Elevated liver enzymes']

[]

[617, 2404]

[]

['Diabetic ketoacidosis (DKA)']

[]

[566]

[]

[]

[]

[]

[]

{'patient': {'bday': '2008-07-31', 'name': 'RUCCA RIGNEY', 'breed': 'mix', 'owner': 'KERRY/ NIKKI RIGNEY', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Bay Cities Animal Hospital', 'email': '[email protected]', 'clinician': 'Bay Cities Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'PET HAS HISTORY OF UTI AND ARTHRITIS. PET ON CARPROFEN AND LIBRELA FOR PAIN FOR OA.\r\nON ENROFLOXACIN FOR UTI.\r\nOWNER CONCERNED ABOUT ABOUT ANY MASSES OR STONE IN BLADDER AS ARTHRITIS SYMPTOMS HAVE WORSENED LATELY. NOTICES WEEK BACK LEGS.', 'questions': 'DJD OF KNEES , HIPS AND SPINE.\r\nRULE OUT ANY MASSES OR STONEIN BLADDER OR ANY OBVIOUS REASON FOR PET NOT WANTING TO MOVE AROUND'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Hepatomegaly- benign', 'custom_fields': None}, {'id': 219, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Abdominal fluid', 'custom_fields': None}, {'id': 356, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Stifle arthritis, lameness', 'custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Hip DJD', 'custom_fields': None}, {'id': 383, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Bridging spondylosis', 'custom_fields': None}, {'id': 420, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* No masses or uroliths observed. \n- Consider abdominal ultrasound and urinalysis for further investigation.', 'elapsedTime': 40.119, 'consult_name': 'No cause for urinary signs', 'custom_fields': None}], 'signals': [{'id': 156, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Not moving'}, {'id': 601, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gait abnormality - ataxia'}, {'id': 2424, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'arthritis'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}}, {'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': 20, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'The liver appears to extend beyond the costal arch in the left lateral abdominal view.', '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': 764, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There are degenerative changes noted in both stifles, worse on the right . ', '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': 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': 2230, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left']}}, {'id': 2252, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'patellar-luxation', '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': 2298, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}], 'diagnosis': [{'id': 2229, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Urinary tract infection (UTI)'}], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}, {'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}], 'recommendations': [{'id': 961, 'source': 'labelling', 'recommendation_name': 'Antibiotic'}, {'id': 1331, 'source': 'labelling', 'recommendation_name': 'anti-inflammatory-nsaid-or-low-dose-steroid'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears to extend beyond the costal arch in the left lateral abdominal view. There is loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. There is degenerative joint disease affecting the left coxofemoral joint. There are degenerative changes noted in both stifles, worse on 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': 10, 'source': 'labelling', 'history': False, 'confidence': -3, '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': 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': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing'}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-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': 764, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis'}, {'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': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'patellar-luxation'}], 'report_conclusions': '* 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 centesis and analysis of the peritoneal fluid and abdominal ultrasound.\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* Severe bridging spondylosis. Clinical signs described could be due to diskogenic pain. \n - Consider exercise restriction and analgesics. If signs persist, consider an MRI scan for further assessment.\n* Degenerative joint disease of the hips.\n - Correlate with orthopedic examination.\n* Osteoarthritis of the stifle. No evidence of stifle effusion or instability. \n - Medical management including rest could be considered at this time.\n* No masses or uroliths observed. \n- Consider abdominal ultrasound and urinalysis for further investigation.'}

{'bday': '2008-07-31', 'name': 'RUCCA RIGNEY', 'breed': 'mix', 'owner': 'KERRY/ NIKKI RIGNEY', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

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

PET HAS HISTORY OF UTI AND ARTHRITIS. PET ON CARPROFEN AND LIBRELA FOR PAIN FOR OA. ON ENROFLOXACIN FOR UTI. OWNER CONCERNED ABOUT ABOUT ANY MASSES OR STONE IN BLADDER AS ARTHRITIS SYMPTOMS HAVE WORSENED LATELY. NOTICES WEEK BACK LEGS.

DJD OF KNEES , HIPS AND SPINE. RULE OUT ANY MASSES OR STONEIN BLADDER OR ANY OBVIOUS REASON FOR PET NOT WANTING TO MOVE AROUND

expert

['Musculoskeletal-area', 'urinary-area']

['Not moving', 'Gait abnormality - ataxia', 'arthritis']

[]

[156, 601, 2424]

[]

['Urinary tract infection (UTI)']

[]

[2229]

[]

[]

['Antibiotic', 'Anti-inflammatory - NSAID or low dose steroid']

[]

[961, 1331]

{'patient': {'bday': '2021-04-08', 'name': 'Tomazin^CHEWIE', 'breed': 'Yorkshire Terrier', 'owner': 'Tomazin^Sydney', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': ' Animal Emergency Hospital Deland', 'email': '[email protected]', 'clinician': 'AEH DeLand'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Was choking trying to cough something up', 'questions': 'Was choking trying to cough something up'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1024, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, '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': 257, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 100.519, 'consult_name': 'Esoph - EFB', 'diagnosis_custom_text': 'The clinical signs may be attributed to the described esophageal opacity. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider endoscopy and laryngoscopy for further diagnostics. Removal or advancing the esophageal foreign body into the stomach may be indicated depending on findings. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 63, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Choking'}, {'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'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': 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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is radiopaque material within the stomach with the appearance of foam. ', 'elapsedTime': 14.066, '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': 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': 2281, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The cervical esophagus appears to be fluid filled. No well marginated foreign body or food is apparent however a mass/obstruction in this region cannot be completely ruled out. The cervical trachea also appears markedly distended.', 'elapsedTime': 216.302, 'signal_name': 'foreign-body-esophagus', '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': 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': [], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe cervical esophagus appears to be fluid filled. No well marginated foreign body or food is apparent however a mass/obstruction in this region cannot be completely ruled out. The cervical trachea also appears markedly distended. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach with the appearance of foam. 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': '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': 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': 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': 'labelling', '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': 'labelling', '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': -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': 'labelling', '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': 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': 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': 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:\nThe clinical signs may be attributed to the described esophageal opacity.\nGastric material. This is consistent with food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\n\nRecommendations:\nConsider endoscopy and laryngoscopy for further diagnostics. Removal or advancing the esophageal foreign body into the stomach may be indicated depending on findings.\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of non-obstructive foreign material.'}

{'bday': '2021-04-08', 'name': 'Tomazin^CHEWIE', 'breed': 'Yorkshire Terrier', 'owner': 'Tomazin^Sydney', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Was choking trying to cough something up

Was choking trying to cough something up

standard

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

['Choking/something stuck in throat', 'Coughing']

['Canine Small Breed']

[63, 69]

[2654]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-04-20', 'name': 'Fleszar^SKYY', 'breed': 'Mix', 'owner': 'Fleszar^Kathleen', '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': "P presented for vomiting and not eating. Vomited 3 times this morning, no diarrhea. Didn't eat breakfast. U/D WNL. May have eaten sock, known to eat things. No human food or table scraps. O gave famotidine.\r\n\r\nbloodwork pending", 'questions': 'foreign body'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental VAN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 242, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - 2 pops, with FB', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, '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': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'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': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['cloth/material like']}}, {'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': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T13']}}, {'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': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}], 'diagnosis': [{'id': 612, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Foreign body'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is cloth/material like 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. The rest of the observed abdomen is within normal limits.\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': 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': 'labelling', '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': 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': -3, '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': 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': 'labelling', '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': 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': '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': -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': 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': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction'}, {'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': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'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:\nSmall intestinal obstruction likely secondary to foreign material. A concurrent stricture or intestinal lesion cannot be ruled out.\nVertebral anomaly. Likely incidental.\n\nRecommendations:\nRecommend surgical exploration of the abdomen.\nCorrelate with physical exam for clinical significance of the vertebral anomaly.'}

{'bday': '2023-04-20', 'name': 'Fleszar^SKYY', 'breed': 'Mix', 'owner': 'Fleszar^Kathleen', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

P presented for vomiting and not eating. Vomited 3 times this morning, no diarrhea. Didn't eat breakfast. U/D WNL. May have eaten sock, known to eat things. No human food or table scraps. O gave famotidine. bloodwork pending

foreign body

expert

['Gastrointestinal-area']

['Vomiting', 'Anorexia']

['Diarrhea']

[256, 606]

[76]

['Foreign body']

[]

[612]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-05-11', 'name': 'Sellers^Moki', 'breed': 'LABRADOODLE', 'owner': 'Sellers^Major', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'clinician': 'CPA TECHS'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Been to rDVM off and on for past month for collapsing trachea. Diarrhea once about 30 min prior to triage, no vomiting. Reverse sneezing off and on, breathing out hard, forcing snot out. Decreased appetite over the last 6 hours, did not finish dinner tonight. Drank in a bizarre fashion tonight (dipped head in water 2xs before drinking). No daycare/boarding/etc. Labored breathing for past 24 hours', 'questions': 'Labored breathing'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'ready', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 251, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Colon - Foreign body', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 266, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Cardiomegaly - asymptomatic, no LAE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'consult_name': 'Spine - TID/CID with spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 432, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 8, 'consult_name': 'Renal - RMN, fp', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 439, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 2.799, 'consult_name': 'Resp Parenchymal - resp signs, patchy alveolar', 'diagnosis_custom_text': 'A mild patchy interstitial pattern is noted. Differentials include pneumonia (bacterial, viral, fungal), aspiration pneumonia/inhaled toxin/near drowning, ARDS, or less likely non-cardiogenic pulmonary edema or hemorrhage.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 874, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 9.229, 'consult_name': 'Gastric - Large FB, asymptomatic', 'diagnosis_custom_text': 'Gastric foreign material that may or may not pass on their own.\xa0Pattern of gastric distension with gastric foreign material could also be contributing to the observed signs.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 890, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Peritoneal - small effusion vs peritonitis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2694, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Reverse Sneezing'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is spondylosis deformans noted in the thoracic and lumbar spine. ', 'elapsedTime': 8.283, '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': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', '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_': ['transverse', 'descending']}}, {'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': 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': 2279, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is mild focal increased opacity in the left cranioventral lung field, characterized as a patchy interstitial pattern. ', 'elapsedTime': 35.592, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', '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': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['T13-L1', 'L1-L2', 'L2-L3']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2370, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'renal-mineralization-fp', 'custom_fields': None}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is distention of the stomach and it contains a mineralized opacity material with irregular margins.', 'elapsedTime': 4.526, 'signal_name': 'gastric-fb', 'custom_fields': None}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': {'___s1_': ['spleen', 'intestines'], '___s2_': ['mid', 'caudal']}}], 'diagnosis': [{'id': 2019, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Tracheal collapse'}, {'id': 2020, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Tracheal collapse, acquired'}], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart measures above the normal range. There is mild focal increased opacity in the left cranioventral lung field, characterized as a patchy interstitial pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is distention of the stomach and it contains a mineralized opacity material with irregular margins. There is a small amount of mineral opacity foreign material located within the transverse and descending colon. The opacity over the kidney is suspected to be secondary to summation of structures or possible mineralization of surrounding structures rather than true urolithiasis. There is a wispy soft tissue opacity noted over the spleen and intestines in the mid and caudal abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at T13-L1, L1-L2 and L2-L3. There is spondylosis deformans noted in the thoracic and 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': -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': 'labelling', 'history': False, 'confidence': 2, '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': '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': 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': 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': -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': 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': 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': 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': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'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': 2370, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'renal-mineralization-fp'}, {'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': 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': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'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': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'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': 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': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'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': 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'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp'}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp'}], 'report_conclusions': 'Conclusions:\nA mild patchy interstitial pattern is noted. Differentials include pneumonia (bacterial, viral, fungal), aspiration pneumonia/inhaled toxin/near drowning, ARDS, or less likely non-cardiogenic pulmonary edema or hemorrhage.\nGastric foreign material that may or may not pass on their own.\xa0Pattern of gastric distension with gastric foreign material could also be contributing to the observed signs.\nThe cardiac silhouette appears enlarged, with no evidence of left atrial enlargement and no evidence of decompensation.\nThe area in the abdomen with unclear organ margins and slight loss of serosal detail may represent a small amount of abdominal fluid or a focal peritonitis.\nColonic foreign body as described.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\nThe opacity noted overlying the renal silhouette is thought to be secondary to summation or within soft tissue surrounding the kidney rather than renal mineralization.\n\nRecommendations:\nConsider respiratory lavage for cytological exam, culture and sensitivity to further investigate the changes in the lung if the patient is stable. Supportive care including oxygen and antibiotic therapy is indicated.\nDepending on the gastric material present, consideration may be given to inducing emesis, endoscopy or surgical exploration of the abdomen.\nAn echocardiogram with blood pressure measurement and/or radiographic monitoring every 9 to 12 months could be considered for further evaluation. Consultation with a cardiologist could be considered for medication recommendations.\nConsider an abdominal ultrasound for further investigation of the area in the abdomen with unclear organ margins and slight loss of serosal detail.\nMonitor for passage of described colonic foreign body in the stool.\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.\nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for renal mineralization.'}

{'bday': '2011-05-11', 'name': 'Sellers^Moki', 'breed': 'LABRADOODLE', 'owner': 'Sellers^Major', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'clinician': 'CPA TECHS'}

Been to rDVM off and on for past month for collapsing trachea. Diarrhea once about 30 min prior to triage, no vomiting. Reverse sneezing off and on, breathing out hard, forcing snot out. Decreased appetite over the last 6 hours, did not finish dinner tonight. Drank in a bizarre fashion tonight (dipped head in water 2xs before drinking). No daycare/boarding/etc. Labored breathing for past 24 hours

Labored breathing

standard

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

['Dyspnoea', 'Diarrhea', 'Hyporexia', 'Canine Medium/Large Breed', 'Reverse Sneezing']

['Vomiting']

[50, 76, 607, 2656, 2694]

[256]

['Tracheal collapse', 'PDx: Tracheal collapse']

[]

[2019, 2020]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-06-18', 'name': 'Garrigan^Mowgli', 'breed': 'French Bulldog', 'owner': 'Garrigan^Janee', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': "HISTORY:\r\nPatient presents for: Non-weight bearing on front right leg\r\nSigns and symptoms: Non-weight bearing on front right leg for a few hours now, crying out when leg is touched. \r\nEvents leading up to problem: Pt had been playing with housemate. \r\nAllergies: none\r\nMedications: none\r\nLast oral intake food/water: pt was fed 2 hours ago. \r\nPertinent past history: Pt's front right leg was broken 3 months ago, rads 4-5 wks ago were normal. Also pt's left front leg was amputated 3 months ago, pt had been dropped.", 'questions': 'Assessment: \r\nDistal right ulnar fracture: suspect non-union from previous fracture as fracture edges blurry and does not appear to be fresh fracture \r\n- Right lateral humeral condyle fracture \r\n\r\nWanting to review bone structure/fractures. '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 392, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': '* Evidence of appendicular fractures as outlined. There is evidence of healing at the fracture sites but minimal evidence of callus formation. \n- Consider analgesics and stabilization, +/- orthopedic consultation for the evidence of appendicular fracture as outlined. Correlate with palpation of the region for stability.', 'elapsedTime': 213.097, 'consult_name': 'M/S GEN - acute fracture', 'custom_fields': None}], 'signals': [{'id': 2346, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-forelimb'}, {'id': 2545, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}], 'findings': [{'id': 17, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is a transverse and oblique fracture of the distal ulnar and humeral head respectively. ', '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}], 'diagnosis': [{'id': 1309, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Fracture healing disorder - delayed union/non-union'}], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'internal_notes': "Please re-check for soft tissue swelling... can't be certain due to overexposure. ", 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is a transverse and oblique fracture of the distal ulnar and humeral head respectively. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'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': 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': 0, 'signal_name': 'vert-cervical-narrowing'}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing'}, {'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': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation'}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class'}, {'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': 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': 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': 2412, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'enthesopathy'}, {'id': 2446, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}], 'report_conclusions': '* Evidence of appendicular fractures as outlined. There is evidence of healing at the fracture sites but minimal evidence of callus formation. \n- Consider analgesics and stabilization, +/- orthopedic consultation for the evidence of appendicular fracture as outlined. Correlate with palpation of the region for stability.'}

{'bday': '2023-06-18', 'name': 'Garrigan^Mowgli', 'breed': 'French Bulldog', 'owner': 'Garrigan^Janee', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

HISTORY: Patient presents for: Non-weight bearing on front right leg Signs and symptoms: Non-weight bearing on front right leg for a few hours now, crying out when leg is touched. Events leading up to problem: Pt had been playing with housemate. Allergies: none Medications: none Last oral intake food/water: pt was fed 2 hours ago. Pertinent past history: Pt's front right leg was broken 3 months ago, rads 4-5 wks ago were normal. Also pt's left front leg was amputated 3 months ago, pt had been dropped.

Assessment: Distal right ulnar fracture: suspect non-union from previous fracture as fracture edges blurry and does not appear to be fresh fracture - Right lateral humeral condyle fracture Wanting to review bone structure/fractures.

expert

['Musculoskeletal-area']

['Forelimb lameness', 'Non-weight bearing lameness']

[]

[2346, 2545]

[]

['Fracture healing disorder - delayed union/non-union']

[]

[1309]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-04-20', 'name': 'Collins^charlie', 'breed': 'Domestic Shorthair', 'owner': 'Collins^Damien', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': " O states pt is limp for 3 hr, lrg amount of fluid in litter box. Not E for 4-5 days. O left about 5pm when pt first got into litter box, returned at 8pm and pt was sill in litter box. Loss of app for 4-5 days. Wt loss for about 3 wks.O states they came to Texas about 3 wks ago due to wife being sick. Pt got trapped under O uncles' house last week for about 4 days. O took pt to day practice yesterday. BW revealed WBC/RBC off, pt given SQ fluids, Convenia inj, Dexmeth inj. HR112/wk, RR 56, T 93", 'questions': 'Rule out trauma vs other '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1016, 'state': 'ready', 'source': 'labelling'}, {'id': 1019, 'state': 'partial', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'ready', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'ready', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1038, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 195, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Spleen feline - Visible', 'diagnosis_custom_text': 'Visualization of the spleen may be normal variation or due to infiltrative disease such as lymphosarcoma, mast cell neoplasia, or other. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'consult_name': 'Gastric - Aerophagia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Hindlimb Hip - chronic hip dysplasia, HOA and HIC', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 376, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Forelimb Elbow - arthritis, lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 383, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Spine - pain, bridging spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 431, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 23.211, 'consult_name': 'Renal - RMN', 'diagnosis_custom_text': 'The suspected opacity overlying the renal silhouette may be representative of renal mineralization and likely chronic renal disease. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 775, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'elapsedTime': 13.964, 'consult_name': 'Bladder - Concern for urinary obstruction, no calculi', 'diagnosis_custom_text': 'Mildly distended urinary bladder with no apparent calculi observed. \n', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 879, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 8, 'consult_name': 'Hepatomegaly - Mild', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 140, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 259, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2185, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}], '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': 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 a suspected increased opacity noted over the silhouette of the left kidney. ', 'elapsedTime': 7.295, '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': 762, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}}, {'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': 1937, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The spleen is visualized in the caudo-dorsal abdomen.', 'elapsedTime': 14.608, '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': 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': 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': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': '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': 2315, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', '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': 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'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}, {'id': 2522, 'source': 'ai', 'signal_name': 'Systemic-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears enlarged. The spleen is visualized in the caudo-dorsal abdomen. There is distension of the stomach with gas. There is a suspected increased opacity noted over the silhouette of the left kidney. There is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. There are degenerative changes noted in the left and right elbow. 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': 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': -3, 'signal_name': 'shoulder-arthropathy'}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly'}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 2, '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': 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': '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': 762, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'elbow-osteophytosis'}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -2, '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': -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': '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': 'labelling', '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': 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': 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': 2265, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'urinary-bladder-distension'}, {'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': -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': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy'}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid'}, {'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': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2403, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-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': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2421, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-degeneration'}, {'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': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'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': 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': 2491, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Inter-sternebral narrowing'}, {'id': 2492, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal-subluxation'}, {'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': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'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': 2586, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subluxation of Ribs'}, {'id': 2594, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fractured Rib Cartilages'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'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'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}], 'report_conclusions': "Conclusions:\nOsteoarthritis of the hips secondary to hip dysplasia.\nSevere bridging spondylosis. \nArthritis of the elbow likely incidental. \nThe suspected opacity overlying the renal silhouette may be superimposition of tissues vs less likely representative of renal mineralization and likely chronic renal disease.\nMildly distended urinary bladder with no apparent calculi observed.\nVisualization of the spleen may be normal variation or due to infiltrative disease such as lymphosarcoma, mast cell neoplasia, or other.\nThe gas distension observed in the GI tract is most consistent with aerophagia.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\n\nRecommendations:\nCorrelate with orthopedic examination for further evaluation of osteoarthritis secondary to hip dysplasia.\nCorrelate with orthopedic examination and consider analgesic and exercise restriction and monitor response to therapy for the reported lameness.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for renal disease.\nCorrelate with clinical signs and exam for clinical significance of gastric gas distension.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the patient's clinical signs. "}

{'bday': '2017-04-20', 'name': 'Collins^charlie', 'breed': 'Domestic Shorthair', 'owner': 'Collins^Damien', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

O states pt is limp for 3 hr, lrg amount of fluid in litter box. Not E for 4-5 days. O left about 5pm when pt first got into litter box, returned at 8pm and pt was sill in litter box. Loss of app for 4-5 days. Wt loss for about 3 wks.O states they came to Texas about 3 wks ago due to wife being sick. Pt got trapped under O uncles' house last week for about 4 days. O took pt to day practice yesterday. BW revealed WBC/RBC off, pt given SQ fluids, Convenia inj, Dexmeth inj. HR112/wk, RR 56, T 93

Rule out trauma vs other

expert

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

['Losing weight', 'Traumatic injury', 'Anorexia', 'Lameness']

[]

[140, 259, 606, 2185]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-11-09', 'name': 'Vecchiarelli, Mike^Teddy', 'breed': 'Airedale Terrier', 'owner': 'Vecchiarelli, Mike', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Aurora Animal Clinic', 'email': '[email protected]', 'clinician': 'Aurora Animal Clinic'}, 'accept_tos': '1', 'consult_info': {'case_info': 'A chronic intermittent right forelimb lameness that has been progressively worsening since July 2023. \r\n\r\nBloodwork relatively uneventful. Screening UA show inappropriately dilute urine (1.027), but otherwise unremarkable. 4DX negative.\r\n\r\nPhysical examination today reveals moderately reactive on manipulation of the digits, on right forelimb. Especially on digit 2, 3 and 4. Otherwise, p seems very comfortable on manipulation - flexion, extension, hyperextension, etc - seems comfortable, cannot elicit pain on all other joints. No obvious swelling nor obvious skin lesions when clipped hair around the paw. Low grade lameness of the right forelimb, visible by frequent head bobbing. \r\n\r\nOtherwise the rest of the physical exam unremarkable.\r\n\r\nAlso has a history of back pain and elbow pain on the right side in 2018 - from other clinic, but lacks medical history to provide.\r\n\r\nRads are taken today to rule out neoplasia, fracture, or any obvious radiographic lesions that may indicate inflammatory/infectious condition.', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'auto'}, 'consult': [{'id': 765, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': "* The cause of the patient's described clinical signs is not identified in the radiographs provided. The study is negative for fractures, aggressive osseous lesions, luxation or subluxation, and soft tissue swelling. This does not rule out a soft tissue injury or neuropathy at this time.\n - Consider advanced imaging such as MRI or CT scan +/- orthopedic consult.", 'elapsedTime': 59.345, 'consult_name': 'No cause for chronic lameness', 'custom_fields': None}], 'signals': [{'id': 46, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'Blood test'}, {'id': 224, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'Skin problem (unspecified)'}, {'id': 629, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pain - musculoskeletal'}, {'id': 2187, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'Swelling'}, {'id': 2341, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lameness-chronic'}, {'id': 2346, 'source': 'labelling', 'history': True, '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': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, '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': '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': 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': 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': 2446, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}], 'diagnosis': [{'id': 1058, 'state': 'normal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Parasite infestation - Ehrlichiosis'}, {'id': 1709, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Idiopathic head tremor (head bob)'}, {'id': 2443, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'neoplasia'}], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [{'id': 122, 'source': 'labelling', 'recommendation_name': 'Urinalysis (unspecified)'}, {'id': 1339, 'source': 'labelling', 'recommendation_name': 'heartworm-test'}, {'id': 1385, 'source': 'labelling', 'recommendation_name': 'lyme-testing'}], 'report_findings': 'Thorax\n* Lung fields are clear. \n* The trachea is unremarkable with normal diameter. \n* The pleural space is normal. \n* The diaphragm is unremarkable. \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 are no degenerative changes noted in the shoulders. \n* There are no degenerative changes noted in the elbows. \n* The carpal joints are unremarkable, no evidence of degenerative changes.', 'additionalSignals': [{'id': 6, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'lung-pleural-effusion'}, {'id': 7, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'lung-pneumothorax'}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'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': 712, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 715, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern'}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion'}, {'id': 733, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'esophagus-foreign-body'}, {'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': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'esophagus-distension'}, {'id': 2141, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'lung-thoracic-mass'}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class'}, {'id': 2160, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}, {'id': 2272, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'muscle-atrophy'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis'}], 'report_conclusions': "* The cause of the patient's described clinical signs is not identified in the radiographs provided. The study is negative for fractures, aggressive osseous lesions, luxation or subluxation, and soft tissue swelling. This does not rule out a soft tissue injury or neuropathy at this time.\n - Consider advanced imaging such as MRI or CT scan +/- orthopedic consult."}

{'bday': '2017-11-09', 'name': 'Vecchiarelli, Mike^Teddy', 'breed': 'Airedale Terrier', 'owner': 'Vecchiarelli, Mike', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

A chronic intermittent right forelimb lameness that has been progressively worsening since July 2023. Bloodwork relatively uneventful. Screening UA show inappropriately dilute urine (1.027), but otherwise unremarkable. 4DX negative. Physical examination today reveals moderately reactive on manipulation of the digits, on right forelimb. Especially on digit 2, 3 and 4. Otherwise, p seems very comfortable on manipulation - flexion, extension, hyperextension, etc - seems comfortable, cannot elicit pain on all other joints. No obvious swelling nor obvious skin lesions when clipped hair around the paw. Low grade lameness of the right forelimb, visible by frequent head bobbing. Otherwise the rest of the physical exam unremarkable. Also has a history of back pain and elbow pain on the right side in 2018 - from other clinic, but lacks medical history to provide. Rads are taken today to rule out neoplasia, fracture, or any obvious radiographic lesions that may indicate inflammatory/infectious condition.

standard

['Musculoskeletal-area']

['Pain - musculoskeletal', 'Chronic lameness', 'Forelimb lameness']

['Blood test', 'Skin problem (unspecified)', 'Swelling']

[629, 2341, 2346]

[46, 224, 2187]

['Idiopathic head tremor (head bob)', 'Neoplasia']

['Parasite infestation - Ehrlichiosis']

[1709, 2443]

[1058]

[]

['Urinalysis (unspecified)', 'Heartworm test', 'Lyme disease testing']

[]

[122, 1339, 1385]

{'patient': {'bday': '2009-12-31', 'name': 'JACOB', 'breed': ' Siberian Husky', 'owner': 'MOLINA', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'My Pet Hospital of Pinecrest', 'email': '[email protected]', 'clinician': 'My Pet Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet spinal pain , respiratory Effort , P has a previous Lipoma surgery 3 years ago . now P has another lipoma in sternal area , near forelimb ,can not laying down', 'questions': 'Pet spinal pain , respiratory Effort , P has a previous Lipoma surgery 3 years ago . now P has another lipoma in sternal area , near forelimb ,can not laying down'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'partial', 'source': 'labelling'}, {'id': 1035, 'state': 'partial', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1053, 'state': 'partial', 'source': 'labelling'}, {'id': 1054, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 189, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly - Mass', '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': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 230, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Subcut - Lipoma', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 233, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 21.217, 'consult_name': 'Negative - Pain causing non-specific signs', 'diagnosis_custom_text': 'No radiographic evidence for specific cause of spinal pain described. Consider discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation, abdominal or other soft tissue origins. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 631, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - spinal'}, {'id': 2180, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Abnormal Respiration'}, {'id': 2186, 'source': 'ai', '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 thoracic, thoracolumbar and lumbar spine. ', 'elapsedTime': 6.728, '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': 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': 1932, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'In the cranioventral abdomen, there is displacement of stomach cranially and small intestines caudally.', 'elapsedTime': 15.532, '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': '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': 2268, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a mass of soft tissue opacity associated with the subcutaneous tissue the left upper forelimb. ', 'elapsedTime': 27.835, 'signal_name': 'subcutaneous-mass', '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': 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': 2446, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', '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': 2115, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Lipoma (site unspecified)'}, {'id': 2124, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Lipoma - thoracic (chest) wall'}], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}, {'id': 2512, 'source': 'labelling', 'signal_name': 'neuro-area'}, {'id': 2520, 'source': 'labelling', 'signal_name': 'screening-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}], '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 radiopaque material within the stomach. In the cranioventral abdomen, there is displacement of stomach cranially and small intestines caudally. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic, thoracolumbar and lumbar spine. There is a mass of soft tissue opacity associated with the subcutaneous tissue the left upper forelimb. 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': -3, 'signal_name': 'shoulder-arthropathy'}, {'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': 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': 'labelling', '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': 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': 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': 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': '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': 2, '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': 'labelling', 'history': False, 'confidence': -3, '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': 2268, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'subcutaneous-mass'}, {'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': 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': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'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': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c'}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'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': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail'}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}, {'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:\nNo radiographic evidence for specific cause of spinal pain described. Consider discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation, abdominal or other soft tissue origins.\nSpondylosis deformans. Likely incidental.\nSuspected hepatic mass. Differentials may include neoplasia, nodular hyperplasia, abscess, hematoma, cyst.\nFat opaque mass consistent with lipoma.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nRecommend supportive care for the reported clinical signs. Re-evaluate as clinically indicated to further investigate the possible sources of discomfort.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.\nConsider abdominal ultrasound and FNA sampling +/- biopsy for further investigation of the suspected hepatic mass to determine etiology.\nCorrelate with physical exam for clinical significance of the lipoma as described.'}

{'bday': '2009-12-31', 'name': 'JACOB', 'breed': ' Siberian Husky', 'owner': 'MOLINA', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Pet spinal pain , respiratory Effort , P has a previous Lipoma surgery 3 years ago . now P has another lipoma in sternal area , near forelimb ,can not laying down

Pet spinal pain , respiratory Effort , P has a previous Lipoma surgery 3 years ago . now P has another lipoma in sternal area , near forelimb ,can not laying down

expert

['Respiratory-area', 'Musculoskeletal-area', 'neuro-area', 'screening-area', 'Neoplasia-area']

['Pain - spinal', 'Abnormal respiration', 'Pain']

[]

[631, 2180, 2186]

[]

['Lipoma (site unspecified)', 'Lipoma - thoracic (chest) wall']

[]

[2115, 2124]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-04-15', 'name': 'Armitage^Calli', 'breed': 'DSH', 'owner': 'Armitage^', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Acredale Animal Hospital - Kempsville', 'email': '[email protected]', 'clinician': 'Acredale Animal Hospital- Kempsville'}, 'accept_tos': 'true', 'consult_info': {'case_info': ' Client presents Calli for having some bad breath and lost lots of weight, she wont eat for days and then acts like she is starving and then will eat. O thinks she is peeing and pooping regularly. Turning away food but will eat i when she is really hungry. Client also mentioned that P will gag from time to time after eating.\r\n', 'questions': ' Client presents Calli for having some bad breath and lost lots of weight, she wont eat for days and then acts like she is starving and then will eat. O thinks she is peeing and pooping regularly. Turning away food but will eat i when she is really hungry. Client also mentioned that P will gag from time to time after eating. Radiographs of skull/cervical spine/thorax/abdomen were performed to r/o obstruction or underlying condition.'}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'consult': [{'id': 263, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 24.858, 'consult_name': 'Systemic - No cause for weight loss, decreased appetite', 'diagnosis_custom_text': 'A cause for the loss of weight and hyporexia clinical signs described could not be determined from the images provided. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - TID/CID with spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 416, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Skull - oral pain, normal skull, no visible dental lesions', 'diagnosis_custom_text': 'Normal skull radiographs with suspected dental abnormalities. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 140, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 229, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Smelly/bad breath'}, {'id': 521, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 606, 'source': 'labelling', '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_': ['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': 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': 815, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There appears to be mild attachment loss and possible resorptive lesions associated with mandibular teeth. ', 'signal_name': 'dental-tooth-attachment-loss-class', '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': 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_': ['T6-T7']}}, {'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': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', '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'}, {'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\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at T6-T7. The rest of the observed musculoskeletal system is within normal limits.\n\nDental\nThere appears to be mild attachment loss and possible resorptive lesions associated with mandibular teeth. There are no other abnormalities noted in the rest of the observed dental.', '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': 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': 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': 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': 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': 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': 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': 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': 2259, 'source': 'labelling', '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': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation'}, {'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': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-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': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone'}, {'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:\nNormal skull radiographs with suspected dental abnormalities.\nA cause for the loss of weight and hyporexia clinical signs described could not be determined from the images provided. There is no concern for gastrointestinal obstruction based on the images provided. \nPresence of disc space narrowing may be suggestive of disc degeneration.\n\nRecommendations:\nConsider sedated oral exam and dental radiography.\nConsider further work up including biochemistry profile, cbc, and urinalysis, thoracic radiographs and abdominal ultrasound to further investigate the reported non-specific signs. In addition, a more detailed clinical history may also be helpful.\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': '2011-04-15', 'name': 'Armitage^Calli', 'breed': 'DSH', 'owner': 'Armitage^', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Acredale Animal Hospital - Kempsville', 'email': '[email protected]', 'clinician': 'Acredale Animal Hospital- Kempsville'}

Client presents Calli for having some bad breath and lost lots of weight, she wont eat for days and then acts like she is starving and then will eat. O thinks she is peeing and pooping regularly. Turning away food but will eat i when she is really hungry. Client also mentioned that P will gag from time to time after eating.

Client presents Calli for having some bad breath and lost lots of weight, she wont eat for days and then acts like she is starving and then will eat. O thinks she is peeing and pooping regularly. Turning away food but will eat i when she is really hungry. Client also mentioned that P will gag from time to time after eating. Radiographs of skull/cervical spine/thorax/abdomen were performed to r/o obstruction or underlying condition.

standard

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

['Losing weight', 'Halitosis/bad breath', 'Gagging/retching', 'Anorexia']

[]

[140, 229, 521, 606]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-08-02', 'name': 'Ahee^Louie', 'breed': 'DSH', 'owner': 'Ahee^Adele', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Durham Region', 'email': '[email protected]', 'clinician': 'AEC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'hx of coughing for a few months \r\nbreathing more laboured today than it has been \r\nnormal lung abnd heart sounds when seen y rDVM a couple of months ago - bloods were normal at that time \r\ntoday wheezes on inspiration and expiration - breathing improved in O2 ', 'questions': 'suspect feline asthma?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1006, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'abnormal', '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': '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': 294, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Bronchial - Feline, bronchial plugging, no CMG', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 328, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Neoplasia - TMS fp', 'diagnosis_custom_text': 'The increased opacity nodules noted in the thorax are suspected to be secondary to bronchial plugging. However, pulmonary nodules cannot be ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, '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': 50, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2456, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Wheezing'}], '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': 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': 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': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2279, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['left and right'], '___s2_': ['alveolar']}}, {'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': 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': 2559, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a small soft tissue opacity nodules noted right caudodorsal thorax. ', 'signal_name': 'Nodule', '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': [{'id': 4759, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Feline asthma'}], 'questions': [{'id': 2509, 'source': 'labelling', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}], 'internal_notes': 'breathing improved in O2', 'recommendations': [], 'report_findings': 'Thorax\nA diffuse bronchial pattern is present. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There 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': 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': 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': -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': 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': -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': 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': 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': 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': 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': 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': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb'}, {'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': 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': 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': 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:\nGiven 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.\nGastric material is consistent with food/recent meal.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\n\nRecommendations:\nCorrelate with clinical history and/or additional diagnostics and consider medical management for chronic bronchitis.\nConsider additional radiographic views, follow-up radiographs to further investigate the increased opacity noted in the thorax.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.'}

{'bday': '2017-08-02', 'name': 'Ahee^Louie', 'breed': 'DSH', 'owner': 'Ahee^Adele', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Emergency Clinic of Durham Region', 'email': '[email protected]', 'clinician': 'AEC'}

hx of coughing for a few months breathing more laboured today than it has been normal lung abnd heart sounds when seen y rDVM a couple of months ago - bloods were normal at that time today wheezes on inspiration and expiration - breathing improved in O2

suspect feline asthma?

expert

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

['Dyspnoea', 'Coughing', 'Wheezing']

[]

[50, 69, 2456]

[]

['Feline asthma']

[]

[4759]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-01-01', 'name': 'Orzio^Baby', 'breed': 'Domestic Longhair', 'owner': 'Orzio^Debi', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'clinician': 'FVEPH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for retching / hair balls - initially presented last night for vomiting - was treated with cerenia injection. \r\nAte at home. ', 'questions': 'Small intestinal obstruction vs Gastroenteritis vs Open dx'}}

{'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': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', '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': 2, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 245, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Intestines - Gastroenteritis, foreign material', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 432, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Renal - RMN, fp', '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': 521, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gagging/retching'}], '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': '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': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['mineral']}}, {'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': 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': 2288, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'plication-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}, {'id': 2370, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'renal-mineralization-fp', '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': [{'id': 59, 'state': 'normal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Intestinal obstruction'}, {'id': 143, 'state': 'normal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Gastroenteritis'}], '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 is radiopaque material within the stomach. There is mineral foreign material located within the small intestine. The opacity over the kidney is suspected to be secondary to summation of structures or possible mineralization of surrounding structures rather than true urolithiasis. 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 spondylosis deformans noted in the lumbosacral 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': 'labelling', 'history': False, 'confidence': 2, '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': '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': 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': -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': 'labelling', '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': -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': 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': 2370, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'renal-mineralization-fp'}, {'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': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'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:\nThere is foreign material noted in the GI tract therefore dietary indiscretion should be a primary consideration. No obstructive pattern is noted. Gastroenteritis, pancreatitis or a systemic illness causing secondary GI signs can not be ruled out completely.\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nThe opacity noted overlying the renal silhouette is thought to be secondary to summation or within soft tissue surrounding the kidney rather than renal mineralization.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further investigate the identified intestinal foreign material.\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for renal mineralization.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified."}

{'bday': '2014-01-01', 'name': 'Orzio^Baby', 'breed': 'Domestic Longhair', 'owner': 'Orzio^Debi', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'clinician': 'FVEPH'}

Presented for retching / hair balls - initially presented last night for vomiting - was treated with cerenia injection. Ate at home.

Small intestinal obstruction vs Gastroenteritis vs Open dx

expert

['Gastrointestinal-area']

['Vomiting', 'Gagging/retching']

[]

[256, 521]

[]

[]

['Intestinal obstruction', 'Gastroenteritis']

[]

[59, 143]

[]

[]

[]

[]

{'patient': {'bday': '2019-03-05', 'name': 'Lynn^Ellie^^^', 'breed': 'Golden Retriever', 'owner': 'Emma Lynn ', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Pomona Park Animal Urgent Care', 'email': '[email protected]', 'clinician': 'Pomona Park Veterinary Urgent Care'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Presented for one episode of vomiting blood today and bloody stool all day yesterday. They haven't fed her since yesterday in hopes that the diarrhea would stop. On exam she is depressed, lethargic, ~8-10% dehydrated, stiff in the joints, slight discomfort on abdominal palpation, bloody watery stool after rectal examination. Bloodwork showed 63.9% hematocrit, cPL abnormal, 4dx normal, chemistry panel normal. ", 'questions': 'Concern for HGE, gastroenteritis '}}

{'tags': {'userTags': ['Incorrect-consult-code'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'normal', 'source': 'rules'}, {'id': 1027, 'state': 'inprogress', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}], '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': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, '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': None, 'consult_name': 'Intestines - Hemorrhagic gastro enteritis.', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the clinical signs is indicated at this time. Consider fecal testing for further investigation. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 77, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhoea with blood'}, {'id': 282, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting with blood'}, {'id': 612, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mentation altered - depressed'}, {'id': 622, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2475, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2482, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'dehydration'}, {'id': 2542, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'pancreatic-lipase'}], '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': 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': 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': 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': [{'id': 143, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Gastroenteritis'}, {'id': 1058, 'state': 'normal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Parasite infestation - Ehrlichiosis'}], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [{'id': 77, 'state': 'normal', 'source': 'labelling', 'recommendation_name': 'Blood test: Biochemistry - full profile'}, {'id': 1339, 'state': 'normal', 'source': 'labelling', 'recommendation_name': 'heartworm-test'}], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits.\n\nMusculoskeletal\n 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': -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': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly'}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass'}, {'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': 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': -3, 'signal_name': 'body-score'}, {'id': 2229, 'source': 'labelling', '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': 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': 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': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'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': 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:\nA cause for the described clinical signs is not determined from the radiographs. Given the history, acu53 hemorrhagic diarrhea syndrome is considered as a primary differential. Colitis due to stress, dietary indiscretion, parasites, or other cause cannot be ruled out.\n\nRecommendations:\nMedical management of the clinical signs is indicated at this time. \nConsider abdominal ultrasound to further evaluate for pancreatitis and fecal examination for parasites. '}

{'bday': '2019-03-05', 'name': 'Lynn^Ellie^^^', 'breed': 'Golden Retriever', 'owner': 'Emma Lynn ', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Pomona Park Animal Urgent Care', 'email': '[email protected]', 'clinician': 'Pomona Park Veterinary Urgent Care'}

Presented for one episode of vomiting blood today and bloody stool all day yesterday. They haven't fed her since yesterday in hopes that the diarrhea would stop. On exam she is depressed, lethargic, ~8-10% dehydrated, stiff in the joints, slight discomfort on abdominal palpation, bloody watery stool after rectal examination. Bloodwork showed 63.9% hematocrit, cPL abnormal, 4dx normal, chemistry panel normal.

Concern for HGE, gastroenteritis

expert

['Gastrointestinal-area']

['Diarrhoea with blood', 'Hematemesis (vomiting blood)', 'Mentation altered - depressed', 'Pain - abdominal', 'Hematochezia', 'Dehydration', 'Pancreatic Lipase tests/ cPLI positive']

[]

[77, 282, 612, 622, 2475, 2482, 2542]

[]

['Gastroenteritis']

['Parasite infestation - Ehrlichiosis']

[143]

[1058]

[]

['Blood test: Chemistry - full profile', 'Heartworm test']

[]

[77, 1339]

{'patient': {'bday': '2013-07-27', 'name': 'Rugato^Lilly', 'breed': 'Hound, Basset', 'owner': 'Rugato^Valena', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Carroll County Animal Hospital on Columbia Drive ', 'email': '[email protected]', 'clinician': 'Jason Harden '}, 'accept_tos': 'true', 'consult_info': {'case_info': ' Wt bearing lame right stifle lameness present', 'questions': 'CCL rupture right \r\n'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'empty', 'source': 'labelling'}, {'id': 1041, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 352, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb Stifle - Chronic cruciate, lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 667, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Subcut - Subcutaneous mass', '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': 2545, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lameness-non-weight-bearing'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2658, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'chondrodysplastic'}], 'findings': [{'id': 10, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['right']}}, {'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 the left and right stifle (worse on the right)', 'elapsedTime': 8.718, 'signal_name': 'knee-osteophytosis', 'custom_fields': None}, {'id': 870, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', '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': 2252, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': None}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a mass of soft tissue opacity associated with the subcutaneous tissue, on the caudal aspect of the left distal tibia. ', 'signal_name': 'subcutaneous-mass', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', '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'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is increased soft tissue opacity in the stifle joint noted in the right stifle. There are degenerative changes noted in the left and right stifle (worse on the right). There is a mass of soft tissue opacity associated with the subcutaneous tissue, on the caudal aspect of the left distal tibia. 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': -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': 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': 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': -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': 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': -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': -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': -3, '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': -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': 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': 0, 'signal_name': 'surgical-device'}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration'}, {'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': 2447, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ca-SEF'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'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': 0, 'signal_name': 'Implant Motion/Infection'}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus'}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion'}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement'}, {'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:\nOsteoarthritis of the indicated stifle along with increased soft tissue opacity noted is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture.\nSubcutaneous mass as described.\n\nRecommendations:\nCorrelate with orthopedic examination to assess for cranial drawer in the stifle.\nCorrelate with physical exam and consider tissue sampling of the described subcutaneous/cutaneous mass to determine etiology.'}

{'bday': '2013-07-27', 'name': 'Rugato^Lilly', 'breed': 'Hound, Basset', 'owner': 'Rugato^Valena', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Carroll County Animal Hospital on Columbia Drive ', 'email': '[email protected]', 'clinician': 'Jason Harden '}

Wt bearing lame right stifle lameness present

CCL rupture right

expert

['Musculoskeletal-area']

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

['Non-weight bearing lameness']

[2185, 2656, 2658]

[2545]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-04-01', 'name': 'LUCKY BENITEZ', 'breed': 'POODLE MIX', 'owner': 'ITZEL BENITEZ', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Bay Cities Animal Hospital', 'email': '[email protected]', 'clinician': 'Bay Cities Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'HISTORY OF LIMPING OFF AND ON ON LEFT FRONT LEG. STIFFNESS NOTICED. NO SWELLING OR PAIN', 'questions': 'PLEASE CHECK ANY DYSPLASIA OR ARTHIRITIC CHANGES'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual'}, 'consult': [{'id': 255, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'custom_text': None, 'consult_name': 'Esoph - No regurg, ESD, moderate, aerophagia', 'custom_fields': None}, {'id': 266, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'custom_text': None, 'consult_name': 'Cardiomegaly - asymptomatic, no LAE', 'custom_fields': None}, {'id': 284, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'custom_text': '* There is a parenchymal pattern noted in the lungs. This may be due to overcirculation of the pulmonary vessels. Pulmonary edema is considered less likely given the lack of reported clinical signs.\n - Consider an echocardiogram for further investigation of the changes in the pulmonary vessels. Consultation with a cardiologist may be recommended.', 'consult_name': 'Cardiomegaly - Pulmonary vessel overcirculation', 'custom_fields': None}, {'id': 382, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': '* Arthritis of the carpus and the arthropathy of the shoulder may be contributing to the reported lameness.. \n - Correlate with orthopedic examination and consider analgesic and exercise restriction to monitor response to therapy for the reported lameness.', 'consult_name': 'Hindlimb Tarsus - arthritis, lameness', 'custom_fields': None}], 'signals': [{'id': 590, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Stiffness'}, {'id': 602, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Gait abnormality - lameness'}, {'id': 2185, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2186, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pain'}, {'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': '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 caudally positioned shoulder on the lateral and the shoulder visible on the right lateral . ', 'elapsedTime': 6.104, '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': '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': 799, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'esophagus-distension', 'custom_fields': {'___s1_': ['caudal thoracic'], '___s2_': ['diffusely']}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'general-cardiomegaly', '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': 2267, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': 'There is degenerative joint disease affecting the carpus visible on the right lateral . ', 'elapsedTime': 19.763, 'signal_name': 'distal-extremity-arthritis', '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': 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': 2446, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2511, 'source': 'labelling', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart appears to be enlarged. There is increased opacity throughout the lung fields, characterized as a unstructured interstitial pattern. The caudal thoracic esophagus appears diffusely distended. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is degenerative joint disease affecting the carpus visible on the right lateral . There are degenerative changes noted in the caudally positioned shoulder on the lateral and the shoulder visible on the right lateral . 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': -3, 'signal_name': 'stomach-n-distention'}, {'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': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-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': 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': 880, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly'}, {'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': 2267, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'distal-extremity-arthritis'}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis'}], 'report_conclusions': '* Arthritis of the carpus and the arthropathy of the shoulder may be contributing to the reported lameness.. \n - Correlate with orthopedic examination and consider analgesic and exercise restriction to monitor response to therapy for the reported lameness.\n* There is a parenchymal pattern noted in the lungs. This may be due to overcirculation of the pulmonary vessels. Pulmonary edema is considered less likely given the lack of reported clinical signs.\n - Consider an echocardiogram for further investigation of the changes in the pulmonary vessels. Consultation with a cardiologist may be recommended.\n* The cardiac silhouette appears enlarged, with no evidence of left atrial enlargement and no evidence of decompensation.\n - An echocardiogram or radiographic monitoring every 9 to 12 months could be considered for further evaluation. Consultation with a cardiologist could be considered for medication recommendations.\n* The distension noted in the esophagus may be secondary to aerophagia. Megaesophagus cannot be ruled out.\n - Correlate with clinical signs and exam to further investigate the distension noted in the esophagus.'}

{'bday': '2012-04-01', 'name': 'LUCKY BENITEZ', 'breed': 'POODLE MIX', 'owner': 'ITZEL BENITEZ', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

HISTORY OF LIMPING OFF AND ON ON LEFT FRONT LEG. STIFFNESS NOTICED. NO SWELLING OR PAIN

PLEASE CHECK ANY DYSPLASIA OR ARTHIRITIC CHANGES

expert

['Musculoskeletal-area']

['Stiffness', 'Gait abnormality - lameness', 'Lameness', 'Forelimb lameness']

['Pain', 'Swelling']

[590, 602, 2185, 2346]

[2186, 2187]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-02-15', 'name': 'Wash^Nola', 'breed': 'Labrador Retriever', 'owner': 'Wash^Matt or Laura', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Dale Mabry Animal Hospital', 'email': '[email protected]', 'clinician': 'Dale Mabry Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Vomiting once on Sunday, has eaten since until this morning, vomited in exam room. No hx of foreign ingestion.', 'questions': 'N/A'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1026, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'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': 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': 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': 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': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], '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': 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': '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': 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': 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': -2, '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': -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': 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': 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'}], '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. Consider lab testing for pancreatitis. Depending on lab results, follow-up imaging, abdominal ultrasound may also be helpful to further assess gastrointestinal pattern.'}

{'bday': '2020-02-15', 'name': 'Wash^Nola', 'breed': 'Labrador Retriever', 'owner': 'Wash^Matt or Laura', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Vomiting once on Sunday, has eaten since until this morning, vomited in exam room. No hx of foreign ingestion.

expert

['Gastrointestinal-area']

['Vomiting']

[]

[256]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-11-15', 'name': 'Ditaranto^MYSTIC', 'breed': 'Schipperke', 'owner': 'Ditaranto^Darcie', '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': 'Presented for playing in yard with housemate today, P yelped and then paw was swollen 15 minutes later. ', 'questions': 'Presented for playing in yard with housemate today, P yelped and then paw was swollen 15 minutes later. '}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 406, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 6.351, 'consult_name': 'Subcut - Swelling, non specific, no trauma', 'diagnosis_custom_text': 'Soft tissue swelling as described. No pathology observed in the associated bony structures. Differentials include cellulitis, edema, dermatitis, or less likely neoplastic disease. Possible foreign body noted as described.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend medical management for soft tissue swelling and tissue sampling for further investigation, if warranted. Focal ultrasound with FNA sampling could also be considered. Consider exploration of the region of interest for possible foreign body. Correlate with clinical findings and assess for any external wounds.', 'recommendation_custom_fields': None}], 'signals': [{'id': 575, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mass/swelling - limb, upper'}, {'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': 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': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is soft tissue swelling involving the right front paw. There appears to be a faint soft tissue/ mineral opacity foreign material noted on the palmer aspect of the right front paw on the lateral view. It is noted on the lateral aspect of distal P1 digit 4. ', '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': 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': 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 soft tissue swelling involving the right front paw. There appears to be a faint soft tissue/ mineral opacity foreign material noted on the palmer aspect of the right front paw on the lateral view. It is noted on the lateral aspect of distal P1 digit 4. 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': 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': -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': 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': -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': 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': 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': -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': 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': 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': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture'}, {'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': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body'}], 'report_conclusions': 'Conclusions:\nSoft tissue swelling as described. No pathology observed in the associated bony structures. Differentials include cellulitis, edema, dermatitis, or less likely neoplastic disease. Possible foreign body noted as described.\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. Consider exploration of the region of interest for possible foreign body. Correlate with clinical findings and assess for any external wounds.'}

{'bday': '2022-11-15', 'name': 'Ditaranto^MYSTIC', 'breed': 'Schipperke', 'owner': 'Ditaranto^Darcie', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Presented for playing in yard with housemate today, P yelped and then paw was swollen 15 minutes later.

Presented for playing in yard with housemate today, P yelped and then paw was swollen 15 minutes later.

standard

['Musculoskeletal-area']

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

[]

[575, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-10-20', 'name': 'Apodaca^Rowdy^^^', 'breed': 'Border Collie', 'owner': 'Apodaca, Clinton', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Sumner Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Lethargy for twos days, generral emaciated condition. BW- mostly anemia of 28%. X-rays yeasterday showed ingesta (available in the study list from yesterday).\r\nRepeating fasted x-rays this morning.', 'questions': 'cause for anorexioa and poor pody condition?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1053, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 263, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Systemic - No cause for weight loss, decreased appetite', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 847, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Bladder - Urine retention, no obstruction, dog', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1158, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 84.27499999999999, 'consult_name': 'Gastric - follow-up, persistent foreign body', 'diagnosis_custom_text': 'Compared to previous images, most of the noted gastric material appears to have passed although a small mineral opacity is noted in the stomach 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 body.', 'recommendation_custom_fields': None}], 'signals': [{'id': 95, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Emaciated'}, {'id': 606, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'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': 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': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The stomach contains a small mineral opacity. There is less gastric material noted in comparison to the previous study. ', 'elapsedTime': 53.656, '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': 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': 2287, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'distension-si', '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': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'In comparison to the previous study, there appears to be a portion of the small intestine that is mildly distended with gas. There is poorly formed stool noted in the colon. The bladder appears moderately distended.', 'elapsedTime': 76.59, 'signal_name': 'Mild small intestinal distention', 'custom_fields': None}], 'diagnosis': [{'id': 659, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Anaemia'}], '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 small mineral opacity. There is less gastric material noted in comparison to the previous study. In comparison to the previous study, there appears to be a portion of the small intestine that is mildly distended with gas. There is poorly formed stool noted in the colon. The bladder appears moderately distended. 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': 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': 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': -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': 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': 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': -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': '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': 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': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures'}, {'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': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy'}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': 'Conclusions:\nA cause for the clinical signs described could not be determined from the images provided.\nCompared to previous images, most of the noted gastric material appears to have passed although a small mineral opacity is noted in the stomach which may or may not pass on its own.\nThe urinary bladder is distended. Suspected to be urinary retention secondary to anxiety or lack of access to urinate outside.\n\nRecommendations:\nConsider further work up including biochemistry profile, cbc, and urinalysis, thoracic radiographs and abdominal ultrasound to further investigate the reported non-specific signs. In addition, a more detailed clinical history may also be helpful.\nRecommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign body.\nBiochemistry profile and urinalysis may be considered if there is concern for calculi.'}

{'bday': '2022-10-20', 'name': 'Apodaca^Rowdy^^^', 'breed': 'Border Collie', 'owner': 'Apodaca, Clinton', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Lethargy for twos days, generral emaciated condition. BW- mostly anemia of 28%. X-rays yeasterday showed ingesta (available in the study list from yesterday). Repeating fasted x-rays this morning.

cause for anorexioa and poor pody condition?

expert

['Gastrointestinal-area']

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

[]

[95, 606, 2656]

[]

['Anemia']

[]

[659]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-11-02', 'name': 'Rivalta^Mika', 'breed': 'GOLDEN RETRIEVER', 'owner': 'Rivalta^Tatiana', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Town & Country Animal Hospital in Miami', 'email': '[email protected]', 'clinician': 'Tcah Vets'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Dr. Perez Medical notes\r\nHX: here today for not acting herself, she was fine, she ate her food,, she took a long nap and when she woke up she vomited all the food, after that she has been shaky, wabbly and trembling. O stated P likes to chew on stuff, she likes to chew on her plants and toys. O is not aware if P got into something. \r\nGeneral appearance: Bright, alert, and responsive. Euhydrated. BCS 5/9.\r\nOcular: Clear OU with normal PLRs.\r\nOral: Negative oral exam. No periodontal disease. Pink and wet mucous membranes. CRT < 2”.\r\nAural: Clear AU.\r\nPLN: Soft and symmetrical. Normal in size and non-painful.\r\nCardiovascular: No heart murmur or arrhythmia noted on auscultation. Strong synchronous femoral pulses. Well-perfused with warm distal extremities.\r\nRespiratory: Referred upper airway sounds. Unremarkable tracheal and pulmonary auscultation. Eupneic.\r\nAbdomen: Soft, not painful nor distended. No masses felt on palpation. No fluid wave present.\r\nMusculoskeletal: MCS 3/5. Ambulatory x 4. Normal gait. Normal palpation of front and rear limbs.\r\nIntegumentary: Healthy hair coat. No ectoparasites. Clean, dry, and intact skin.\r\nUrogenital: Intact female. No mammary gland masses. No vaginal discharge.\r\nRectal: No significant findings.\r\nNeural: Appropriate mentation. Normal posture and gait. Intact cranial nerves. Normal proprioception in all limbs. No pain elicited on palpation of cervical and thoracolumbar regions.\r\nr/o: FB, food indiscretion, toxicosis, other \r\n', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 245, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'custom_text': None, 'consult_name': 'Intestines - Gastroenteritis, foreign material', 'custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 293, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Wobbly'}, {'id': 620, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 2330, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': "Not himself/ain't doing right"}], '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': 738, 'source': 'labelling', 'history': False, 'confidence': 3, 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['radio-opaque']}}, {'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': 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': 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': 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\nThere is radio-opaque foreign material located 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': 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': 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': 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': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia'}], 'report_conclusions': '* The source of vomiting is not identified. No obstructive pattern is noted. There is foreign material noted in the GI tract therefore dietary indiscretion should be a primary consideration. Gastroenteritis, pancreatitis or a systemic illness causing secondary GI signs could also be considered. \n - Medical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound.'}

{'bday': '2023-11-02', 'name': 'Rivalta^Mika', 'breed': 'GOLDEN RETRIEVER', 'owner': 'Rivalta^Tatiana', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'Town & Country Animal Hospital in Miami', 'email': '[email protected]', 'clinician': 'Tcah Vets'}

Dr. Perez Medical notes HX: here today for not acting herself, she was fine, she ate her food,, she took a long nap and when she woke up she vomited all the food, after that she has been shaky, wabbly and trembling. O stated P likes to chew on stuff, she likes to chew on her plants and toys. O is not aware if P got into something. General appearance: Bright, alert, and responsive. Euhydrated. BCS 5/9. Ocular: Clear OU with normal PLRs. Oral: Negative oral exam. No periodontal disease. Pink and wet mucous membranes. CRT < 2”. Aural: Clear AU. PLN: Soft and symmetrical. Normal in size and non-painful. Cardiovascular: No heart murmur or arrhythmia noted on auscultation. Strong synchronous femoral pulses. Well-perfused with warm distal extremities. Respiratory: Referred upper airway sounds. Unremarkable tracheal and pulmonary auscultation. Eupneic. Abdomen: Soft, not painful nor distended. No masses felt on palpation. No fluid wave present. Musculoskeletal: MCS 3/5. Ambulatory x 4. Normal gait. Normal palpation of front and rear limbs. Integumentary: Healthy hair coat. No ectoparasites. Clean, dry, and intact skin. Urogenital: Intact female. No mammary gland masses. No vaginal discharge. Rectal: No significant findings. Neural: Appropriate mentation. Normal posture and gait. Intact cranial nerves. Normal proprioception in all limbs. No pain elicited on palpation of cervical and thoracolumbar regions. r/o: FB, food indiscretion, toxicosis, other

expert

['Gastrointestinal-area']

['Vomiting', 'Wobbly', 'Tremors/shaking/trembling', "Ain't doin right (ADR)"]

[]

[256, 293, 620, 2330]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-01-08', 'name': 'Twilley^Penny', 'breed': 'Pitbull Mix', 'owner': 'Twilley^Ethan', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Legacy Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'Legacy AEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Has been fasted since in hospital \r\nno v/d\r\nHas been on IVC fluids ', 'questions': 'Follow up rads after fasting and IVC fluids'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 204, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Peritoneal - Summation(FP)', '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': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 4.233, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': 'Mild fecal retention.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 723, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 59.301, 'consult_name': 'Gastric - follow up, empty', 'diagnosis_custom_text': 'Comparing to previous images, the material noted in the stomach appears to have passed. There is mild gas distension noted in the small intestines but no obstructive pattern or foreign material is appreciated in the small intestines.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of any reported gastrointestinal signs would indicated at this time, if warranted.', 'recommendation_custom_fields': None}], 'signals': [{'id': 2356, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Fasted'}, {'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': 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': 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': 2384, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a surgical device, hemoclips noted consistent with previous abdominal surgery; splenectomy.', 'elapsedTime': 33.007, 'signal_name': 'surgical-device', 'custom_fields': None}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is an increased soft tissue opacity noted in the left cranial abdomen, on the vd view, suspected to be summation of structures in the region. ', 'elapsedTime': 13.087, 'signal_name': 'summation-structures', 'custom_fields': None}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Mild small intestinal distention', 'custom_fields': {'___s1_': ['mildly'], '___s2_': ['gas']}}], 'diagnosis': [], 'questions': [{'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is an accumulation of fecal material in the colon. There is a portion of the small intestine that is mildly distended with gas. There is an increased soft tissue opacity noted in the left cranial abdomen, on the vd view, 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. There is a surgical device, hemoclips noted consistent with previous abdominal surgery; splenectomy. 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': -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': 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': -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': 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': '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': 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': 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': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI'}, {'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': 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': 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': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'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': 2669, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': 'Conclusions:\nComparing to previous images, the material noted in the stomach appears to have passed. There is mild gas distension noted in the small intestines but no obstructive pattern or foreign material is appreciated in the small intestines.\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.\nMild fecal retention.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nMedical management of any reported gastrointestinal signs would indicated at this time, if warranted.\nConsider abdominal ultrasound for further investigation to rule out a mass or lymphadenopathy in the area.\nCorrelate with clinical history to rule out constipation.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2016-01-08', 'name': 'Twilley^Penny', 'breed': 'Pitbull Mix', 'owner': 'Twilley^Ethan', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Has been fasted since in hospital no v/d Has been on IVC fluids

Follow up rads after fasting and IVC fluids

expert

['Gastrointestinal-area']

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

[]

[2356, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-03-13', 'name': 'Nararino^RUSSEL', 'breed': 'Dachshund', 'owner': 'Nararino^Russell', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Hospital Volusia', 'email': '[email protected]', 'clinician': 'AEHVolusia'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presented for dragging his hind end since Saturday. He has been losing his hair for a long time.\r\n\r\nCN intact, Hind limb ataxia and paraparesis, deep pain present all 4 limbs, significant delay in left CP, right delayed but present. Function of left rear is stronger vs right rear when attempting to walk.', 'questions': 'n/a'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1013, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1096, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 363, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 15.588, 'consult_name': 'Hindlimb Hip - hip OA, lameness', 'diagnosis_custom_text': 'Degenerative changes in left hip may be contributing to the reported signs. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 412, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 62.095000000000006, 'consult_name': 'Spine - no cause for hindlimb neuro signs', 'diagnosis_custom_text': 'No specific cause for the hindlimb neurological signs is identified on the radiographs provided. No evidence of masses or neoplastic process is appreciated. Based on the clinical signs, TL myelopathy is suspected.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'For further investigation, consider advanced imaging such as myelogram or an MRI scan to rule out a myelopathy. Correlate with neurological exam and blood work.', 'recommendation_custom_fields': None}, {'id': 424, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Repros - PMG, intact male', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 428, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Renal - RMG', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 82, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Dragging leg(s)'}, {'id': 565, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Alopecia'}, {'id': 601, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Gait abnormality - ataxia'}, {'id': 2526, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'decreased-concious-proprioception'}, {'id': 2527, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'paresis-paralysis-both'}], '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': 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': 797, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-renomegaly', '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': 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': 2230, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left']}}, {'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': 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': 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': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe prostate is prominent. The left kidney measures above normal range. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is degenerative joint disease affecting the 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': 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': 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': 'labelling', '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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation'}, {'id': 797, 'source': 'labelling', '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': -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': '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': 'labelling', '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': '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': 2254, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'utd-secondary-to-fetus'}, {'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': 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': 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': 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': 2451, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Prostate-fp'}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule'}], 'report_conclusions': 'Conclusions:\nNo specific cause for the hindlimb neurological signs is identified on the radiographs provided. No evidence of masses or neoplastic process is appreciated. No changes to the TL spine are noted. Based on the clinical signs, TL myelopathy is still the predominant differential. \nDegenerative changes in left hip may be contributing to the reported signs.\nThe kidneys are at the upper limits of normal which may represent an acute kidney injury. Other differentials include pyelonephritis, neoplasia, and hydronephrosis.\nIncreased size of the prostate gland is likely secondary to benign hypertrophy being an intact male.\n\nRecommendations:\nFor further investigation, consider advanced imaging such as myelogram , CT or an MRI scan to rule out a myelopathy. This would become important if there is worsening of clinical signs or lack of resolution with cage rest and medications if required for pain. Correlate with neurological exam and blood work.\nCorrelate with orthopedic examination of the hip. Consider analgesic and monitor response to therapy.\nCorrelate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation of the enlarged kidney(s) and prostate. '}

{'bday': '2016-03-13', 'name': 'Nararino^RUSSEL', 'breed': 'Dachshund', 'owner': 'Nararino^Russell', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

P presented for dragging his hind end since Saturday. He has been losing his hair for a long time. CN intact, Hind limb ataxia and paraparesis, deep pain present all 4 limbs, significant delay in left CP, right delayed but present. Function of left rear is stronger vs right rear when attempting to walk.

expert

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

['Dragging leg(s)', 'Alopecia', 'Gait abnormality - ataxia', 'Decreased conscious proprioception', 'Paresis/paralysis both hindlimbs']

[]

[82, 565, 601, 2526, 2527]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-03-03', 'name': 'Orozco^Lupita', 'breed': 'Domestic Mediumhair', 'owner': 'Alba', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Creekside Animal Clinic', 'email': '[email protected]', 'clinician': 'Creekside Animal Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Reduced appetie and water intake x 4 days. No vomiting or diarrhea that owners have noticed. Indoor only but has access to garage. ', 'questions': 'Is there a gastric foreign body?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 263, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Systemic - No cause for weight loss, decreased appetite', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 29.675, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': 'Mild fecal retention, most likely incidental. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with clinical history to rule out constipation if clinical history suggests this.', 'recommendation_custom_fields': None}, {'id': 833, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Gastric - Rugal folds vs GMT vs mass', 'diagnosis_custom_text': 'Soft tissue opacity noted in the stomach may represent rugal folds with frothy fluid. Gastric material cannot be ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider abdominal ultrasound and endoscopy if concerned.', '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': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}], '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': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is soft tissue opacity material within the stomach. ', 'elapsedTime': 14.135, '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': 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': 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 is soft tissue opacity material within the stomach. There 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': 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': 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': -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': 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': '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': 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': 0, 'signal_name': 'body-score'}, {'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': 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'}, {'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': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}], 'report_conclusions': 'Conclusions:\nA cause for the clinical signs described could not be determined from the images provided.\nSoft tissue opacity noted in the stomach may represent rugal folds with frothy fluid. Gastric material cannot be ruled out.\nMild fecal retention, most likely incidental.\n\nRecommendations:\nConsider further work up including biochemistry profile, cbc, and urinalysis, thoracic radiographs and abdominal ultrasound to further investigate the reported non-specific signs. In addition, a more detailed clinical history may also be helpful.\nConsider abdominal ultrasound and endoscopy if concerned.\nCorrelate with clinical history to rule out constipation if clinical history suggests this.'}

{'bday': '2020-03-03', 'name': 'Orozco^Lupita', 'breed': 'Domestic Mediumhair', 'owner': 'Alba', 'gender': 'F', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Reduced appetie and water intake x 4 days. No vomiting or diarrhea that owners have noticed. Indoor only but has access to garage.

Is there a gastric foreign body?

expert

['Gastrointestinal-area']

['Hyporexia']

['Diarrhea', 'Vomiting']

[607]

[76, 256]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-03-14', 'name': 'Courtright^Tikka', 'breed': 'pitbull', 'owner': 'Courtright^Kylee', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'HISTORY:\r\nPatient presents for: throwing up\r\nSigns and symptoms: PT has been throwing up after eating and drinking\r\nEvents leading up to problem: Pt is known to chew on sticks and toys \r\nAllergies: chicken \r\nMedications: N/A\r\nLast oral intake food/water:ate this afternoon but threw it up , last food kept down was friday \r\nPertinent past history:none to note.\r\n\r\n\r\n\r\nMentation: BAR\r\nWeight: 31.5lbs\r\nTemperature100\r\nPulse and quality: 88/Strong\r\nRespiratory rate and effort: 32/Normal\r\nMucus membrane color and character:Pink/Moist\r\nCapillary refill time: <2\r\nAny significant bleeding or trauma:\r\nMobility: Ambulatory\r\n', 'questions': 'R/O Gi foreign body VS other'}}

{'tags': {'userTags': ['expert'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 224, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Peritoneal - Artefact LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 476, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Colon - Constipation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 939, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 49.814, 'consult_name': ' Intestines - Enteritis with Partial Obstruction', 'diagnosis_custom_text': 'Mildly fluid and gas distended small intestinal segments, infiltrate or foreign material with possible partial obstruction-consider enteritis.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 58, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': "Can't keep water down"}, {'id': 92, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'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': 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 suspicious boney /mineral opacity foreign material located within the small intestine in mid dorsal abdomen, behind last rib.', 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': None}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are small mineral opacities located within the descending colon. ', 'elapsedTime': 42.14, 'signal_name': 'colon-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': 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': 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': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', '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 are small mineral opacities located within the descending colon. There is an accumulation of fecal material in the colon. There is suspicious boney /mineral opacity foreign material located within the small intestine in mid dorsal abdomen, behind last rib. There is presence of distension of a portion of small intestine and a population of non-distended intestine. There is loss of serosal detail in the 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': -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': 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': 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': -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': 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': 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': 'labelling', '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': -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': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane'}, {'id': 2270, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thin-bcs'}, {'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': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis'}, {'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': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}], 'report_conclusions': 'Conclusions:\nMildly fluid and gas distended small intestinal segments, infiltrate or foreign material with possible partial obstruction-consider enteritis.\nFecal retention noted is consistent with constipation.\nThe loss of detail noted in the abdomen is suspected to be artifactual, related to summation of structures and exposure settings.\n\nRecommendations:\nConsider follow-up radiographs in 12-24 hours or potential abdominal ultrasound if clinical signs persist for further investigation of the changes noted in the intestines.\nTreatment for constipation/obstipation is indicated at this time.'}

{'bday': '2010-03-14', 'name': 'Courtright^Tikka', 'breed': 'pitbull', 'owner': 'Courtright^Kylee', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

HISTORY: Patient presents for: throwing up Signs and symptoms: PT has been throwing up after eating and drinking Events leading up to problem: Pt is known to chew on sticks and toys Allergies: chicken Medications: N/A Last oral intake food/water:ate this afternoon but threw it up , last food kept down was friday Pertinent past history:none to note. Mentation: BAR Weight: 31.5lbs Temperature100 Pulse and quality: 88/Strong Respiratory rate and effort: 32/Normal Mucus membrane color and character:Pink/Moist Capillary refill time: <2 Any significant bleeding or trauma: Mobility: Ambulatory

R/O Gi foreign body VS other

expert

['Gastrointestinal-area']

["Can't keep water down", 'Dietary indiscretion', 'Vomiting']

[]

[58, 92, 256]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-04-19', 'name': 'Odin', 'breed': 'Chihuahua', 'owner': 'Squires', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Seven Oaks Pet Hospital', 'email': '[email protected]', 'clinician': 'Seven Oaks Pet Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presented for an episode of choking and his body went rigit. O noted he turned blue and fell over. P recovered after O blew into nose. O reports a lump in neck (unclear if they were just palpating larynx or not). P has had choking episodes in past. Last happened 1 year ago. Episode happened right before P ate. On exam P is BAR, mild cough on tracheal palpation, no heart murmur or obvious arrhythmia noted (P nervous/shaking during exam). On abdominal palpation large colon suspected. ', 'questions': 'Soft tissue material in stomach vs food?\r\nR/o cardiomegaly '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1033, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, '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': 304, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 104.85099999999998, 'consult_name': 'Resp Upper - normal thorax & trachea, upper airway disease likely', 'diagnosis_custom_text': 'A lower respiratory etiology for the clinical signs is not determined during this evaluation, the results of which are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, masses. Given the history, an upper airway etiology is considered likely. \nBronchitis or dynamic airway collapse cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'A more detailed upper airway exam and/or additional images of the skull may be useful for further investigation of the reported clinical signs. \nConsider symptomatic treatment. If the patient does not respond to treatment, endoscopic evaluation, lower airway sampling, and respiratory PCR may be considered for further investigation.\nFor further characterization, the described signs may require a functional study i.e. a contrast fluoroscopic exam to examine the swallow function, a lightly sedated laryngeal exam to assess arytenoid function, and laryngeal saccules.', '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}], 'signals': [{'id': 63, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Choking'}, {'id': 65, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Collapsed'}, {'id': 677, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Cyanotic mucous membrane'}, {'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': 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': 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': 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': 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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': {'___s1_': ['mild']}}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2509, 'source': 'labelling', 'signal_name': 'cardiovascular-area'}, {'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}, {'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], '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. There is an accumulation of fecal material in the colon. There is mild distension of the colon with stool. 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': -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': 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': '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': -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': -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': -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': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'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': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'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': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'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': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material'}], 'report_conclusions': 'Conclusions:\nA lower respiratory etiology for the clinical signs is not determined during this evaluation, the results of which are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, masses. Given the history, an upper airway etiology is considered likely. \nBronchitis or dynamic airway collapse cannot be ruled out.\nGastric material. This is consistent with food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\nMild fecal retention. Rule out constipation.\n\nRecommendations:\nA more detailed upper airway exam and/or additional images of the skull may be useful for further investigation of the reported clinical signs. \nConsider symptomatic treatment. If the patient does not respond to treatment, endoscopic evaluation, lower airway sampling, and respiratory PCR may be considered for further investigation.\nFor further characterization, the described signs may require a functional study i.e. a contrast fluoroscopic exam to examine the swallow function, a lightly sedated laryngeal exam to assess arytenoid function, and laryngeal saccules.\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 clinical history to rule out constipation.'}

{'bday': '2015-04-19', 'name': 'Odin', 'breed': 'Chihuahua', 'owner': 'Squires', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Seven Oaks Pet Hospital', 'email': '[email protected]', 'clinician': 'Seven Oaks Pet Hospital'}

P presented for an episode of choking and his body went rigit. O noted he turned blue and fell over. P recovered after O blew into nose. O reports a lump in neck (unclear if they were just palpating larynx or not). P has had choking episodes in past. Last happened 1 year ago. Episode happened right before P ate. On exam P is BAR, mild cough on tracheal palpation, no heart murmur or obvious arrhythmia noted (P nervous/shaking during exam). On abdominal palpation large colon suspected.

Soft tissue material in stomach vs food? R/o cardiomegaly

expert

['cardiovascular-area', 'Gastrointestinal-area', 'Resp signs - general']

['Choking/something stuck in throat', 'Collapsed', 'Mucous membranes abnormal - cyanosed', 'Canine Small Breed']

[]

[63, 65, 677, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-02-16', 'name': 'Countiss^Ranger', 'breed': 'Golden Retriever', 'owner': 'Marlo', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Creekside Animal Clinic', 'email': '[email protected]', 'clinician': 'Creekside Animal Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for inappetence and straining to deficate last week. Initial exam found a mass about 3 inches proximal to the rectum in or projecting from the wall of the colon. Referral for internal medicine created and waiting for outpatient ultrasound. Since last week visit patient is not eating and turning away at different foods he would normally eat. Recheck radiographs today since most of the chest was not included last week.', 'questions': 'Is this metastatic disease?'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1006, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'rules'}, {'id': 1027, 'state': 'empty', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 216, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Bronchial - age-related bronchitis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 273, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Cardiac - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 323, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Neoplasia - Unstructured interstitial to nodular', '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': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2386, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'met-check'}, {'id': 2625, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Colonic Mass'}, {'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': 715, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'A bronchial pattern is present. ', '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': 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': 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 to nodular']}}, {'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': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are small soft tissue opacities nodules noted throughout the throax. ', 'elapsedTime': 17.717, 'signal_name': 'Nodule', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2515, 'source': 'ai', 'signal_name': 'Gastrointestinal-area'}, {'id': 2520, 'source': 'labelling', 'signal_name': 'screening-area'}, {'id': 2521, 'source': 'labelling', 'signal_name': 'Neoplasia-area'}], 'recommendations': [{'id': 1154, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'abdominal-ultrasound'}], 'report_findings': 'Thorax\nThe heart measures above the normal range (see addendum). A bronchial pattern is present. There is increased opacity throughout the lung fields, characterized as a unstructured interstitial to nodular pattern. There are small soft tissue opacities nodules noted throughout the throax. The rest of the observed thorax is within normal limits.\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': 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': -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': 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': 703, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass'}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi'}, {'id': 712, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'lung-cranioventral-parenchymal'}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'lung-caudodorsal-parenchymal'}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 0, 'signal_name': 'intestines-small-fm-foreign-material'}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'colon-foreign-material'}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 0, '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': -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': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis'}, {'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': 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': 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': -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': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas'}, {'id': 2259, 'source': 'ray', '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': 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': 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': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs'}, {'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': 2, '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': 2606, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Chronic Fecal Material'}], 'report_conclusions': 'Conclusions:\nThere is a diffuse unstructured interstitial to nodular pattern noted throughout the lungs. Changes noted in the lungs are concerning for metastatic disease. Fungal etiologies cannot be entirely ruled out but are considered much less likely.\nBronchial pattern is most consistent with the age of the patient. Chronic lower airway inflammation cannot be entirely ruled out.\n The cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy.\n\nRecommendations:\nAn abdominal ultrasound could be considered to evaluate for other metastasis.\nThoracic CT should be considered to further investigate this lung pattern. FNA of the nodules could also be considered or alternatively, bronchoscopy and bronchoalveolar lavage as the abnormal pattern appears to be more diffuse rather than nodular. \nCorrelate with physical exam and clinical signs to rule out asymptomatic chronic bronchitis.\n'}

{'bday': '2017-02-16', 'name': 'Countiss^Ranger', 'breed': 'Golden Retriever', 'owner': 'Marlo', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Patient presented for inappetence and straining to deficate last week. Initial exam found a mass about 3 inches proximal to the rectum in or projecting from the wall of the colon. Referral for internal medicine created and waiting for outpatient ultrasound. Since last week visit patient is not eating and turning away at different foods he would normally eat. Recheck radiographs today since most of the chest was not included last week.

Is this metastatic disease?

expert

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

['Straining to defaecate', 'Anorexia', 'Metastasis check', 'Colonic Mass', 'Canine Medium/Large Breed']

[]

[243, 606, 2386, 2625, 2656]

[]

[]

[]

[]

[]

['Abdominal ultrasound']

[]

[1154]

[]

{'patient': {'bday': '2009-08-31', 'name': 'Parker-Smith^Alfie', 'breed': 'Mixed', 'owner': 'Parker-Smith^Caroline', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Hearthstone Animal Clinic', 'email': '[email protected]', 'clinician': 'Steve Pelton'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Panting, resp difficulty, super slow, gimpy, painful. labwork was normal last month.', 'questions': ''}}

{}

{'bday': '2009-08-31', 'name': 'Parker-Smith^Alfie', 'breed': 'Mixed', 'owner': 'Parker-Smith^Caroline', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

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

Panting, resp difficulty, super slow, gimpy, painful. labwork was normal last month.

unknown

[]

[]

[]

[]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-09-08', 'name': 'LUNA', 'breed': 'MIX', 'owner': 'MARCELO KOLLER', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}, 'hospital': {'name': 'Kendall Drive Animal Hospital', 'email': '[email protected]', 'clinician': 'Kendall Drive Animal Hospial'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'PET PREVIOUSLY HAD SURGERY FOR REMOVAL OF BLADDER STONES, OWNER CAME FOR FOLLOW UP OF BLADDER STONES', 'questions': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', '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': 4, 'custom_text': None, 'consult_name': 'Post prandial stomach', 'custom_fields': None}, {'id': 895, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'custom_text': None, 'consult_name': 'no evidence of bladder calculi or debris', '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': 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': 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}], 'diagnosis': [{'id': 2158, 'state': 'normal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Urolithiasis'}], 'questions': [{'id': 2513, 'source': 'labelling', 'signal_name': 'urinary-area'}, {'id': 2514, 'source': 'labelling', 'signal_name': 'Reproductive-area'}], 'recommendations': [{'id': 848, 'source': 'labelling', 'recommendation_name': 'Urinary bladder: Cystotomy'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears enlarged. There 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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis'}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'id': 12, 'source': 'labelling', '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': 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': 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': 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': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge'}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension'}], 'report_conclusions': '* Normal: no evidence of bladder calculi or debris\n - An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps.\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. '}

{'bday': '2015-09-08', 'name': 'LUNA', 'breed': 'MIX', 'owner': 'MARCELO KOLLER', 'gender': 'F', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': 'null'}

{'name': 'Kendall Drive Animal Hospital', 'email': '[email protected]', 'clinician': 'Kendall Drive Animal Hospial'}

PET PREVIOUSLY HAD SURGERY FOR REMOVAL OF BLADDER STONES, OWNER CAME FOR FOLLOW UP OF BLADDER STONES

standard

['urinary-area', 'Reproductive-area']

['Re-examination/Follow-up']

[]

[201]

[]

[]

['Urolithiasis']

[]

[2158]

[]

['Urinary bladder: Cystotomy']

[]

[848]

{'patient': {'bday': '2019-03-03', 'name': 'ZHU^JONI', 'breed': 'Pomeranian', 'owner': 'ZHU^jIAHAO', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'clinician': 'Kristie Villicana'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Around 10 am the house sitter gave Joni a treat, shortly after he began to breath different and owner noticed lethargy and his tongue turning purple. owner said he began to do compression and gave him a couple breaths and within a minute Joni tongue began to gain its color back. joni also vomited twice after eating today. No diarrhea. hx of pneumonia last year. \r\n\r\nBCS: 4/9; euhydrated, pink/<2s \r\nC/P: no murmur and/or arrhythmia auscultated, panting, possible paradoxical breathing', 'questions': 'Tachypnea - tracheal collapse, pneumonia, neoplasia, cardiomyopathy vs other '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1044, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 248, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Intestines - Gastroenteritis, concern for 2 pops', 'diagnosis_custom_text': 'Gastroenteritis is considered the most likely source of vomiting.\xa0 Although an obstruction cannot be completely excluded radiographically, no obstructive pattern is identified.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 319, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Parenchymal - vomiting/retching, CVP, aspiration pneumonia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Diarrhea-c'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 177, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 666, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2179, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2359, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'tachycardia'}], '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': 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': 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': 2279, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['left and right'], '___s2_': ['alveolar']}}, {'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}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 2019, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Tracheal collapse'}, {'id': 2056, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pneumonia'}, {'id': 2443, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'neoplasia'}], 'questions': [], 'internal_notes': 'undefined\nThis case was automatically escalated by the system due to reservervation timeout in the stat codes channel.', 'recommendations': [], 'report_findings': 'Thorax\nThere is increased opacity in the left and right cranioventral lung field, characterized as a alveolar pattern. The rest of the observed thorax is within normal limits.\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': 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': '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': 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': -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': 'labelling', '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': -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': 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': 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': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture'}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp'}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp'}, {'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': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'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': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'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': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass'}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening'}, {'id': 2572, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Hiatal hernia'}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body'}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': 'Conclusions:\nGiven the history of vomiting, the alveolar pattern in the cranioventral region is most consistent with aspiration pneumonia.\nGastroenteritis is considered the most likely source of vomiting.\xa0 Although an obstruction cannot be completely excluded radiographically, no obstructive pattern is identified.\n\nRecommendations:\nConsider respiratory lavage for cytological exam and culture and sensitivity to further investigate the alveolar pattern in the cranioventral region.\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to rule out an intestinal foreign body.'}

{'bday': '2019-03-03', 'name': 'ZHU^JONI', 'breed': 'Pomeranian', 'owner': 'ZHU^jIAHAO', 'gender': 'M', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'clinician': 'Kristie Villicana'}

Around 10 am the house sitter gave Joni a treat, shortly after he began to breath different and owner noticed lethargy and his tongue turning purple. owner said he began to do compression and gave him a couple breaths and within a minute Joni tongue began to gain its color back. joni also vomited twice after eating today. No diarrhea. hx of pneumonia last year. BCS: 4/9; euhydrated, pink/<2s C/P: no murmur and/or arrhythmia auscultated, panting, possible paradoxical breathing

Tachypnea - tracheal collapse, pneumonia, neoplasia, cardiomyopathy vs other

expert

[]

['Lethargic/tired', 'Panting', 'Vomiting', 'Tachypnoea', 'Respiratory distress', 'Feline', 'Tachycardia']

['Diarrhea']

[131, 177, 256, 666, 2179, 2327, 2359]

[76]

['Tracheal collapse', 'Pneumonia', 'Neoplasia']

[]

[2019, 2056, 2443]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-11-10', 'name': 'Dunn^BRISTOL', 'breed': 'Boxer', 'owner': 'Dunn^Pamela', 'gender': 'F', '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': 'Bristol is a 10 week old F Boxer who was presented for limping on her left back leg since yesterday. O unsure how she hurt it but she does play rough. P will yelp in pain when it is touched/moved.', 'questions': 'concern for injury to the region of the knee'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto'}, 'consult': [{'id': 391, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'custom_text': "* The cause of the patient's described clinical signs is not identified in the radiographs provided. The study is negative for fractures, luxation or subluxation, and soft tissue swelling. This does not rule out a soft tissue injury or neuropathy at this time.\n - Recommend 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.", 'elapsedTime': 31.177, 'consult_name': 'No cause for 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': 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': 870, 'source': 'rules', 'history': False, 'confidence': -3, 'custom_text': None, 'signal_name': 'tarsal-metatarsal-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': 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}], '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\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone'}, {'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': 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': 870, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tarsal-metatarsal-osteophytosis'}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas'}, {'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. The study is negative for fractures, luxation or subluxation, and soft tissue swelling. This does not rule out a soft tissue injury or neuropathy at this time.\n - Recommend 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': '2023-11-10', 'name': 'Dunn^BRISTOL', 'breed': 'Boxer', 'owner': 'Dunn^Pamela', 'gender': 'F', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': 'null'}

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

Bristol is a 10 week old F Boxer who was presented for limping on her left back leg since yesterday. O unsure how she hurt it but she does play rough. P will yelp in pain when it is touched/moved.

concern for injury to the region of the knee

expert

['Musculoskeletal-area']

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

[]

[629, 2345]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-08-01', 'name': 'Jammy Scriver', 'breed': 'Bernese Mountain Dog', 'owner': 'Jane Scriver', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Princess Animal Hospital ', 'email': '[email protected]', 'clinician': 'Princess Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Jammy a 5y MN Bernese. Presented for LH lameness started on April 10th, O. said he had injured the same leg before and resolved but this time seemed worse. Upon physical examination, the following findings were notes: LH toe touching, positive drawer movement and moderate crepitus; Ortolani test for the right hip was positive, and there was NSA felt on the right HL. Suspected LH CCL disease. ', 'questions': 'I would like your opinion in regards hip dysplasia '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1030, 'state': 'empty', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1042, 'state': 'empty', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 352, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 20.367, 'consult_name': 'Hindlimb Stifle - Chronic cruciate, lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with orthopedic examination and cranial drawer test. Consider orthopedic consultation for surgical and nonsurgical options to address the stifle instability and intra-articular injury.', 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 10.541, 'consult_name': 'Hindlimb Hip - hip OA, no lameness', 'diagnosis_custom_text': 'Mild degenerative joint disease of the hip.', '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': 2473, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Crepitus - joint'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 10, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['left']}}, {'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 the left stifle. Redundant distal phalanx noted in right hind paw.', 'elapsedTime': 39, 'signal_name': 'knee-osteophytosis', 'custom_fields': None}, {'id': 870, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is mild degenerative changes affecting the right coxofemoral joint. ', 'elapsedTime': 7.518, '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': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [{'id': 1453, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hip dysplasia, developmental'}], 'questions': [{'id': 2511, 'source': 'ai', 'signal_name': 'Musculoskeletal-area'}], 'recommendations': [{'id': 1015, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'cranial-drawer-test'}], 'report_findings': 'Musculoskeletal\nThere is mild degenerative changes affecting the right coxofemoral joint. There is increased soft tissue opacity in the stifle joint noted in the left stifle. There are degenerative changes noted in the left stifle. Redundant distal phalanx noted in right hind paw. 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': -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': 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': 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': -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': 0, 'signal_name': 'esophagus-distension'}, {'id': 870, 'source': 'labelling', 'history': False, 'confidence': -3, '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': -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': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation'}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking'}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -3, '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': 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': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk'}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization'}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy'}, {'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': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis'}, {'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': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion'}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement'}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)"}], 'report_conclusions': 'Conclusions:\nOsteoarthritis of the indicated stifle along with increased soft tissue opacity noted is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture.\nMild degenerative joint disease of the hip.\n\nRecommendations:\nCorrelate with orthopedic examination and cranial drawer test. Consider orthopedic consultation for surgical and nonsurgical options to address the stifle instability and intra-articular injury.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the hips.'}

{'bday': '2018-08-01', 'name': 'Jammy Scriver', 'breed': 'Bernese Mountain Dog', 'owner': 'Jane Scriver', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Jammy a 5y MN Bernese. Presented for LH lameness started on April 10th, O. said he had injured the same leg before and resolved but this time seemed worse. Upon physical examination, the following findings were notes: LH toe touching, positive drawer movement and moderate crepitus; Ortolani test for the right hip was positive, and there was NSA felt on the right HL. Suspected LH CCL disease.

I would like your opinion in regards hip dysplasia

expert

['Musculoskeletal-area']

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

[]

[2185, 2473, 2656]

[]

['Hip dysplasia, developmental']

[]

[1453]

[]

['Cranial drawer test']

[]

[1015]

[]

{'patient': {'bday': '2019-04-16', 'name': 'Diaz^FLUFFY', 'breed': 'DSH', 'owner': 'Diaz^Francisco', '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': 'P presented for not eating for 2 days. Lethargic and not moving much. O is unsure when the last time the P urinated. Nauseous but not throwing up anything. No Coughing, sneezing or diarrhea. ', 'questions': 'Urinary blockage vs other. '}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'partial', 'source': 'rules'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'partial', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 428, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 96.655, 'consult_name': 'Renal - RMG', 'diagnosis_custom_text': 'The kidneys are at the upper limits of normal which may represent hydronephrosis due to possible obstructive urolithiasis. Other differentials include an acute kidney injury, pyelonephritis and neoplasia.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation of the enlarged kidneys.', 'recommendation_custom_fields': None}, {'id': 1141, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 96.698, 'consult_name': 'Bladder - UBC, no URC, concern for obstruction', 'diagnosis_custom_text': 'Cystic calculi identified. No urethral calculi noted but moderate distension of the bladder is concerning for obstruction. A small amount of fluid noted around the bladder is suspected to be secondary to inflammation. A small urethral tear, tear of the bladder wall or focal peritonitis cannot be definitively ruled out.\n', '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': 76, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Diarrhea-c'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 230, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Sneezing'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 11, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'Increased opacity is noted over the silhouette of the urinary bladder. ', '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': 797, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-renomegaly', 'custom_fields': {'___s1_': ['left and right']}}, {'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': 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': 2265, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', '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': 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': 2315, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': None}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': {'___s1_': ['gas']}}, {'id': 2488, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': None}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a wispy soft tissue opacity noted over the bladder in the caudal abdomen.', 'elapsedTime': 3.271, 'signal_name': 'fluid-wispy', '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\nThere is distension of the stomach with gas. The left and right kidney measures above normal range. Increased opacity is noted over the silhouette of the urinary bladder. There is distension of the urinary bladder. There is diffuse distension of the small intestine with gas. There is a wispy soft tissue opacity noted over the bladder in the caudal 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': 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': 'labelling', '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': -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': 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': 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': 'labelling', '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': -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': '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': -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': 2265, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'urinary-bladder-distension'}, {'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': 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': 2319, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone-na'}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp'}, {'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': 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': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb'}, {'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': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization'}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation'}, {'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': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention'}], 'report_conclusions': 'Conclusions:\nCystic calculi identified. No urethral calculi noted but moderate distension of the bladder is concerning for obstruction. A small amount of fluid noted around the bladder is suspected to be secondary to inflammation. A small urethral tear, tear of the bladder wall or focal peritonitis cannot be definitively ruled out.\nThe kidneys are at the upper limits of normal which may represent hydronephrosis due to possible obstructive urolithiasis. Other differentials include an acute kidney injury, pyelonephritis and neoplasia.\n\nRecommendations:\nEnsure the patient is able to urinate otherwise catheterize. Consider dissolution diet or cystotomy based on additional clinical input. Abdominal ultrasound may also yield more information.\nCorrelate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation of the enlarged kidneys.'}

{'bday': '2019-04-16', 'name': 'Diaz^FLUFFY', 'breed': 'DSH', 'owner': 'Diaz^Francisco', 'gender': 'M', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

P presented for not eating for 2 days. Lethargic and not moving much. O is unsure when the last time the P urinated. Nauseous but not throwing up anything. No Coughing, sneezing or diarrhea.

Urinary blockage vs other.

expert

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

['Lethargic/tired', 'Anorexia', 'Feline']

['Coughing', 'Diarrhea', 'Sneezing', 'Vomiting']

[131, 606, 2327]

[69, 76, 230, 256]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-08-14', 'name': 'Winston', 'breed': 'Chihuahua mix', 'owner': 'Wiley', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Riverside Veterinary', 'email': '[email protected]', 'clinician': 'David Kowalek, BVMS'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P here for COHAT. P was under anesthesia for 2.5 hours for multiple extractions. P tolerated anesthesia well but upon extubation, there was bloody mucus about 1/3rd way up inside the ET tube (1/3 way up from beveled tip of ET tube).\r\nNo lung sounds heard at this time', 'questions': 'irritation to trachea? (abnormal shape of trachea?)\r\nheart and lung check'}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'consult': [{'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}, {'id': 307, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Bronchial - Bronchointerstitial pattern and cough', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 374, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Forelimb Elbow - arthritis, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Spine - TID/CID with spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, '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}, {'id': 900, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 130.029, 'consult_name': 'Resp Trachea - redundant tracheal membrane versus mucuous', 'diagnosis_custom_text': 'The trachea radiographically appears to be within normal limits although this does not rule out other trauma.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider tracheoscopy if clinical signs warrant further investigation.', 'recommendation_custom_fields': None}], 'signals': [{'id': 2536, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-crackles-sounds'}], 'findings': [{'id': 2, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-bronchial-interstitial', 'custom_fields': None}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['cervical, thoracic and 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': 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': 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': 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_': ['C4-C5', 'C5-C6', 'T12-T13', 'L2-L3']}}, {'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': [{'id': 2021, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Tracheal disorder'}], 'questions': [{'id': 2509, 'source': 'ai', 'signal_name': 'cardiovascular-area'}, {'id': 2510, 'source': 'labelling', 'signal_name': 'Respiratory-area'}, {'id': 2518, 'source': 'labelling', 'signal_name': 'oral-area'}], 'recommendations': [{'id': 1041, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'oral-exam'}], 'report_findings': 'Thorax\nThe heart appears to be enlarged. There is mildly increased opacity in the lung fields indicative of a bronchointerstitial pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at C4-C5, C5-C6, T12-T13, L2-L3. There is spondylosis deformans noted in the cervical, thoracic and lumbar spine. There are degenerative changes noted in the left and right elbow. 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': 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': 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': 712, 'source': 'labelling', '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': -3, 'signal_name': 'tracheal-narrowing'}, {'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': 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': 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': 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': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization'}, {'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': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling'}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process'}, {'id': 2314, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-displacement'}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive'}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c'}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid'}, {'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': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity'}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia'}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart'}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present'}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization'}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure'}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida'}, {'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:\nThe bronchointerstitial pattern identified is typically associated with benign changes including age-related changes, respiratory phase, or artifact; less likely associated with pathology. Bronchitis cannot be ruled out.\nThe VHS is calculated above normal range, however the cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy.\nThe trachea radiographically appears to be within normal limits although this does not rule out other trauma.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\nDegenerative changes in the elbow.\n\nRecommendations:\nConsider an echocardiogram and blood pressure measurment for further investigation to rule out underlying cardiac disease.\nConsider tracheoscopy if clinical signs warrant further investigation.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.\nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow.'}

{'bday': '2010-08-14', 'name': 'Winston', 'breed': 'Chihuahua mix', 'owner': 'Wiley', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Riverside Veterinary', 'email': '[email protected]', 'clinician': 'David Kowalek, BVMS'}

P here for COHAT. P was under anesthesia for 2.5 hours for multiple extractions. P tolerated anesthesia well but upon extubation, there was bloody mucus about 1/3rd way up inside the ET tube (1/3 way up from beveled tip of ET tube). No lung sounds heard at this time

irritation to trachea? (abnormal shape of trachea?) heart and lung check

expert

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

['Lung crackles/lung sounds']

[]

[2536]

[]

['Tracheal disorder']

[]

[2021]

[]

['Oral exam']

[]

[1041]

[]

{'patient': {'bday': '2011-10-15', 'name': 'Mangum^Gizmo^^^', 'breed': 'Pomeranian', 'owner': 'Carol Mangum', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'South Fulton Pet Care', 'email': '[email protected]', 'clinician': 'SOUTH FULTON PET CARE'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Presented for emesis once and gastroenteritis for one 5 days duration. Pet has lost 4 lbs since December 2023. O states pet is eating well and drinking. Pt is <5% dehydrated and depressed. Blood work up- prerenal azotemia; hyponatremia, hypokalemia and hypochloremia; Normal protein; Elevated Lipase levels; Gastroenteritis- possible pancreatitis. WBC's elevated neutrophils with hyperthrombocytopenia; Neuterophilia with left shift.", 'questions': 'Ensuring no other abnormalities noted in the chest and liver areas; Area above the heart base has a thickening of the area along the aorta. Concern about liver sizes as well. Pt is mild dehydrated when rads were taken.'}}

{'tags': {'userTags': ['expert'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['right-heart-enlargement', 'pulmonary-vessel-congestion', 'microcardia', 'lung-diffuse-parenchymal', 'pylorus-displacement', 'Gastric wall thickening', 'colon-foreign-material', 'spina-bifida']}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'partial', 'source': 'rules'}, {'id': 1026, 'state': 'partial', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'partial', 'source': 'rules'}, {'id': 1044, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'id': 218, 'state': 'normal', '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': 223, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Peritoneal - Thin LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'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': 748, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 22.79, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': 'Normal thorax study. The cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology. A small caudal vena cava is consistent with hypovolemia.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 140, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 612, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mentation altered - depressed'}, {'id': 2181, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Acute-Vomiting-c'}, {'id': 2535, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'eating-normally'}, {'id': 2634, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Neutrophilia'}], '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': 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': 2270, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'thin-bcs', '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': 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_': ['L4-L5']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2315, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': None}, {'id': 2414, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'caudal-vena-cana-sm', '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': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [{'id': 149, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}, {'id': 520, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Azotaemia (unspecified)'}, {'id': 536, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hypokalaemia'}, {'id': 538, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hyponatraemia'}, {'id': 691, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Thrombocytopenia'}], 'questions': [{'id': 2515, 'source': 'labelling', 'signal_name': 'Gastrointestinal-area'}, {'id': 2524, 'source': 'labelling', 'signal_name': 'Endocrine-area'}], 'internal_notes': 'Ensuring no other abnormalities noted in the chest and liver areas; Area above the heart base has a thickening of the area along the aorta. Concern about liver sizes as well', 'recommendations': [{'id': 1372, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'pancreatic-specific-lipase'}, {'id': 1441, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'blood-test-taurine-levels'}], 'report_findings': 'Thorax\nThe caudal vena cava appears to be narrowed. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is distension of the stomach with gas. There is loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at L4-L5. There is spondylosis deformans noted in the thoracolumbar spine. The patient is noted to be in thin body condition. 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': 'labelling', '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': -2, 'signal_name': 'intestines-small-obstruction'}, {'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': -2, 'signal_name': 'kidney-mineralization'}, {'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': 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': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing'}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly'}, {'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': 880, 'source': 'labelling', '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': 'labelling', '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': 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': 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': 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': 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': 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': 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.\nNormal thorax study. The cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology. A small caudal vena cava is consistent with hypovolemia.\nLoss of detail in the abdomen most consistent with lack of intra-abdominal fat. A scant amount of peritoneal effusion cannot be ruled out.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\n\nRecommendations:\nAn AFAST +/- abdominal ultrasound is recommended for free fluid if clinically warranted.\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': '2011-10-15', 'name': 'Mangum^Gizmo^^^', 'breed': 'Pomeranian', 'owner': 'Carol Mangum', 'gender': 'M', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}