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{'patient': {'bday': '2014-08-14', 'name': 'England^Teddy^^^', 'breed': 'Maltese', 'owner': 'Linda', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Walker Animal Hospital-SVP', 'email': '[email protected]', 'address': 'United States - Walker', 'clinician': 'Walker Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for a dry hacking cough. Patient was groomed two weeks ago. ', 'questions': 'Patient presented for a dry hacking cough. Patient was groomed two weeks ago. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'excluded', 'source': 'rules'}, {'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1024, 'state': 'abnormal', 'source': 'rules'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'excluded', 'source': 'rules'}], 'consult': [{'id': 255, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Esoph - No regurg, ESD, moderate, aerophagia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 297, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Negative Thorax - Normal, infectious tracheobronchitis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 432, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'elapsedTime': 26.044, 'consult_name': 'Renal - RMN, fp', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider a biochemistry profile, urinalysis, and abdominal ultrasound if there is suspicion of renal mineralization and further investigation of the mildly enlarged liver.', 'recommendation_custom_fields': None}, {'id': 879, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 6.542, 'consult_name': 'Hepatomegaly - Mild(likely incidental)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': '.', 'recommendation_custom_fields': None}, {'id': 976, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': ' Resp Trachea - No Inhaled Foreign Body', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': True, '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': 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': 799, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'esophagus-distension', 'custom_fields': {'___s1_': ['severe'], '___s2_': ['caudal thoracic']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 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': 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': 2370, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'renal-mineralization-fp', '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': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is severe distention of the caudal thoracic esophagus. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The opacity over the kidney is suspected to be secondary to summation of structures or possible mineralization of surrounding structures rather than true urolithiasis. 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', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2314, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-displacement', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo cause for the described respiratory signs has been determined from this radiographic study. Given the history, infectious tracheobronchitis would be the primary differential. \nNo evidence of radiopaque inhaled foreign body within the airway.\nThe distension noted in the esophagus may be secondary to aerophagia. Megaesophagus cannot be ruled out.\nThe liver appears mildly enlarged, which may be considered normal for the patient or may represent mild congestion.\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:\nSummary:\nConsider testing and medical management for infectious tracheobronchitis, but consider laryngeal palpation and examination under sedation. If clinical signs consistent with inhaled foreign body develop, consider follow-up radiographs. Further investigate the distension noted in the esophagus by correlating with clinical signs and exam. If there is suspicion of renal mineralization and further investigation of the mildly enlarged liver, consider a biochemistry profile, urinalysis, and abdominal ultrasound.'}

{'bday': '2014-08-14', 'name': 'England^Teddy^^^', 'breed': 'Maltese', 'owner': 'Linda', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Walker Animal Hospital-SVP', 'email': '[email protected]', 'address': 'United States - Walker', 'clinician': 'Walker Animal Hospital'}

Patient presented for a dry hacking cough. Patient was groomed two weeks ago.

Patient presented for a dry hacking cough. Patient was groomed two weeks ago.

standard

['Resp signs - heart/lungs']

['Coughing', 'Canine Small Breed']

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[69, 2654]

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{'patient': {'bday': '2023-11-27', 'name': 'Naftali^Milo', 'breed': 'Toy Poodle', 'owner': 'Naftali^Adriana', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Townsgate Pet Hospital', 'email': '[email protected]', 'clinician': 'Townsgate Pet Hopsital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Prsented today around noon, with acute onset of vomiting 6 times this morning, no appetite, lethargic. Was perfecttly fine over the weekend. Rectal temp 102 F, painful on abdominal palpation, keep stretching seems painful. ', 'questions': 'suspicious for FB and sepsis since CBC WB, Neutrophils, and monocytes are elevated, noted a linear white opacity ventral portion of stomach, want to rule out FB and possibly fluid in abdomional cavity', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1030, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 222, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Peritoneal - Juvenile LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1122, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'M/S GEN - Chronic/healing fracture, muscle atrophy', 'diagnosis_custom_text': 'Chronic possible fracture as outlined. Associated muscle atrophy is consistent with limb disuse, although lower motor neuron abnormalities cannot be ruled out. Additionally given the obliquity of the radiographs this may be artifactual as well.\n', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with history of limb use and trauma. ', 'recommendation_custom_fields': None}, {'id': 1240, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Small FB, symptomatic', 'diagnosis_custom_text': 'Gastric foreign body/material as described above, may or may not pass on its own. No other gastrointestinal abnormalities are noted. Based on clinical history and radiographic findings, gastroenteritis due to dietary indiscretion is considered a primary differential. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 622, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 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': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['mild']}}, {'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': 2272, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'muscle-atrophy', 'custom_fields': {'___s1_': ['left', 'femur']}}, {'id': 2274, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'growth-plate-abnormalities', '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': 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': 2483, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is distention of the stomach and it contains a mineralized opacity with linear margins.', 'signal_name': 'gastric-fb', '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': 2598, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is evidence of bone remodeling noted on the left femoral neck. ', 'signal_name': 'Fracture Healing, callus', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is evidence of bone remodeling noted on the left femoral neck. There is atrophy of the musculature over the left femur. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere is distention of the stomach and it contains a mineralized opacity with linear margins. There is mild loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2274, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'growth-plate-abnormalities', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGastric foreign body/material as described above, may or may not pass on its own. No other gastrointestinal abnormalities are noted. Based on clinical history and radiographic findings, gastroenteritis due to dietary indiscretion is considered a primary differential.\nAbdominal may be secondary to immaturity, but ascites not excluded.\nChronic possible fracture as outlined. Associated muscle atrophy is consistent with limb disuse, although lower motor neuron abnormalities cannot be ruled out. Additionally given the obliquity of the radiographs this may be artifactual as well.\n\nRecommendations:\nWith the loss of serosal detail, abdominal ultrasound (or at minimum focused ultrasound) is recommended to assess for foreign material and the presence of abdominal effusion. If concern for sepsis, sampling of the abdominal effusion (if present) is recommended. If no abdominal effusion is found, medical management of clinical signs is indicated. Emesis-induction can be considered depending on type of material present. Recheck fasting abdominal radiographs in 12-24 hours to monitor progression of the gastric foreign body/material.\nCorrelate with history of limb use and trauma.'}

{'bday': '2023-11-27', 'name': 'Naftali^Milo', 'breed': 'Toy Poodle', 'owner': 'Naftali^Adriana', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Townsgate Pet Hospital', 'email': '[email protected]', 'clinician': 'Townsgate Pet Hopsital'}

Prsented today around noon, with acute onset of vomiting 6 times this morning, no appetite, lethargic. Was perfecttly fine over the weekend. Rectal temp 102 F, painful on abdominal palpation, keep stretching seems painful.

suspicious for FB and sepsis since CBC WB, Neutrophils, and monocytes are elevated, noted a linear white opacity ventral portion of stomach, want to rule out FB and possibly fluid in abdomional cavity

standard

['Vomiting-FB/obstruction']

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

[]

[131, 256, 606, 622, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-08-15', 'name': 'Carver^Buttons', 'breed': 'Pomeranian', 'owner': 'Carver^Doris', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Urgent Care Tri-State', 'email': '[email protected]', 'address': 'United States - Middlesboro', 'clinician': 'Animal Urgent Care Tri-State'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'O said she brought P in to pDVM due to coughing and hacking. Last PM, took her into bed and she coughed all night long. When they did XRAY and Ultrasound at Rowlands, they were able to see a possible needle. \r\n\r\nE/D: has not eaten this morning, but ate last night. \r\n\r\nU/BM: normal\r\n\r\nC/S: yesterday started coughing, but reverse sneezing every once in a while\r\n\r\nMedical History: None, no medications\r\n\r\nNo other concerns.', 'questions': 'Needle foreign body? Cause for coughing?', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level', 'acceptable', 'five'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': ['pulmonary-vessel-congestion']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'labelling'}, {'id': 1035, 'state': 'empty', 'source': 'labelling'}, {'id': 1043, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 231, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Random - Wire FB', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 299, 'state': 'normal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Negative Thorax - Normal lungs, small breed', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1160, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Gastric - Soft tissue FB vs. Rugal folds vs. fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2654, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2292, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'wire-foreign-body', 'custom_fields': None, 'finding_normal_text': 'wire foreign body', 'finding_abnormal_text': 'There is a thin wire-like foreign body in the ___s1_ abdomen.'}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [{'id': 612, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Foreign body'}], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2663, 'source': 'labelling', 'attention': False, '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 which has the appearance of rugal folds. There is a thin wire-like foreign body in the right cranial abdomen. The material is unlikely to be located 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': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nNo definitive cause for the described respiratory signs has been identified from this radiographic study. Bronchitis or dynamic airway collapse cannot be ruled out. \nIncidental finding of a metallic wire in the abdomen, unable to localize or determine if related to reported clinical signs. \nA small, soft-tissue opacity noted within the stomach, may represent food/fluid or rugal folds, however, foreign material cannot be entirely ruled out.\n\nRecommendations:\nSummary:\nConsider further evaluation with fluoroscopy, +/- (endoscopic) bronchoscopic evaluation, lower airway sampling, and a respiratory PCR if the patient does not respond to medical management. Monitor for progression of clinical signs and consider follow-up radiographs and/or abdominal ultrasound to determine the location of the metallic wire identified. Correlate with the history of the patient's last meal and consider an abdominal ultrasound for further investigation. Alternatively, repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying can also be considered."}

{'bday': '2020-08-15', 'name': 'Carver^Buttons', 'breed': 'Pomeranian', 'owner': 'Carver^Doris', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Urgent Care Tri-State', 'email': '[email protected]', 'address': 'United States - Middlesboro', 'clinician': 'Animal Urgent Care Tri-State'}

O said she brought P in to pDVM due to coughing and hacking. Last PM, took her into bed and she coughed all night long. When they did XRAY and Ultrasound at Rowlands, they were able to see a possible needle. E/D: has not eaten this morning, but ate last night. U/BM: normal C/S: yesterday started coughing, but reverse sneezing every once in a while Medical History: None, no medications No other concerns.

Needle foreign body? Cause for coughing?

standard

['Vomiting-FB/obstruction', 'Resp signs - general']

['Coughing', 'Canine Small Breed']

[]

[69, 2654]

[]

['Foreign body']

[]

[612]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-08-06', 'name': 'Estes^Ranger', 'breed': 'Water Dog, Portuguese', 'owner': 'Estes^Nora', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'I-20 Animal Hospital', 'email': '[email protected]', 'address': 'United States - Hudson Oaks', 'clinician': 'I-20 Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Intermittent vomiting for a week.', 'questions': 'GI FB?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'ready', 'source': 'rules'}], 'consult': [{'id': 194, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatic - mineralization', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 223, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Peritoneal - Thin LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1160, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Gastric - Soft tissue FB vs. Rugal folds vs. fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': True, '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': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['rugal folds']}}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['moderate']}}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-mineralization', 'custom_fields': {'___s1_': ['the cranioventral liver']}}, {'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': [{'id': 143, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Gastroenteritis'}, {'id': 527, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hyperglycaemia'}], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2671, 'source': 'labelling', 'signal_name': 'neoplasia-abdomen'}], 'recommendations': [], 'report_findings': 'Abdomen\nMineral opacity is noted over the liver in the cranioventral liver region. There is radiopaque material within the stomach which has the appearance of rugal folds. There is moderate 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': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 705, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-fluid', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nA small, soft-tissue opacity, is noted within the stomach. This may represent food/fluid or rugal folds in the stomach however foreign material cannot be entirely ruled out.\nGiven the normal appearance of the GI tract and the clinical history provided, clinical signs may be consistent 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, and dietary indiscretion should be considered.\nMineralization noted in the liver may be secondary to bile duct mineralization or dystrophic mineralization Differentials include neoplastic, chronic inflammatory, idiopathic etiologies, foreign body or artifactual image.\nLoss of detail in the abdomen is most consistent with a lack of intra-abdominal fat. A scant amount of peritoneal effusion cannot be ruled out.\n\nRecommendations:\nCorrelate with the history of the patient's last meal and consider an abdominal ultrasound for further investigation. Alternatively, repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying can also be considered.\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 assess gastrointestinal pattern and lab testing for pancreatitis.\nConsider abdominal ultrasound for further investigation to determine the cause of the mineralization noted in the liver.\nAn AFAST +/- abdominal ultrasound is recommended for free fluid if clinically warranted."}

{'bday': '2023-08-06', 'name': 'Estes^Ranger', 'breed': 'Water Dog, Portuguese', 'owner': 'Estes^Nora', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'I-20 Animal Hospital', 'email': '[email protected]', 'address': 'United States - Hudson Oaks', 'clinician': 'I-20 Animal Hospital'}

Intermittent vomiting for a week.

GI FB?

standard

['Vomiting-FB/obstruction', 'neoplasia-abdomen']

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

[]

[256, 2656]

[]

['Gastroenteritis', 'Hyperglycemia']

[]

[143, 527]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-06-27', 'name': 'JAHAN^MILO', 'breed': 'PEKINGESE', 'owner': 'JAHAN', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Emergency Pet Hospital of Glendora', 'email': '[email protected]', 'clinician': 'EPHG'}, 'accept_tos': 'true', 'consult_info': {'case_info': '“Milo” presents for acute dry heaving, heavy breathing, lethargy, suspected vomiting tonight; not eating today as well (which is unusual). “Milo” has heart murmur.', 'questions': 'Grade III- IV/VI heart murmur.', 'specialty_area': ''}}

{'tags': {'userTags': ['standard'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['fluid-wispy', 'summation-structures', 'splenic-nodule', 'splenic-mass', 'tympanic-bulla']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1015, 'state': 'empty', 'source': 'labelling'}, {'id': 1020, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1030, 'state': 'partial', 'source': 'labelling'}, {'id': 1031, 'state': 'ready', 'source': 'labelling'}, {'id': 1032, 'state': 'empty', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1037, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1038, 'state': 'empty', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'normal', 'source': 'labelling'}, {'id': 1096, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 269, 'state': 'normal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Cardiac - Normal heart, heart murmur, canine', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 319, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Resp Parenchymal - vomiting/retching, CVP(right middle), aspiration pneumonia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider respiratory lavage for cytological exam and culture and sensitivity to further investigate the alveolar pattern in the cranioventral region. Consider medical management for pneumonia.', 'recommendation_custom_fields': None}, {'id': 379, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1251, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': 'Spine general - Bridging spondylosis, no pain', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2175, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2179, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2654, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2657, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 19, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There are no degenerative changes noted in the shoulders. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ shoulder. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': {'___s1_': ['generalized'], '___s2_': ['in the intra-thoracic region', 'in the extra-thoracic region']}, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2279, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['right'], '___s3_': ['interstitial to alveolar']}, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'There is a ___s1_ increased opacity in the ___s2_ cranioventral lung field, characterized as a ___s3_ . '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'ai', 'attention': False, 'signal_name': 'Resp signs - general'}, {'id': 2676, 'source': 'ai', 'attention': False, 'signal_name': 'lameness-general'}, {'id': 2679, 'source': 'ai', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is a moderate increased opacity in the right cranioventral lung field, characterized as a interstitial to alveolar . 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 spondylosis deformans noted in the lumbar 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': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2229, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-dysplasia', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2576, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Bone Lucency', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe cardiovascular structures appear normal. This does not rule out valvular disease.\nGiven the history of vomiting, the alveolar pattern in the cranioventral region is most consistent with aspiration pneumonia.\nDegenerative changes in the shoulder.\nBridging spondylosis is noted. Likely incidental.\n\nRecommendations:\nConsider echocardiogram to investigate the reported heart murmur.\nConsider respiratory lavage for cytological exam and culture and sensitivity to further investigate the alveolar pattern in the cranioventral region. Consider medical management for pneumonia.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the shoulder.\nCorrelate with physical exam findings to determine the clinical significance of this bridging spondylosis.'}

{'bday': '2011-06-27', 'name': 'JAHAN^MILO', 'breed': 'PEKINGESE', 'owner': 'JAHAN', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

“Milo” presents for acute dry heaving, heavy breathing, lethargy, suspected vomiting tonight; not eating today as well (which is unusual). “Milo” has heart murmur.

Grade III- IV/VI heart murmur.

standard

['Resp signs - general', 'lameness-general', 'spine-neurological-ivdd-pain']

['Vomiting', 'Anorexia', 'Heart Murmur', 'Respiratory distress', 'Canine Small Breed', 'Brachycephalic']

[]

[256, 606, 2175, 2179, 2654, 2657]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-02-11', 'name': 'Irvine^Cleo', 'breed': 'Other Breed', 'owner': 'Irvine^Ruby', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Woodland Animal Hospital (ER)', 'email': '[email protected]', 'address': 'United States - Locust Grove', 'clinician': 'Woodland Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'O found P not using back legs 4 hours ago and abnormal mentation -- dull/obtunded, known diabetic, prev hit by car and had oral surgery and tail amp', 'questions': 'IVDD, masses, heart, other?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'rules'}, {'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1032, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}, {'id': 1273, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 282, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'consult_name': 'Cardiomegaly Feline - ATE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1258, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Bladder - distension, likely due to neuro causes', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1266, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Negative M/S - No evidence of IVDD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 612, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Mentation altered - depressed'}, {'id': 630, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Paresis/paralysis'}, {'id': 2327, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2700, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Possible IVDD'}], 'findings': [{'id': 10, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': None, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 880, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': {'___s1_': ['.']}, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2265, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', 'custom_fields': None, 'finding_normal_text': 'Urinary Bladder Distension', 'finding_abnormal_text': 'There is distension of the urinary bladder. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2307, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None, 'finding_normal_text': 'The tympanic bulla are normal in appearance. ', 'finding_abnormal_text': 'There is increased opacity noted of the ___s1_ tympanic bulla. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [{'id': 561, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Diabetes mellitus'}], 'questions': [{'id': 2678, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-hindLimb'}, {'id': 2679, 'source': 'ai', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}], 'recommendations': [], 'report_findings': 'Thorax\nThere appears to be an enlargement of the heart. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2573, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tibia Displacement', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGiven the history of hind limb weakness, possibilities include poor perfusion due to decreased cardiac output or possible aortic thromboembolic disease.\nA distended bladder is noted, with no evidence of radiopaque urinary calculi. The bladder dilation is likely neurogenic secondary to lower spinal neurological causes, which are noted separately.\nNo radiographic evidence for IVDD is noted on the current images. Partial disc herniation or fibrocartilaginous infarct cannot be entirely ruled out.\n\nRecommendations:\nCompare femoral pulses and consider aortic ultrasound to investigate the hind limb weakness further. An echocardiogram and blood pressure measurement are also recommended.\nEnsure the patient is able to urinate; otherwise, catheterization is recommended. If cystic calculi are suspected, consider abdominal ultrasound, biochemistry profile, and urinalysis.\nConsider further testing with MRI/CT scan or myelogram if clinically indicated.'}

{'bday': '2017-02-11', 'name': 'Irvine^Cleo', 'breed': 'Other Breed', 'owner': 'Irvine^Ruby', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Woodland Animal Hospital (ER)', 'email': '[email protected]', 'address': 'United States - Locust Grove', 'clinician': 'Woodland Animal Hospital'}

O found P not using back legs 4 hours ago and abnormal mentation -- dull/obtunded, known diabetic, prev hit by car and had oral surgery and tail amp

IVDD, masses, heart, other?

standard

['lameness-hindLimb', 'spine-neurological-ivdd-pain']

['Mentation altered - depressed', 'Paresis/paralysis', 'Feline', 'Possible IVDD']

[]

[612, 630, 2327, 2700]

[]

['Diabetes mellitus (DM)']

[]

[561]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-12-15', 'name': 'Telleri^Mr Smith', 'breed': 'Terrier Boston', 'owner': 'Telleri^Greg', 'gender': 'M', 'weight': '', 'species': 'Canine', '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 shaking, guarded gait, and lethargy. \r\nAte well this morning.\r\nNo vomiting / diarrhea. \r\nWas hypersalivating yesterday. ', 'questions': 'Multifocal IVDD - Cervical vs lumbar vs open ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1006, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'empty', 'source': 'labelling'}, {'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1023, 'state': 'empty', 'source': 'labelling'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'ready', 'source': 'labelling'}, {'id': 1044, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1054, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1096, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 273, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Cardiomegaly - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 495, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Subcut - Gas, fluids given', 'diagnosis_custom_text': 'The soft tissue opacity and subcutaneous gas noted in the region of the scapula may be consistent with prior administration of subcutaneous fluids.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1105, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp neoplasia - Suspected heart base mass', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1266, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Negative M/S - No evidence of IVDD', 'diagnosis_custom_text': 'No radiographic evidence for IVDD is noted on the current images. Partial disc herniation or fibrocartilaginous infarct cannot be entirely ruled out.\xa0\n\nNo radiographic evidence for clinical signs described. Consider discomfort as a possible differential. Apart from partial vertebral disc herniation, sources of discomfort could include abdominal or other soft tissue origins', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider further testing with MRI/CT scan or myelogram if clinically indicated. Recommend medical management of clinical signs.', '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': 283, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Abnormal gait'}, {'id': 531, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Hypersalivation'}, {'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': 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': 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': 879, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is gas noted in the soft tissue of the dorsal, cervical and thoracic spine. ', 'signal_name': 'subcutaneous-gas', 'custom_fields': {'___s1_': ['dorsal', 'thoracic spine']}}, {'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': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2252, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': None}, {'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': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2664, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'Possible soft tissue opacity noted at the base of the heart on the right lateral view. The cardiac silhouette is also oddly shaped on the VD view.', 'signal_name': 'Heart base mass', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2679, 'source': 'labelling', 'signal_name': 'spine-neurological-ivdd-pain'}, {'id': 2680, 'source': 'labelling', 'signal_name': 'non-specific-ADR'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. There is gas noted in the soft tissue of the dorsal, cervical and thoracic spine. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nThorax\nThe heart measures above the normal range. Possible soft tissue opacity noted at the base of the heart on the right lateral view. The cardiac silhouette is also oddly shaped on the VD view. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2563, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node', 'is_locked_out': False}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2664, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Heart base mass', 'is_locked_out': False}, {'id': 2690, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo radiographic evidence for IVDD is noted on the current images. Partial disc herniation or fibrocartilaginous infarct cannot be entirely ruled out.\xa0\nNo radiographic evidence for clinical signs described. Consider discomfort as a possible differential. Apart from partial vertebral disc herniation, sources of discomfort could include abdominal or other soft tissue origins.\nOpacity noted at the heart base. Differentials include a heart base mass, tracheobronchial lymph node enlargement or focal pulmonary infiltrate. Potential etiologies include neoplasia, fungal infection or less likely inflammatory process.\nThe VHS is calculated above normal range, however the cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy.\nThe soft tissue opacity and subcutaneous gas noted in the region of the scapula may be consistent with prior administration of subcutaneous fluids.\n\nRecommendations:\nConsider further testing with MRI/CT scan or myelogram if clinically indicated. Recommend medical management of clinical signs.\nRecommend an thoracic ultrasound +/- CT scan with FNA sampling, if possible. A bronchoscopy and airway wash, submitting for cytology and culture, may also be considered.\nConsider an echocardiogram and blood pressure measurement for further investigation to rule out underlying cardiac disease.\nCOnsider testing for pancreatitis, if clinically applicable.\nCorrelate with clinical history if there was SC fluid administered.'}

{'bday': '2013-12-15', 'name': 'Telleri^Mr Smith', 'breed': 'Terrier Boston', 'owner': 'Telleri^Greg', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Presented for shaking, guarded gait, and lethargy. Ate well this morning. No vomiting / diarrhea. Was hypersalivating yesterday.

Multifocal IVDD - Cervical vs lumbar vs open

expert

['spine-neurological-ivdd-pain', 'non-specific-ADR']

['Lethargic/tired', 'Panting', 'Abnormal gait', 'Tremors/shaking/trembling', 'Canine Small Breed']

['Diarrhea', 'Vomiting', 'Hypersalivation', 'Eating normally']

[131, 177, 283, 620, 2654]

[76, 256, 531, 2535]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-06-24', 'name': 'Melancon^Bailey^^^', 'breed': 'Beagle', 'owner': 'Justin', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Walker Animal Hospital-SVP', 'email': '[email protected]', 'address': 'United States - Walker', 'clinician': 'Walker Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Chronic nasal discharge and cough for 9+months, does not respond to antibiotics or temaril P. no heart murmur. no fever, no other clinical signs. bilateral nasal discharge clear/green tinged in color. ', 'questions': 'tracheal narrowing? possible fungal disease?', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1007, 'state': 'excluded', 'source': 'rules'}, {'id': 1014, 'state': 'excluded', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1037, 'state': 'abnormal', 'source': 'rules'}, {'id': 1043, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], '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': 275, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly Right - asymptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 300, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 21.005, 'consult_name': 'Negative Thorax - Normal lungs, large breed', 'diagnosis_custom_text': 'No cause for the described respiratory signs has been determined from this radiographic study. No radiographic evidence of tracheal narrowing appreciated. Bronchitis cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'For further evaluation, endoscopic 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': 379, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 880, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 29.367, 'consult_name': 'limited evaluation', 'diagnosis_custom_text': '.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider additional radiographic views of the skull for further evaluation of the nasal passages and sinuses. Advanced imaging can be considered if a more thorough evaluation is needed. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 150, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Nose discharge/Nasal discharge'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 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': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 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': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2321, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cardiac-silhouette', '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': 2689, 'source': 'labelling', 'signal_name': 'Skull-question'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is evidence of right heart enlargement. 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 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': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 812, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'dental-tooth-periapical-lucency-class', 'is_locked_out': False}, {'id': 815, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'dental-tooth-attachment-loss-class', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'nasal-cavity', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2311, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-abl', 'is_locked_out': False}, {'id': 2312, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'tmj-luxation-subluxation', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2420, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'ear-canal-mineralization', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': True}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nRight sided heart enlargement noted with no evidence of failure or pulmonary involvement, consider pulmonary hypertension or heartworm disease. Pulmonic stenosis cannot be ruled out. No cause for the described respiratory signs has been determined from this radiographic study, with no radiographic evidence of tracheal narrowing appreciated. Bronchitis cannot be ruled out. Additionally, spondylosis deformans and degenerative changes in the shoulder were noted, likely incidental.\n\nRecommendations:\nConsider an echocardiogram to further investigate the cardiac changes. A blood pressure measurement is suggested. Heartworm testing may be recommended if clinical history warrants.\nFor further evaluation, endoscopic evaluation, lower airway sampling and a respiratory PCR could be considered if the patient does not respond to medical management.\nConsider additional radiographic views of the skull for further evaluation of the nasal passages and sinuses. Advanced imaging can be considered if a more thorough evaluation is needed.\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 shoulder.'}

{'bday': '2010-06-24', 'name': 'Melancon^Bailey^^^', 'breed': 'Beagle', 'owner': 'Justin', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Walker Animal Hospital-SVP', 'email': '[email protected]', 'address': 'United States - Walker', 'clinician': 'Walker Animal Hospital'}

Chronic nasal discharge and cough for 9+months, does not respond to antibiotics or temaril P. no heart murmur. no fever, no other clinical signs. bilateral nasal discharge clear/green tinged in color.

tracheal narrowing? possible fungal disease?

expert

['Skull-question']

['Coughing', 'Discharge - nasal', 'Canine Medium/Large Breed']

[]

[69, 150, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-07-15', 'name': '^^BAUER^', 'breed': 'CAVAPOO', 'owner': 'SUAREZ EDUARDO', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Westwood Animal Clinic', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'WestwoodVetClinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'O report that yesterday Bauer bite and eat some pieces of the TV remote, he already defecate some but this morning after having breakfast he threw up the food (no pieces of the TV remote just food). ', 'questions': 'Foreign body \r\nmechanical obstruction ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'partial', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 248, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 20.483, 'consult_name': 'Intestines - Gastroenteritis (dietary indiscretion), concern for 2 pops/obstruction, symptomatic, no FB', 'diagnosis_custom_text': 'No evidence of intestinal foreign body or intestinal obstruction noted in the radiographs provided. Presence of occult foreign material cannot completely be excluded radiographically. Clinical signs are most likely related to but not limited to a gastroenteritis secondary to dietary indiscretion.\nGastric material. This may represent food however foreign material cannot be entirely ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '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 to rule out an intestinal foreign body and to assess gastric emptying..', 'recommendation_custom_fields': None}], 'signals': [{'id': 92, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2184, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}], '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 which has the appearance of digested food admixed with unidentified soft tissue 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, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': False}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo evidence of intestinal foreign body or intestinal obstruction noted in the radiographs provided. Presence of occult foreign material cannot completely be excluded radiographically. Clinical signs are most likely related to, but not limited to, gastroenteritis secondary to dietary indiscretion.\nGastric material. This may represent food; however, foreign material cannot be entirely ruled out.\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 rule out an intestinal foreign body and assess gastric emptying.'}

{'bday': '2023-07-15', 'name': '^^BAUER^', 'breed': 'CAVAPOO', 'owner': 'SUAREZ EDUARDO', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Westwood Animal Clinic', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'WestwoodVetClinic'}

O report that yesterday Bauer bite and eat some pieces of the TV remote, he already defecate some but this morning after having breakfast he threw up the food (no pieces of the TV remote just food).

Foreign body mechanical obstruction

standard

['Vomiting-FB/obstruction']

['Dietary indiscretion', 'Vomiting', 'Suspected foreign body ingestion', 'Canine Small Breed']

[]

[92, 256, 2184, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-07-21', 'name': 'Kiely^Thyme', 'breed': 'Domestic Shorthair', 'owner': 'Kiely^Tyler', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Center of Sandy Springs', 'email': '[email protected]', 'address': 'United States - Atlanta', 'clinician': 'AECSS'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'History of chronic URI/Herpes flare ups. Currently, Thyme is not eating and very congested in her nose. Pulmonary crackles are ausculted ventrally. No fever. ', 'questions': 'Check for pneumonia, bronchitis', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1020, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'inprogress', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1033, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'inprogress', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 1.214, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': '.', 'recommendation_custom_fields': None}, {'id': 306, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 41.543, 'consult_name': 'Resp bronchial - BPP vs. upper airway', 'diagnosis_custom_text': 'A mild hyperinflation of the lungs is present. Given the clinical history, the respiratory signs are suspected to be secondary to upper respiratory infection versus primary lower airway disease. No obvious radiographic evidence to suggest pneumonia.', '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. Consider medical management for upper respiratory infection. ', 'recommendation_custom_fields': None}, {'id': 1142, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 9.904, 'consult_name': 'Intestines - 2 pops, incidental', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with history and clinical symptoms for clinical significance of gastrointestinal findings. Re-evaluation may be necessary if clinical symptoms develop/worsen. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 150, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Nose discharge/Nasal discharge'}, {'id': 606, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2536, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lung-crackles-sounds'}], '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': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 2285, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['digested food admixed with unidentified soft tissue material']}}, {'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': 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': 2453, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hyperinflation-lungs', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is moderate distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue material . 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\nThorax\nThere is a generalized flattening of the diaphragm +/- generalized decrease in lung opacity. The rest of the observed thorax 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', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': False}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2698, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2699, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sio-colon', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nA mild hyperinflation of the lungs is present, suspected to be secondary to upper respiratory infection versus primary lower airway disease. No obvious radiographic evidence to suggest pneumonia. \nPresence of two populations of small intestine noted, which may be an incidental finding although a mechanical obstruction or severe enteritis cannot be completely ruled out. \nGastric material noted is most consistent with digested food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\n\nRecommendations:\nSummary:\nConsider a more detailed upper airway exam and/or additional images of the skull for further investigation of the reported clinical signs. Medical management for upper respiratory infection should be considered.\nCorrelate gastrointestinal findings with history and clinical symptoms to determine clinical significance. Re-evaluation may be necessary if clinical symptoms develop or worsen.'}

{'bday': '2020-07-21', 'name': 'Kiely^Thyme', 'breed': 'Domestic Shorthair', 'owner': 'Kiely^Tyler', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Emergency Center of Sandy Springs', 'email': '[email protected]', 'address': 'United States - Atlanta', 'clinician': 'AECSS'}

History of chronic URI/Herpes flare ups. Currently, Thyme is not eating and very congested in her nose. Pulmonary crackles are ausculted ventrally. No fever.

Check for pneumonia, bronchitis

standard

['Resp signs - general']

['Discharge - nasal', 'Anorexia', 'Feline', 'Lung crackles/lung sounds']

[]

[150, 606, 2327, 2536]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-06-25', 'name': 'Kay^Paisley', 'breed': 'Beagle', 'owner': 'Kay^Kevin', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Insight Veterinary Wellness Center - 24/7', 'email': '[email protected]', 'clinician': 'IVWC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for getting into the bathroom trash with qtips and tp at an unknown time today. Pt ate dinner regularly but vomited shortly after. No bathroom trash contents found in vomit. Diarrhea started shortly after. NO blood seen in diarrhea. ', 'questions': 'Concern for Foreign body ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 246, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Gastroenterocolitis(vom+/diarroea)', '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': 'labelling', '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': 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': 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}], 'diagnosis': [{'id': 612, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Foreign body'}], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGiven the normal appearance of the GI tract and clinical history provided, clinical signs are most consistent with a gastroenterocolitis. No evidence of foreign body or intestinal obstruction noted in the radiographs provided. Differentials include inflammatory, dietary indiscretion, toxin, infectious, parasitic causes or hemorrhagic diarrhea syndrome.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. Recommend fluid therapy, antinausea medication, probiotics, and bland diet. Consider bloodwork including CBC, chemistry, and pancreatitis testing to evaluate for other causes of vomiting and diarrhea. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further assess gastrointestinal pattern.'}

{'bday': '2021-06-25', 'name': 'Kay^Paisley', 'breed': 'Beagle', 'owner': 'Kay^Kevin', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Insight Veterinary Wellness Center - 24/7', 'email': '[email protected]', 'clinician': 'IVWC'}

Presented for getting into the bathroom trash with qtips and tp at an unknown time today. Pt ate dinner regularly but vomited shortly after. No bathroom trash contents found in vomit. Diarrhea started shortly after. NO blood seen in diarrhea.

Concern for Foreign body

expert

['Vomiting-FB/obstruction']

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

[]

[76, 256, 2656]

[]

['Foreign body']

[]

[612]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-03-14', 'name': 'Nazario^Luna', 'breed': 'Dachshund, Long-Hair', 'owner': 'Nazario^Jose', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Dale Mabry Animal Hospital', 'email': '[email protected]', 'address': 'United States - Tampa', 'clinician': 'Dale Mabry Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': '1-week history of vomiting, diarrhea, and inappetence. Patient was treated with cerenia and SQ fluids 5 days ago. Today, bloodwork showed marked ALP elevation 1053 U/L (ref. range 23-212 U/L). Owner notes that P will have vomiting episodes every 2-3 months. ', 'questions': 'Concerned for gastric foreign body. ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1022, 'state': 'normal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 245, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 43.369, 'consult_name': 'Intestines - Gastroenteritis, foreign material', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs a barium study or abdominal ultrasound to further investigate the identified gastric and intestinal foreign material.Consider fecal testing and testing for pancreatitis in addition to the blood work for further investigation.', 'recommendation_custom_fields': None}, {'id': 786, 'state': 'normal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatic - Elevated enzymes, normal liver', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1160, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Gastric - Soft tissue FB vs. Rugal folds vs. fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying can also be considered.', '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': True, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2404, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'liver-enzymes-elevated'}, {'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': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['soft tissue']}}, {'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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 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': 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': [{'id': 2392, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'gastric-foreign-material'}], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [{'id': 50, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Fluid therapy administration - subcutaneous (SC)'}, {'id': 967, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Antiemetic'}], 'report_findings': 'Abdomen\nThere is radiopaque material within the stomach which has the appearance of digested food admixed with unidentified soft tissue material. There is soft tissue 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.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nA small, soft-tissue opacity is noted within the stomach, which may represent food/fluid or rugal folds, but foreign material cannot be entirely ruled out. Foreign material is also noted in the GI tract, suggesting dietary indiscretion as a primary consideration. No obstructive pattern is noted, and potential causes for GI signs include gastroenteritis, pancreatitis, or a systemic illness. The cause for the described liver enzyme elevation is not determined in this study, and although the liver appears normal, pathology cannot be ruled out.\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, a barium study, or abdominal ultrasound to further investigate the identified gastric and intestinal foreign material. Consider fecal testing and testing for pancreatitis in addition to the blood work for further investigation. Consider abdominal ultrasound and FNA sampling of the liver if indicated for further investigation.'}

{'bday': '2022-03-14', 'name': 'Nazario^Luna', 'breed': 'Dachshund, Long-Hair', 'owner': 'Nazario^Jose', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Dale Mabry Animal Hospital', 'email': '[email protected]', 'address': 'United States - Tampa', 'clinician': 'Dale Mabry Animal Hospital'}

1-week history of vomiting, diarrhea, and inappetence. Patient was treated with cerenia and SQ fluids 5 days ago. Today, bloodwork showed marked ALP elevation 1053 U/L (ref. range 23-212 U/L). Owner notes that P will have vomiting episodes every 2-3 months.

Concerned for gastric foreign body.

standard

['Gi signs - Systemic vs general']

['Diarrhea', 'Vomiting', 'Anorexia', 'Elevated liver enzymes', 'Canine Small Breed']

[]

[76, 256, 606, 2404, 2654]

[]

['Gastric foreign material']

[]

[2392]

[]

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

[]

[50, 967]

[]

{'patient': {'bday': '2022-07-15', 'name': 'Parker^Deigo', 'breed': 'Shih Tzu', 'owner': 'Parker^Keaira', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Middle Georgia Veterinary Emergency Center', 'email': '[email protected]', 'clinician': 'LeVert'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for 3-4 day history of vomiting and inappetence. He is known to chew on objects.', 'questions': "foreign objects and likelihood of obstruction\r\nCurrently treating dehydration and providing GI supportive care. Owner's declined ex lap and want to medically manage until able to see rDVM tomorrow", 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 242, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 135.907, 'consult_name': 'Intestines - 2 pops(confident), with FB', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend abdominal ultrasound for further investigation of distended small intestines and confirmation of a possible intestinal obstruction prior to abdominal exploratory surgery.', 'recommendation_custom_fields': None}, {'id': 704, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 15.263, 'consult_name': 'Gastric - True FB, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend ultrasound prior to surgical exploration of the abdomen. Endoscopy may also be a consideration, dependent on the gastric material present. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2184, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'id': 2482, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'dehydration'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2657, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], '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': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is large, radio-opaque foreign material located within the small intestine with a horseshoe shape.', 'elapsedTime': 14.957, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['large', 'radio-opaque']}}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The stomach contains a radiopaque linear foreign object. ', 'elapsedTime': 56.75, 'signal_name': 'stomach-n-foreign-material', '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': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 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': 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': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [{'id': 48, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Fluid therapy administration - intravenous (IV)'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'fluid-therapy'}], 'report_findings': 'Abdomen\nThe stomach contains a radiopaque linear foreign object. There is presence of distension of a portion of small intestine and a population of non-distended intestine. There is large, radio-opaque foreign material located within the small intestine with a horseshoe shape. 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.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSmall intestinal obstruction likely secondary to foreign material. A concurrent stricture or intestinal lesion cannot be ruled out.\nGastric foreign body suspected to be contributing to the described clinical signs; concerning that it may not pass on its own.\n\nRecommendations:\nRecommend abdominal ultrasound for further investigation of distended small intestines and confirmation of a possible intestinal obstruction prior to abdominal exploratory surgery.\nGastric endoscopy may also be a consideration for the gastric foreign body (dependant on the type) but the small intestinal foreign body would not be reachable with endoscopy. '}

{'bday': '2022-07-15', 'name': 'Parker^Deigo', 'breed': 'Shih Tzu', 'owner': 'Parker^Keaira', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Patient presented for 3-4 day history of vomiting and inappetence. He is known to chew on objects.

foreign objects and likelihood of obstruction Currently treating dehydration and providing GI supportive care. Owner's declined ex lap and want to medically manage until able to see rDVM tomorrow

expert

['Vomiting-FB/obstruction']

['Vomiting', 'Hyporexia', 'Suspected foreign body ingestion', 'Dehydration', 'Canine Small Breed', 'Brachycephalic']

[]

[256, 607, 2184, 2482, 2654, 2657]

[]

[]

[]

[]

[]

['Fluid therapy administration - intravenous (IV)', 'Fluid therapy']

[]

[48, 1029]

[]

{'patient': {'bday': '2010-06-28', 'name': 'Flournoy^Toby Kidd', 'breed': 'Shorthair, Domestic', 'owner': 'Flournoy^Bill', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Middle Georgia Veterinary Emergency Center', 'email': '[email protected]', 'clinician': 'MGVEX'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet has not been able to have a bowel movement. Have been able to urinate.', 'questions': 'None', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1022, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1023, 'state': 'empty', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 1242, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 56.22, 'consult_name': 'Colon Feline - Constipation suspected', 'diagnosis_custom_text': 'Evidence of fecal retention is noted in the colon with a possible fecolith in the rectum.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider intravenous fluids, enemas, oral stool softeners, or other treatments as indicated.', 'recommendation_custom_fields': None}], 'signals': [{'id': 512, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Defaecation abnormal - decreased frequency'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], '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': 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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is an accumulation of fecal material in the colon with a possible fecolith noted in the rectum.', 'elapsedTime': 28.442, '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': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', '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': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The fecal material noted in the rectum is very radiopaque, consistent with chronicity.', 'elapsedTime': 6.452, 'signal_name': 'Chronic Fecal Material', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2688, 'source': 'labelling', 'signal_name': 'straining-constipation'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is an accumulation of fecal material in the colon with a possible fecolith noted in the rectum. The fecal material noted in the rectum is very radiopaque, consistent with chronicity. 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': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nEvidence of fecal retention is noted in the colon with a possible fecolith in the rectum.\n\nRecommendations:\nConsider intravenous fluids, enemas, oral stool softeners, or other treatments as indicated.'}

{'bday': '2010-06-28', 'name': 'Flournoy^Toby Kidd', 'breed': 'Shorthair, Domestic', 'owner': 'Flournoy^Bill', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Pet has not been able to have a bowel movement. Have been able to urinate.

standard

['straining-constipation']

['Defaecation abnormal - decreased frequency', 'Feline']

[]

[512, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-01-20', 'name': 'SWANK^MR. MIYAGI', 'breed': 'French Bulldog', 'owner': 'SWANK', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'SignalPET Hospital', 'email': '[email protected]', 'address': 'United States - dallas', 'clinician': 'Theresa Swank'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Diarrhea started two days ago, vomiting every few hours over night, lethargic. Withheld food because of vomiting. UTD on vaccines. Owner giving small amounts of water at a time. Patient was at a neighbor's house for boarding and they have free range out the doggy door into the yard. Weather has been over 100 degrees. ", 'questions': 'SignalPET Employee- Theresa Swank- Hi! ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 246, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 17.163, 'consult_name': 'Intestines - Gastroenterocolitis(vom+/diarrhea)', 'diagnosis_custom_text': 'Given the normal appearance of the GI tract and clinical history provided, clinical signs are most consistent with a gastroenterocolitis. No evidence of foreign body or intestinal obstruction noted in the radiographs provided. Differentials include inflammatory, dietary indiscretion, toxin, infectious, parasitic causes.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 390, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 44.209, 'consult_name': 'Spine - LS degeneration, no neuro signs', 'diagnosis_custom_text': 'Possible lumbosacral degeneration. Likely incidental.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 9.087, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': 'The cardiovascular structures are unremarkable. The lungs are clear with no evidence of pathology. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1135, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 33.32, 'consult_name': 'Spine - SPN, VAN, incidental', 'diagnosis_custom_text': 'Spondylosis deformans and vertebral anomaly noted. Likely incidental. Breed predisposition. ', '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': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2356, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Fasted'}, {'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_': ['thoracic', 'lumbar', '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': 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': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': ['multiple thoracic vertebrae', ',L3']}}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['multiple areas in the thoracic spine', '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': 2418, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lumbosacral-degeneration', 'custom_fields': None}], 'diagnosis': [{'id': 4883, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Boarding history'}], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the thoracic, lumbar and lumbosacral spine. Vertebral anomaly is noted at multiple thoracic vertebrae and L3. There is intervertebral disc space narrowing at multiple areas in the thoracic and lumbar spine. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nClinical signs are most consistent with gastroenterocolitis, with differentials including inflammatory, dietary indiscretion, toxin, infectious, and parasitic causes. \nNo evidence of foreign body or intestinal obstruction noted in the radiographs. \nCardiovascular structures and lungs are unremarkable. \nSpondylosis deformans, vertebral anomaly likely incidental with breed predisposition.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. Consider repeat radiographs and/or abdominal ultrasound if there is no response to medical management to further assess gastrointestinal pattern.\nCorrelate findings in the spine with physical exam for clinical significance.'}

{'bday': '2024-01-20', 'name': 'SWANK^MR. MIYAGI', 'breed': 'French Bulldog', 'owner': 'SWANK', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'SignalPET Hospital', 'email': '[email protected]', 'address': 'United States - dallas', 'clinician': 'Theresa Swank'}

Diarrhea started two days ago, vomiting every few hours over night, lethargic. Withheld food because of vomiting. UTD on vaccines. Owner giving small amounts of water at a time. Patient was at a neighbor's house for boarding and they have free range out the doggy door into the yard. Weather has been over 100 degrees.

SignalPET Employee- Theresa Swank- Hi!

standard

['Vomiting-FB/obstruction', 'Gi signs - Systemic vs general']

['Diarrhea', 'Lethargic/tired', 'Vomiting', 'Fasted', 'Canine Small Breed']

[]

[76, 131, 256, 2356, 2654]

[]

['Boarding history']

[]

[4883]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-08-31', 'name': 'Charlie', 'breed': 'German Shepherd', 'owner': 'Herrera', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'EVS Urgent Care Kissimmee', 'email': '[email protected]', 'address': 'United States - Kissimmee', 'clinician': 'EVS Kissimmmee'}, 'accept_tos': 'true', 'consult_info': {'case_info': "P presented at 12:30a depressed, profound lethargy, hx vomiting and unresponsive for 5 minutes. On exam p's vitals were wnl w/abdominal pain in upper abdomen +generalized weakness. O approved only baseline bloodwork showed mild elevated phos + mild elevated ALT + dehydration. Pbecame more alert while awaiting for blood work results. Owner approved supportive care with sq fluids + cerenia inj given at 2:30p. then elected to do xrays. unable to position for v/d or d/v w/o sedation, not approved", 'questions': 'r/o gdv, obstruction, torsion', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 786, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 3, 'consult_name': 'Hepatic - Elevated enzymes, normal liver', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 890, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 2, 'consult_name': 'Peritoneal - small effusion vs peritonitis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 591, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Weakness'}, {'id': 612, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Mentation altered - depressed'}, {'id': 622, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2404, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 2, 'signal_name': 'liver-enzymes-elevated'}, {'id': 2482, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'dehydration'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': {'___s1_': ['liver', 'spleen'], '___s2_': ['cranioventral']}, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [{'id': 4749, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Subcutaneous-fluids'}], 'questions': [{'id': 2661, 'source': 'labelling', 'attention': False, 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2680, 'source': 'labelling', 'attention': False, 'signal_name': 'non-specific-ADR'}], 'recommendations': [], 'report_findings': 'Thorax\nThere seems to be a bronchial pattern present in the lungs. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is a wispy soft tissue opacity noted over the liver and spleen in the cranioventral abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 705, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'retroperitoneal-fluid', 'is_locked_out': False}, {'id': 708, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2270, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thin-bcs', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nLimited images available for assessment of the lungs. If bronchial pattern is confirmed, consider bronchitis, such as allergic bronchitis, chronic bacterial bronchitis, exposure to a respiratory irritant, heartworm disease, lungworm infection, fungal pneumonia, and other inflammatory conditions should be given in decreasing order of likelihood. \nGiven the normal appearance of the GI tract and the clinical history provided, clinical signs may be consistent with gastroenteritis. No obstructive pattern or foreign body is visible, although GI obstruction cannot be completely excluded from radiographs. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion should be considered.\nThe area in the abdomen with unclear organ margins and slight loss of serosal detail may represent a small amount of abdominal fluid or focal peritonitis.\nA cause for the described liver enzyme elevation is not determined in this study. The liver is normal in appearance, however this does not rule out pathology.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nDue to limited evaluation of the thorax, additional radiographic views should be considered to confirm the bronchial pattern. Instead, correlate findings with physical examination and clinical history.\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 assess gastrointestinal pattern and lab testing for pancreatitis.\nConsider an abdominal ultrasound for further investigation of the area in the abdomen with unclear organ margins and slight loss of serosal detail.\nConsider abdominal ultrasound and FNA sampling of the liver if indicated for further investigation.'}

{'bday': '2018-08-31', 'name': 'Charlie', 'breed': 'German Shepherd', 'owner': 'Herrera', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'EVS Urgent Care Kissimmee', 'email': '[email protected]', 'address': 'United States - Kissimmee', 'clinician': 'EVS Kissimmmee'}

P presented at 12:30a depressed, profound lethargy, hx vomiting and unresponsive for 5 minutes. On exam p's vitals were wnl w/abdominal pain in upper abdomen +generalized weakness. O approved only baseline bloodwork showed mild elevated phos + mild elevated ALT + dehydration. Pbecame more alert while awaiting for blood work results. Owner approved supportive care with sq fluids + cerenia inj given at 2:30p. then elected to do xrays. unable to position for v/d or d/v w/o sedation, not approved

r/o gdv, obstruction, torsion

standard

['Gi signs - Systemic vs general', 'non-specific-ADR']

['Lethargic/tired', 'Vomiting', 'Weakness', 'Mentation altered - depressed', 'Pain - abdominal', 'Elevated liver enzymes', 'Dehydration', 'Canine Medium/Large Breed']

[]

[131, 256, 591, 612, 622, 2404, 2482, 2656]

[]

['Subcutaneous fluids']

[]

[4749]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-03-19', 'name': 'KENJI', 'breed': 'Shiba Inu', 'owner': 'NICHOLS', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'Dr. Rule'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Possible broken back left leg. \xa0Children got out of bed and picked up Kenji and threw onto an older dog's bed, and saw foot was deformed. \xa0\r\n\xa0\xa0\xa0\xa0On presentation, Kenji was Quiet, Alert, and Responsive. \xa0mm pink, moist; \xa0CRT < 1.\r\n\xa0\xa0\xa0\xa0M/S -- \xa0Deformity left tarsus, pain when rotating tarsus. \xa0Non-weight-bearing left hind limb.\r\n", 'questions': 'R/O fractures left hind limb.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'partial', 'source': 'rules'}, {'id': 1016, 'state': 'inprogress', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1032, 'state': 'inprogress', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 490, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Subcut - Swelling, associated with a joint', 'diagnosis_custom_text': 'Soft tissue swelling associated with the left tarsus. This is likely extra-capsular, though a mild intracapsular component cannot be ruled out. We cannot rule out subtle joint dislocation.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2186, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2345, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2545, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the left', 'tarsal joint']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2674, 'source': 'labelling', 'signal_name': 'trauma-fractures'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is soft tissue swelling involving the left and tarsal joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 722, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesions-of-the-third-phalanx', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2403, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-deformity', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2421, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2491, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Inter-sternebral narrowing', 'is_locked_out': False}, {'id': 2492, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal-subluxation', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2586, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subluxation of Ribs', 'is_locked_out': False}, {'id': 2594, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fractured Rib Cartilages', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSoft tissue swelling associated with the left tarsus. This is likely extra-capsular, though a mild intracapsular component cannot be ruled out. We cannot rule out subtle joint dislocation.\n\nRecommendations:\nConsider careful palpation and fine needle aspirate sampling with cytology to determine etiology. Assessment of the affected joint for instability may be beneficial as would cross-section imaging.'}

{'bday': '2024-03-19', 'name': 'KENJI', 'breed': 'Shiba Inu', 'owner': 'NICHOLS', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'Dr. Rule'}

Possible broken back left leg.  Children got out of bed and picked up Kenji and threw onto an older dog's bed, and saw foot was deformed.       On presentation, Kenji was Quiet, Alert, and Responsive.  mm pink, moist;  CRT < 1.     M/S --  Deformity left tarsus, pain when rotating tarsus.  Non-weight-bearing left hind limb.

R/O fractures left hind limb.

standard

['trauma-fractures']

['Pain', 'Hindlimb lameness', 'Non-weight bearing lameness', 'Canine Medium/Large Breed']

[]

[2186, 2345, 2545, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-08-15', 'name': 'Callow^Lacie', 'breed': 'Labrador Retriever', 'owner': 'Callow^Kristina', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Tyler', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presents for: Vomiting and bloody diarrhea\r\nSigns and symptoms: Owner reports patient vomited this morning some grass and white mucus. When owner got home today ay 7:30 she found diarrhea and piles of vomitus. About an hour ago she started having straight bloody diarrhea. \r\nEvents leading up to problem: Owner gave a rawhide yesterday evening ', 'questions': 'R/O foreign body ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['peritoneal-mass', 'right-heart-enlargement', 'microcardia', 'caudal-vena-cana-sm', 'muscle-atrophy', 'panosteitis', 'hypertrophic-osteodystrophy', 'craniomandibular-osteopathy', 'enthesopathy', 'joint-luxation', 'fluid-wispy', 'distal-extremity-arthritis', 'osteochondritis-dissecans', "Hypertrophic osteopathy (Marie's disease)", 'joint-effusion', 'summation-structures', 'splenic-nodule', 'splenic-mass', 'liver-mass', 'Implant Motion/Infection', 'surgical-device', 'agressive-bone-lesion-discospondylitis', 'pulmonary-vessel-congestion', 'Tortuous vessels', 'potential-contrast-study']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': '', 'recommendation_custom_fields': None}, {'id': 714, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Intestines - Hemorrhagic gastro enteritis (vom+diarr).', 'isAddressingConcern': False, 'diagnosis_custom_text': 'No evidence of intestinal foreign body or intestinal obstruction noted in the radiographs provided. Presence of occult foreign material cannot completely be excluded radiographically. Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential. Dietary indiscretion, inflammatory, infectious, parasite, a systemic illness causing secondary GI signs or colitis due to stress or other cause cannot be ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 256, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2475, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', 'lumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}], '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 spondylosis deformans noted in the thoracic and lumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo evidence of intestinal foreign body or intestinal obstruction noted in the radiographs provided. Presence of occult foreign material cannot completely be excluded radiographically. Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential. Dietary indiscretion, inflammatory, infectious, parasite, a systemic illness causing secondary GI signs or colitis due to stress or other cause cannot be ruled out.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nMedical management of the clinical signs is indicated at this time. Fecal testing and blood work may provide additional information.'}

{'bday': '2017-08-15', 'name': 'Callow^Lacie', 'breed': 'Labrador Retriever', 'owner': 'Callow^Kristina', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Tyler', 'clinician': 'Tyler Animal Emergency Hospital '}

Patient presents for: Vomiting and bloody diarrhea Signs and symptoms: Owner reports patient vomited this morning some grass and white mucus. When owner got home today ay 7:30 she found diarrhea and piles of vomitus. About an hour ago she started having straight bloody diarrhea. Events leading up to problem: Owner gave a rawhide yesterday evening

R/O foreign body

standard

['Vomiting-FB/obstruction']

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

[]

[76, 256, 2475, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-04-18', 'name': 'Corning^MOCHA', 'breed': 'Siamese', 'owner': 'Max', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Myrtle Avenue Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Eureka', 'clinician': 'Erica Robinson'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'This is a bit of a survey case. The pt is right sided lameness at home (cannot detect any lameness on exam), the o is unsure if it is TL/PL. Heart murmur low grade. No response to three consecutive doses of Onsior. No drawer or thrust noted PL stifle. ', 'questions': 'Any notable orthopedic causes for an acute lameness? ', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'excluded', 'source': 'rules'}, {'id': 1032, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'excluded', 'source': 'rules'}, {'id': 1038, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Gastric - Post prandial ', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 251, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Colon - Foreign body', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Spine - TID/CID with spondylosis', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 391, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 34.379999999999995, 'consult_name': 'Negative M/S - no cause for lameness', 'isAddressingConcern': True, 'diagnosis_custom_text': 'The study is negative for fractures, luxation/subluxation and soft tissue swelling. This does not rule out a soft tissue injury or neuropathy at this time.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Alternative medical management is recommended for possible 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.', 'recommendation_custom_fields': None}, {'id': 848, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Bladder feline - Urine retention, no obstruction', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2175, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2185, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2327, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['cervical', 'thoracic']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 10, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': None, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 740, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'colon-foreign-material', 'custom_fields': {'___s1_': ['a small amount of mineral'], '___s2_': ['descending']}, 'finding_normal_text': 'Colonic Foreign Material', 'finding_abnormal_text': 'There is ___s1_ opacity foreign material located within the ___s2_ colon. '}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 870, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'The tarsal joints are unremarkable, no evidence of degenerative changes.', 'finding_abnormal_text': 'There is degenerative joint disease affecting the ___s1_ tarsus. '}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 2193, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Stifle', 'custom_fields': None, 'finding_normal_text': 'The stifles are within normal limits. ', 'finding_abnormal_text': 'soa, sef, plx'}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2265, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', 'custom_fields': None, 'finding_normal_text': 'Urinary Bladder Distension', 'finding_abnormal_text': 'There is distension of the urinary bladder. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is intervertebral disc space narrowing at C5-C6, T9-T11.', 'elapsedTime': 3.523, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['C5-C6', 'T9-T10']}, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2676, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-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 which has the appearance of kibble/food. There is a small amount of mineral opacity foreign material located within the descending colon. 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 cervical and thoracic spine. There is intervertebral disc space narrowing at C5-C6, T9-T11. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': False}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'distal-extremity-arthritis', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe study is negative for fractures, luxation/subluxation and soft tissue swelling. This does not rule out a soft tissue injury or neuropathy at this time.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\nColonic foreign body/material as described.\nGastric material is consistent with food/recent meal.\nThe urinary bladder is distended suspected to be urinary retention secondary to anxiety or lack of access to urinate outside.\n\nRecommendations:\nAlternative medical management is recommended for possible 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.\nConsider advanced imaging such as MRI if clinical signs associated with disc degeneration develop.\nMonitor for passage of described colonic foreign body/material in the stool.\nBiochemistry profile and urinalysis may be considered if there is concern for calculi.'}

{'bday': '2011-04-18', 'name': 'Corning^MOCHA', 'breed': 'Siamese', 'owner': 'Max', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Myrtle Avenue Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Eureka', 'clinician': 'Erica Robinson'}

This is a bit of a survey case. The pt is right sided lameness at home (cannot detect any lameness on exam), the o is unsure if it is TL/PL. Heart murmur low grade. No response to three consecutive doses of Onsior. No drawer or thrust noted PL stifle.

Any notable orthopedic causes for an acute lameness?

standard

['lameness-general']

['Heart Murmur', 'Lameness', 'Feline']

[]

[2175, 2185, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-06-22', 'name': 'Cook^Stevie^^^', 'breed': 'Domestic Longhair', 'owner': 'Cook', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Pet Care Center- Main (SVP)', 'email': '[email protected]', 'address': 'United States - Metairie', 'clinician': 'Pet Care Center'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Recurrent fever not responsive to steroids or antibiotics. Scant Yellow viscous fluid in abdomen. P has both eyes enucleated. Breaths with mouth open normally', 'questions': 'FIP vs neoplasia\r\nChest opacity ', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1006, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'inprogress', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 210, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Cardiomegaly feline - Poss large heart, no clinical signs', 'diagnosis_custom_text': 'Concern for an enlarged cardiac silhouette, feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. Rule out incidental finding versus cardiomyopathy.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 220, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Peritoneal Feline - LAD, no pleural fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 432, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Renal - RMN, fp', '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}], 'signals': [{'id': 545, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'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': 880, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There appears to be a enlargement of the heart.', 'elapsedTime': 3.065, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['severe']}}, {'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': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2315, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': {'___s1_': ['moderate']}}, {'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']}}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 2351, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'peritoneal-fluid'}], 'questions': [{'id': 2671, 'source': 'ai', 'signal_name': 'neoplasia-abdomen'}, {'id': 2672, 'source': 'labelling', 'signal_name': 'neoplasia-thorax'}, {'id': 2680, 'source': 'labelling', 'signal_name': 'non-specific-ADR'}], 'recommendations': [{'id': 976, 'state': 'normal', 'source': 'labelling', 'recommendation_name': 'Corticosteroid'}], 'report_findings': 'Abdomen\nThere is moderate distension of the stomach with gas. There is severe loss of serosal detail in the abdomen. 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. 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.\n\nThorax\nThere appears to be a enlargement of the heart. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2563, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node', 'is_locked_out': False}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2664, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThere appears to be free fluid in the abdomen. No concurrent pleural fluid to indicate heart failure. Rule out FIP, low oncotic pressure, portal thrombosis/hypertension, a neoplastic effusion.\nConcern for an enlarged cardiac silhouette, feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. Rule out incidental finding versus cardiomyopathy.\nDiffuse distension of the GI tract with no evidence of obstruction is consistent with functional ileus. This may be due to enteritis of various causes or administration of parasympatholytics and sedatives. Other causes include peritonitis, blunt abdominal trauma, electrolyte imbalance.\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 general blood work, abdominocentesis and analysis of the abdominal fluid to help determine etiology. An abdominal ultrasound may also be helpful.\nConsider an echocardiogram to rule out cardiomyopathy.\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.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for renal mineralization.'}

{'bday': '2022-06-22', 'name': 'Cook^Stevie^^^', 'breed': 'Domestic Longhair', 'owner': 'Cook', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Pet Care Center- Main (SVP)', 'email': '[email protected]', 'address': 'United States - Metairie', 'clinician': 'Pet Care Center'}

Recurrent fever not responsive to steroids or antibiotics. Scant Yellow viscous fluid in abdomen. P has both eyes enucleated. Breaths with mouth open normally

FIP vs neoplasia Chest opacity

standard

['neoplasia-abdomen', 'neoplasia-thorax', 'non-specific-ADR']

['Fever/pyrexia', 'Feline']

[]

[545, 2327]

[]

['Peritoneal fluid']

[]

[2351]

[]

[]

['Corticosteroid']

[]

[976]

{'patient': {'bday': '2016-05-26', 'name': 'SHOWS^LYLA', 'breed': 'Labrador Retriever', 'owner': 'SHOWS^', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'FairFax Ridge Animal Hospital VA', 'email': '[email protected]', 'address': 'United States - Fairfax', 'clinician': 'Fairfax Ridge Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'presented for non weight bearing lameness while playing couple of hours ago and on PE Patient is positive for tibial thrust and cranial drawer sign. also pet lost 4 pounds in 2 months ', 'questions': 'need a confirmation on ccl tear. rule out hip dysplasia.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1022, 'state': 'inprogress', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'inprogress', 'source': 'rules'}, {'id': 1036, 'state': 'partial', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'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': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 19.017, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/anorexia/ lethargy', 'diagnosis_custom_text': "The cause of the patient's described non-specific clinical signs is not identified in the radiographs provided. ", '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': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'normal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1146, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Hindlimb Stifle - mild stifle effusion with SOA', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 140, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 2185, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2397, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'cranial-drawer'}, {'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_': ['lumbosacral']}}, {'id': 10, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['left']}}, {'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': 764, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left']}}, {'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': 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': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 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': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2673, 'source': 'ai', 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2678, 'source': 'labelling', 'signal_name': 'lameness-hindLimb'}, {'id': 2680, 'source': 'labelling', 'signal_name': 'non-specific-ADR'}, {'id': 2683, 'source': 'labelling', 'signal_name': 'screening-thorax'}, {'id': 2684, 'source': 'labelling', 'signal_name': 'screening-abdomen'}], 'recommendations': [{'id': 1015, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'cranial-drawer-test'}], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the lumbosacral spine. There is evidence of hip incongruity of the left and right hip. There is degenerative changes affecting the left and right coxofemoral joint. There is a mild increased soft tissue opacity in the stifle joint noted in the left stifle. There are degenerative changes noted in the left stifle. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of kibble/food. There is an accumulation of fecal material in the colon and mild small intestinal gas distention. The rest of the observed abdomen is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': True}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2229, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-dysplasia', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2638, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nOsteoarthritis of the hips secondary to hip dysplasia.\nThe increased soft tissue opacity and osteoarthritis noted in the indicated stifle is most consistent with intra-articular injury (CCL strain or partial tear or meniscal injury) however, given the minimal nature of the stifle effusion, this may be secondary to positioning or technique of the radiographs.\nThe cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology.\nGastric material is consistent with food/recent meal.\nMild fecal retention. Rule out constipation.\n\nRecommendations:\nCorrelate with orthopedic examination for further evaluation of osteoarthritis secondary to hip dysplasia.\nCorrelate with orthopedic examination and consider medical or surgical management for the changes noted in the left stiffle as clinically indicated.\nConsider further work-up including biochemistry profile, CBC, urinalysis and abdominal ultrasound to further investigate the reported non-specific signs. In addition, a more detailed clinical history may also be helpful and/or follow up evaluation may be indicated. \nCorrelate with clinical history to rule out constipation.'}

{'bday': '2016-05-26', 'name': 'SHOWS^LYLA', 'breed': 'Labrador Retriever', 'owner': 'SHOWS^', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'FairFax Ridge Animal Hospital VA', 'email': '[email protected]', 'address': 'United States - Fairfax', 'clinician': 'Fairfax Ridge Animal Hospital'}

presented for non weight bearing lameness while playing couple of hours ago and on PE Patient is positive for tibial thrust and cranial drawer sign. also pet lost 4 pounds in 2 months

need a confirmation on ccl tear. rule out hip dysplasia.

standard

['neoplasia-musculoskeletal', 'lameness-hindLimb', 'non-specific-ADR', 'screening-thorax', 'screening-abdomen']

['Losing weight', 'Lameness', 'Cranial drawer', 'Canine Medium/Large Breed']

[]

[140, 2185, 2397, 2656]

[]

[]

[]

[]

[]

['Cranial drawer test']

[]

[1015]

[]

{'patient': {'bday': '2015-06-22', 'name': 'Ziggy', 'breed': 'Border Collie', 'owner': 'Muscott', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'WVP of Arizona LLC dba North Ranch Animal Hospital', 'email': '[email protected]', 'clinician': 'North Ranch'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented with slowly worsening coughing/hacking over past few month. Has tested Positive for Cocci in years past, current test negative. Has been going on for several months. Less energy than normal. ', 'questions': 'Cardiac issue vs pulmonary issue vs neoplasia vs other', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1006, 'state': 'empty', 'source': 'labelling'}, {'id': 1007, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1020, 'state': 'normal', 'source': 'labelling'}, {'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1037, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1095, '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': 266, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly - asymptomatic, no LAE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 300, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 45.125, 'consult_name': 'Resp Bronchial - Normal lungs, large breed', 'diagnosis_custom_text': 'No specific cause for the described respiratory signs has been determined from this radiographic study. Bronchitis cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 379, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', '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': 2387, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'cough-chronic'}, {'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_': ['thoracic']}}, {'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_': ['caudally positioned']}}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 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': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 389, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Heart (cardiac) disease'}, {'id': 2443, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'neoplasia'}], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2672, 'source': 'labelling', 'signal_name': 'neoplasia-thorax'}], 'recommendations': [], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. There are degenerative changes noted in the caudally positioned shoulder. 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', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2563, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node', 'is_locked_out': False}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2664, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe cardiac silhouette appears enlarged, with no evidence of left atrial enlargement and no evidence of decompensation.\nNo specific cause for the described respiratory signs has been determined from this radiographic study. Bronchitis cannot be ruled out.\nSpondylosis deformans. Likely incidental.\nDegenerative changes in the shoulder.\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.\nIf cardiac disease is ruled out, a chest CT scan, bronchoscopic evaluation, lower airway sampling, and a respiratory PCR could be considered if the patient does not respond to medical management.\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 shoulder.'}

{'bday': '2015-06-22', 'name': 'Ziggy', 'breed': 'Border Collie', 'owner': 'Muscott', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'WVP of Arizona LLC dba North Ranch Animal Hospital', 'email': '[email protected]', 'clinician': 'North Ranch'}

Patient presented with slowly worsening coughing/hacking over past few month. Has tested Positive for Cocci in years past, current test negative. Has been going on for several months. Less energy than normal.

Cardiac issue vs pulmonary issue vs neoplasia vs other

expert

['Resp signs - heart/lungs', 'neoplasia-thorax']

['Lethargic/tired', 'Chronic cough', 'Canine Medium/Large Breed']

[]

[131, 2387, 2656]

[]

['Heart (cardiac) disease', 'Neoplasia']

[]

[389, 2443]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-02-07', 'name': 'Cortes^Minnie', 'breed': 'Domestic Shorthair', 'owner': 'Cortes^Guillermo', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'clinician': 'FVEPH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presents for vomiting. P first vomited this afternoon ~6pm - a piece of plastic was noted in that vomitus. Plastic likely came from garbage bag - there was also glass in the bag - unknown if P ingested any. P did eat dinner afterwards but appeared lethargic. P later noted vomiting multiple times - the vomitus progressed to pure liquid. P did eat some wet food but then vomited that up ~20 minutes later. P has also been frequently visiting the litterbox today and not producing anything. ', 'questions': 'intestinal obstruction vs. pancreatitis vs. other ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1028, 'state': 'empty', 'source': 'rules'}, {'id': 1029, 'state': 'normal', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'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 signs. No intestinal obstructive pattern is identified although an obstruction cannot be completely excluded radiographically. Other differentials include: pancreatitis and\xa0gastroenteritis due to inflammatory, dietary indiscretion, toxin, infectious or parasitic causes.\n\n', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '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 to rule out an intestinal foreign body. Perform a\xa0minimum database including blood work, urinalysis and testing for pancreatitis (FPLi).\xa0', 'recommendation_custom_fields': None}, {'id': 420, 'state': 'normal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Bladder - Normal urinary tract, symptomatic', 'diagnosis_custom_text': "The cause for the patient's elimination behaviour is not noted radiographically. No radiographic signs of constipation but there is feces in the colon. No bladder distension noted and no radiographic signs of urinary bladder sediment or cystic calculi.\xa0", 'diagnosis_custom_fields': None, 'recommendation_custom_text': "Correlation with biochemistry profile, urinalysis, +/- urine culture may be warranted if the patient is straining. An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps. Consider testing patient's dehydration status and correcting any abnormalities with supportive care. Consider abdominal palapation to rule out constipation. Consider intravenous fluids, enemas, oral stool softeners, or other treatments as indicated if constipation is confirmed clinically.\xa0", 'recommendation_custom_fields': None}], 'signals': [{'id': 124, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Urinary incontinence'}, {'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 160, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Anuria'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 681, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Urination abnormal - inappropriate urination'}, {'id': 2184, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'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': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}}, {'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': 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': [{'id': 59, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Intestinal obstruction'}, {'id': 149, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2685, 'source': 'labelling', 'signal_name': 'urinary-stones'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is radiopaque material within the stomach which has the appearance of digested food admixed with unidentified soft tissue 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': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\n\nGastroenteritis is considered the most likely source of signs. No intestinal obstructive pattern is identified although an obstruction cannot be completely excluded radiographically. Other differentials include: pancreatitis and\xa0gastroenteritis due to inflammatory, dietary indiscretion, toxin, infectious or parasitic causes.\n\nThe cause for the patient's elimination behaviour is not noted radiographically. No radiographic signs of constipation but there is feces in the colon. No bladder distension noted and no radiographic signs of urinary bladder sediment or cystic calculi.\n\nRecommendations:\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 6-12 hours to assess gastric emptying.\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. \n\nPerform a\xa0minimum database including blood work, urinalysis and testing for pancreatitis (FPLi).\n\nCorrelation with biochemistry profile, urinalysis, +/- urine culture may be warranted if the patient is straining to urinate. Consider analgesia i.e buprenorphine whilst pending assesesement of serum chemistry. \n\nAn abdominal ultrasound could be considered of the urinary tract as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps. Consider testing patient's dehydration status and correcting any abnormalities with supportive care. "}

{'bday': '2021-02-07', 'name': 'Cortes^Minnie', 'breed': 'Domestic Shorthair', 'owner': 'Cortes^Guillermo', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

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

P presents for vomiting. P first vomited this afternoon ~6pm - a piece of plastic was noted in that vomitus. Plastic likely came from garbage bag - there was also glass in the bag - unknown if P ingested any. P did eat dinner afterwards but appeared lethargic. P later noted vomiting multiple times - the vomitus progressed to pure liquid. P did eat some wet food but then vomited that up ~20 minutes later. P has also been frequently visiting the litterbox today and not producing anything.

intestinal obstruction vs. pancreatitis vs. other

standard

['Vomiting-FB/obstruction', 'Gi signs - Systemic vs general', 'urinary-stones']

['Urination abnormal - incontinence', 'Lethargic/tired', 'Urination abnormal - Anuria (not urinating)', 'Vomiting', 'Hyporexia', 'Urination abnormal - inappropriate urination', 'Suspected foreign body ingestion', 'Feline']

[]

[124, 131, 160, 256, 607, 681, 2184, 2327]

[]

['Intestinal obstruction', 'Pancreatitis']

[]

[59, 149]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-07-13', 'name': 'popcorn^moncivais', 'breed': 'miniature poodle', 'owner': 'moncivais', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Night Watch Elite Animal Emergency (TX)', 'email': '[email protected]', 'clinician': 'NightWatch'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P fell 1.5ft trying to jump from the ottoman to the bed. O did not see it happen, but heard a thud and then P was having spasms in the left rear leg', 'questions': 'break, fracture, sprain strain OPEN ?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1032, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 368, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb Hip - trauma, hip luxation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 268, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Twitching'}, {'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': 790, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-luxation', 'custom_fields': {'___s1_': ['left']}}, {'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': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}], 'diagnosis': [], 'questions': [], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is luxation of the left coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nLuxation of the hip is likely secondary to trauma.\n\nRecommendations:\nConsider options for closed reduction or surgical repair of the luxated hip based on history and other factors.'}

{'bday': '2015-07-13', 'name': 'popcorn^moncivais', 'breed': 'miniature poodle', 'owner': 'moncivais', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Night Watch Elite Animal Emergency (TX)', 'email': '[email protected]', 'clinician': 'NightWatch'}

P fell 1.5ft trying to jump from the ottoman to the bed. O did not see it happen, but heard a thud and then P was having spasms in the left rear leg

break, fracture, sprain strain OPEN ?

standard

[]

['Twitching', 'Canine Small Breed']

[]

[268, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2009-07-25', 'name': 'Rodriguez^Papi', 'breed': 'Long Hair Chihuahua', 'owner': 'Rodriguez^Jose', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Atlantic Coast Veterinary Specialists - Bohemia', 'email': '[email protected]', 'address': 'United States - Bohemia', 'clinician': 'Atlantic Coast New York Veterinary Specialists'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'About 4-5 days, Papi has not taken his Vetmedin or B12 supplement. This AM, outside he seemed unsteady on his feet, collapsed after drinking water. Grade 5 heart murmur.', 'questions': 'Heart disease vs other ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 1100, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly - possible pattern, coughing/panting/dyspnoea/syncope', 'diagnosis_custom_text': 'The cardiac silhouette appears enlarged making cardiac disease a realistic potential cause of the clinical signs. No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded. Consider valvular disease induced syncope a potential cause for symptoms.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Ideally, an echocardiogram, ECG and blood pressure measurement (as soon as possible) are recommended to investigate further.\xa0', 'recommendation_custom_fields': None}], 'signals': [{'id': 65, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Collapsed'}, {'id': 273, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Unsteady'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 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': 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': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 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': 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': 285, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Syncope'}, {'id': 389, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Heart (cardiac) disease'}], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [{'id': 1055, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'pimobendan'}], '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.\n\nThorax\nThe heart measures above the normal range. There is evidence of left atrial enlargement. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 880, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2469, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'narrowed-mainstem-bronchi', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nThe cardiac silhouette appears enlarged making cardiac disease a realistic potential cause of the clinical signs. No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded. Consider valvular disease induced syncope a potential cause for symptoms.\n\nRecommendations:\nIdeally, an echocardiogram, ECG and blood pressure measurement (as soon as possible) are recommended to investigate further. Restarting current cardiacs therapy is indicated. '}

{'bday': '2009-07-25', 'name': 'Rodriguez^Papi', 'breed': 'Long Hair Chihuahua', 'owner': 'Rodriguez^Jose', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Atlantic Coast Veterinary Specialists - Bohemia', 'email': '[email protected]', 'address': 'United States - Bohemia', 'clinician': 'Atlantic Coast New York Veterinary Specialists'}

About 4-5 days, Papi has not taken his Vetmedin or B12 supplement. This AM, outside he seemed unsteady on his feet, collapsed after drinking water. Grade 5 heart murmur.

Heart disease vs other

expert

['Resp signs - heart/lungs']

['Collapsed', 'Unsteady', 'Heart Murmur', 'Canine Small Breed']

[]

[65, 273, 2175, 2654]

[]

['Syncope', 'Heart (cardiac) disease']

[]

[285, 389]

[]

['Pimobendan']

[]

[1055]

[]

{'patient': {'bday': '2019-09-27', 'name': 'Kuster^Minnow', 'breed': 'DOMESTIC SHORTHAIR', 'owner': 'Kuster^Rebekah', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Bristol Animal Hospital', 'email': '[email protected]', 'clinician': 'Bristol Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Increased coughing attacks over the last month and a half. Were seldom before. Having multiple attacks in a week/', 'questions': 'Asthma', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'partial', 'source': 'labelling'}, {'id': 1020, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'labelling'}, {'id': 1023, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 195, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spleen feline - Visible', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 273, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 292, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Bronchial - bronchopneumonia', 'diagnosis_custom_text': 'Bronchial pattern with parenchymal pattern most consistent with bronchopneumonia. Feline asthma cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], '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': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 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': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-visible', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 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': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2279, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['left and right'], '___s3_': ['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': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], 'recommendations': [{'id': 2227, 'state': 'normal', 'source': 'labelling', 'recommendation_name': 'Feline asthma'}], 'report_findings': 'Thorax\nThe heart measures above the normal range. A bronchial pattern is present. There is a mild increased opacity in the left and right cranioventral lung field, characterized as an interstitial pattern. The rest of the observed thorax is within normal limits. \n\nAbdomen\nThe spleen is visualized in the cranioventral abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': True}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nBronchial pattern with interstitial parenchymal pattern most consistent with lower airway disease such as feline asthma. Concurrent bronchopneumonia cannot be ruled out.\nVisualization of the spleen may be normal variation or due to infiltrative disease such as lymphosarcoma, mast cell neoplasia, or other.\nThe VHS is calculated above normal range. Consider occult cardiomyopathy.\n\nRecommendations:\nConsider a tracheal wash for cytology and culture for further investigation. Medical management for asthma and follow up radiographs are indicated.\nConsider abdominal ultrasound to further investigate clinical significance of the visualized spleen and if enlargement is confirmed an FNA sample is recommended.\nConsider an echocardiogram and blood pressure measurement for further investigation to rule out underlying cardiac disease.'}

{'bday': '2019-09-27', 'name': 'Kuster^Minnow', 'breed': 'DOMESTIC SHORTHAIR', 'owner': 'Kuster^Rebekah', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Increased coughing attacks over the last month and a half. Were seldom before. Having multiple attacks in a week/

Asthma

standard

['Resp signs - general']

['Coughing', 'Feline']

[]

[69, 2327]

[]

[]

[]

[]

[]

[]

['Feline asthma']

[]

[2227]

{'patient': {'bday': '2022-10-31', 'name': 'Fchwischler^lbby', 'breed': 'Ibizan Hound', 'owner': 'Fchwischler', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'address': 'United States - Annandale', 'clinician': 'CPA TECHS'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Ibby presented for vomiting multiple times today and also diarrhea multiple times started today, P is on preventions vx utd, no hx of any conditions. ', 'questions': 'vomiting diarrhea', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 246, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 156.34, 'consult_name': 'Intestines - Gastroenterocolitis(vom+/diarrhea)', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Clinical signs are most consistent with gastroenterocolitis. Given the abnormal gas pattern, small intestinal foreign body can not be completely ruled out. Differentials include inflammatory, toxin, infectious, parasitic causes, or hemorrhagic diarrhea syndrome.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1378, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Gastric - Moderate GAD with gas, GI signs', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': {'___s1_': ['mildly']}, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2315, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['gas']}, 'finding_normal_text': 'stomach-gas', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with ___s2_. '}, {'id': 2455, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is an abnormal gas pattern noted in the small intestine appreciated on the right vd view. ', 'elapsedTime': 22.034, 'signal_name': 'abnormal-gas-SI', 'custom_fields': None, 'finding_normal_text': 'Abnormal gas pattern in SI', 'finding_abnormal_text': 'There is an abnormal gas pattern noted in the small intestine. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2661, 'source': 'labelling', 'attention': False, '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\nThere is mild distension of the stomach with gas. There is an abnormal gas pattern noted in the small intestine appreciated on the right VD view (in 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': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2455, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'abnormal-gas-SI', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nClinical signs are most consistent with gastroenterocolitis. Given the abnormal gas pattern, small intestinal foreign body can not be completely ruled out. Differentials include inflammatory, toxin, infectious, parasitic causes, or hemorrhagic diarrhea syndrome.\nModerate distension of the stomach with gas is observed. Consider aerophagia, gastritis, or possible outflow obstruction. No evidence of an intestinal mechanical obstruction is observed.\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 assess gastrointestinal pattern.\nConsider repeating fasting abdominal radiographs in 12-24 hours to reassess pattern of gastric distension, and depending on clinical signs and history, consider abdominal ultrasound or endoscopy for further investigation.'}

{'bday': '2022-10-31', 'name': 'Fchwischler^lbby', 'breed': 'Ibizan Hound', 'owner': 'Fchwischler', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'address': 'United States - Annandale', 'clinician': 'CPA TECHS'}

Ibby presented for vomiting multiple times today and also diarrhea multiple times started today, P is on preventions vx utd, no hx of any conditions.

vomiting diarrhea

standard

['Vomiting-FB/obstruction', 'Gi signs - Systemic vs general']

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

[]

[76, 256, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2008-09-11', 'name': 'Thompson^Lady', 'breed': 'American Shorthair', 'owner': 'Thompson', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'clinician': 'CPA TECHS'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Drinking but not eating since monday/ sneezing discharge in eyes/ lethargic/ no meds indoor only', 'questions': 'reason for inappetance/ lethargy', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'partial', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1033, 'state': 'partial', 'source': 'labelling'}, {'id': 1036, 'state': 'ready', 'source': 'labelling'}, {'id': 1044, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 263, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 142.747, 'consult_name': 'Systemic - No cause for weight loss, decreased appetite', 'diagnosis_custom_text': 'No other possible cause for the described inappetence and lethargy could be determined from the images provided. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider further work up including biochemistry profile, CBC, urinalysis and abdominal ultrasound to further investigate the small kidney and a cause for the reported non-specific signs. In addition, a more detailed clinical history may also be helpful.', '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': 429, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 50.605999999999995, 'consult_name': 'Renal - SKD', 'diagnosis_custom_text': 'The small kidney may indicate chronic renal disease.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '.', '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': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 230, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Sneezing'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 638, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Discharge - ocular (eye)'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', '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': 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': 'The left kidney measures slightly below normal range. ', 'elapsedTime': 14.651, 'signal_name': 'kidney-small', 'custom_fields': {'___s1_': ['left']}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': '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': 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': 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_': ['L7-S1']}}, {'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': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2670, 'source': 'labelling', 'signal_name': 'resp signs - upper vs lower'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere are spondylosis deformans noted in the thoracic and lumbosacral spine. There is intervertebral disc space narrowing at L7-S1. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere is an accumulation of fecal material in the colon. The left kidney measures slightly below the normal range. The rest of the observed abdomen is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe small kidney may indicate chronic renal disease.\nNo other possible cause for the described inappetence and lethargy could be determined from the images provided.\nMild fecal retention. Rule out constipation.\nThe presence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\n\nRecommendations:\nConsider further workup including biochemistry profile, CBC, urinalysis, and abdominal ultrasound to further investigate the small kidney and a cause for the reported non-specific signs. In addition, a more detailed clinical history may also be helpful.\nCorrelate with clinical history to rule out constipation.\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': '2008-09-11', 'name': 'Thompson^Lady', 'breed': 'American Shorthair', 'owner': 'Thompson', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Drinking but not eating since monday/ sneezing discharge in eyes/ lethargic/ no meds indoor only

reason for inappetance/ lethargy

standard

['resp signs - upper vs lower']

['Lethargic/tired', 'Sneezing', 'Anorexia', 'Discharge - ocular (eye)', 'Feline']

[]

[131, 230, 606, 638, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-06-01', 'name': 'POTTS^DIXIE^^^', 'breed': 'Mixed - Medium', 'owner': 'Elizabeth Potts', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Katy'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet came in for pain and discomfort along back area. pt has had tail down, not acting fully like herself. patient eating and drinking okay, no vomiting, diarrhea, coughing, sneezing. pt has been on methocarbamol, gabapentin and carprofen.', 'questions': 'discomfort/pain along spine', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'ready', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}, {'id': 1096, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 85.057, 'consult_name': 'Spine - TID/CID with spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'A full neurologic exam should be performed including evaluation of patient proprioception and reflexes. Correlate with radiographic findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis. ', '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': 154, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Not himself/herself'}, {'id': 230, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Sneezing'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 619, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'Thirst decreased'}, {'id': 631, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - spinal'}, {'id': 2186, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2535, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'eating-normally'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 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': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 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': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L1-L2']}}, {'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': 2673, 'source': 'ai', 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2679, 'source': 'labelling', 'signal_name': 'spine-neurological-ivdd-pain'}], 'recommendations': [{'id': 959, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Analgesic'}, {'id': 985, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'NSAID'}], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. There is intervertebral disc space narrowing at L1-L2. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of kibble/food. The rest of the observed abdomen is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nA full neurologic exam should be performed including evaluation of patient proprioception and reflexes. Correlate with radiographic findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.'}

{'bday': '2018-06-01', 'name': 'POTTS^DIXIE^^^', 'breed': 'Mixed - Medium', 'owner': 'Elizabeth Potts', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Pet came in for pain and discomfort along back area. pt has had tail down, not acting fully like herself. patient eating and drinking okay, no vomiting, diarrhea, coughing, sneezing. pt has been on methocarbamol, gabapentin and carprofen.

discomfort/pain along spine

standard

['neoplasia-musculoskeletal', 'spine-neurological-ivdd-pain']

['Not himself/herself', 'Pain - spinal', 'Pain', 'Canine Medium/Large Breed']

['Coughing', 'Diarrhea', 'Sneezing', 'Vomiting', 'Drinking less', 'Eating normally']

[154, 631, 2186, 2656]

[69, 76, 230, 256, 619, 2535]

[]

[]

[]

[]

['Analgesic', 'Non-steroidal antiinflammatory drug (NSAID)']

[]

[959, 985]

[]

{'patient': {'bday': '2012-07-08', 'name': 'Roberts^Penny', 'breed': 'Weimaraner', 'owner': 'Joy Roberts', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Small Animal Emergency Services (NC)', 'email': '[email protected]', 'clinician': 'Kristen Riley'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Week history of labored breathing, difficulty walking. Heart murmur auscultated. ', 'questions': 'Does this appear consistent with CHF', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1023, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'empty', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}, {'id': 1095, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 1115, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Hepatomegaly - venous congestion, heart failure', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1144, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly - Symptomatic, med/lrg breed, DCM, not on meds', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1160, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Gastric - Soft tissue FB vs. Rugal folds vs. fluid', 'diagnosis_custom_text': 'Soft-tissue opacity, is noted within the stomach. This may represent food/fluid or rugal folds in the stomach however foreign material cannot be entirely ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 204, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Reluctant to walk'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2179, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2180, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Abnormal Respiration'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is radiopaque material within the stomach which has the appearance of ingesta and fluid. ', 'elapsedTime': 11.848, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': []}}, {'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': 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': 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': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe liver appears enlarged. There is radiopaque material within the stomach which has the appearance of ingesta and fluid. 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.\n\nThorax\nThere appears to be a generalized enlargement of the heart. There is increased opacity throughout the lung fields, characterized as a mixed interstitial to alveolar pattern. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2579, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nEvidence of congetive heart failure with pulmonary edema; likely secondary to dilated cardiomyopathy.\nHepatomegaly likely secondary to venous congestion caused by concurrent congestive heart failure.\nSoft-tissue opacity, is noted within the stomach. This may represent food/fluid or rugal folds in the stomach however foreign material cannot be entirely ruled out.\n\nRecommendations:\nFor further assessment, an echocardiogram would be optimal. Diuretics, as preload reducer, are a mainstay of reducing pulmonary edema. Supportive care such as oxygen therapy may be indicated. Additional cardiac medication may also be considered.\nAbdominal ultrasound with FNA and cytology can be considered for further investigation if warranted.\nCorrelate with history of the patients last meal and consider an abdominal ultrasound for further investigation. Alternatively, repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying can also be considered.'}

{'bday': '2012-07-08', 'name': 'Roberts^Penny', 'breed': 'Weimaraner', 'owner': 'Joy Roberts', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Small Animal Emergency Services (NC)', 'email': '[email protected]', 'clinician': 'Kristen Riley'}

Week history of labored breathing, difficulty walking. Heart murmur auscultated.

Does this appear consistent with CHF

expert

['Resp signs - heart/lungs']

['Reluctant to move/walk', 'Heart Murmur', 'Respiratory distress', 'Abnormal respiration', 'Canine Medium/Large Breed']

[]

[204, 2175, 2179, 2180, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-08-09', 'name': 'Vandervoort^Bella', 'breed': 'Other Breed', 'owner': 'Vandervoort^Jen', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Armstrong Veterinary Clinic ', 'email': '[email protected]', 'address': 'Canada - Armstrong', 'clinician': 'Armstrong Veterinary Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': ' Vomiting since yesterday afternoon and still this morning. Blood tinge in vomit\r\nOccasional run of diarrhea but normal feces yesterday. New kitten recently\r\nIndoor/Outdoor. No poisonous plants known\r\nAte a little bit of chicken this morning, not sure if she has drank anything \r\nNew kitten through Pawprints, has had 1 vaccine so far. Kitten is happy/healthy \r\nNot lethargic, playing in between vomiting spells\r\nnasal breathing has started in the last couple of months. No coughing', 'questions': '12 radiographs taken: some were taken prior to sedation and some were taken after she was anesthetized and her lungs were inflated. ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'partial', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1033, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1038, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1274, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 195, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Spleen feline - Visible', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Visualization of the spleen may be a normal variation or due to sedation,\xa0 however, infiltrative disease cannot be excluded.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 217, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Resp Bronchial - Feline, BPP, no cough', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Bronchial pattern is consistent with lower airway disease/bronchitis. Differentials include feline asthma, chronic inhaled irritants, infectious etiologies (bacterial) and parasitic (including heartworm disease). An upper respiratory infection cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 241, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Gastric - Hematemesis, no cause noted', 'isAddressingConcern': True, 'diagnosis_custom_text': 'There is no evidence of GI obstruction or intestinal plication. Given the history of vomiting with blood, upper GI pathology, coagulation or ulceration should be considered.\xa0No gastrointestinal obstruction or foreign body is noted. Gastroenterocolitis due to inflammation, dietary indiscretion, pancreatitis, toxin, infectious or parasitic causes cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of symptoms is indicated.\xa0Blood work including fPLI, abdominal ultrasound and fecal testing is recommended.\xa0If there is no response to treatment, symptoms worsen, or evidence of severe blood loss then endoscopy to evaluate the esophagus, stomach and duodenum is recommended. Additionally, a coagulation panel and appropriate therapy as needed may be considered.', 'recommendation_custom_fields': None}, {'id': 374, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': 'Forelimb Elbow - arthritis, no lameness', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 439, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Resp Parenchymal - resp signs, patchy alveolar', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Colon - Fecal retention', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Mild fecal retention. Rule out constipation or diarrhea.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 148, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Noisy/loud breathing'}, {'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 282, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting with blood'}, {'id': 2326, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'sedated'}, {'id': 2327, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['cervical']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 715, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pulmonary-pattern', 'custom_fields': None, 'finding_normal_text': 'Bronchial Pulmonary Pattern', 'finding_abnormal_text': 'A bronchial pattern is present. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 744, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': {'___s1_': ['mild']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is a ___s1_ accumulation of fecal material in the colon.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 1937, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-visible', 'custom_fields': {'___s1_': ['normal']}, 'finding_normal_text': 'Spleen Visible', 'finding_abnormal_text': 'The spleen is visualized in the cranioventral abdomen and has a ___s1_ appearance.'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2279, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['right'], '___s3_': ['patchy interstitial to alveolar pattern']}, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'There is a ___s1_ increased opacity in the ___s2_ cranioventral lung field, characterized as a ___s3_ . '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2497, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is an endotracheal tube in place, terminating at the level of C6. Placement prevents accurate assessment for tracheal narrowing. ', 'elapsedTime': 9.856, 'signal_name': 'endotracheal-tube', 'custom_fields': None, 'finding_normal_text': 'Endotracheal tube', 'finding_abnormal_text': 'There is an endotracheal tube in place, terminating at the level of ___s1_. Placement prevents accurate assessment for tracheal narrowing. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'ai', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2662, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [], 'report_findings': 'Thorax\nA bronchial pattern is present. There is a moderate increased opacity in the right cranioventral lung field, characterized as a patchy interstitial to alveolar pattern . There is an endotracheal tube in place, terminating at the level of C6. Placement prevents accurate assessment for tracheal narrowing. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe spleen is visualized in the cranioventral abdomen and has a normal appearance. There is a mild accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the cervical 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': 6, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'distal-extremity-arthritis', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2497, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'endotracheal-tube', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThere is no evidence of GI obstruction or intestinal plication. Given the history of vomiting with blood, upper GI pathology, coagulation or ulceration should be considered.\xa0No gastrointestinal obstruction or foreign body is noted. Gastroenterocolitis due to inflammation, dietary indiscretion, pancreatitis, toxin, infectious or parasitic causes cannot be ruled out.\nMild fecal retention. Rule out constipation or diarrhea.\nA mild patchy alveolar 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.\nBronchial pattern is consistent with lower airway disease/bronchitis. Differentials include feline asthma, chronic inhaled irritants, infectious etiologies (bacterial) and parasitic (including heartworm disease). An upper respiratory infection cannot be ruled out.\nVisualization of the spleen may be a normal variation or due to sedation,\xa0 however, infiltrative disease cannot be excluded.\nSpondylosis deformans. Likely incidental.\nDegenerative changes in the elbow.\n\nRecommendations:\nMedical management of symptoms is indicated.\xa0Blood work including fPLI, abdominal ultrasound and fecal testing is recommended.\xa0If there is no response to treatment, symptoms worsen, or evidence of severe blood loss then endoscopy and biopsy to evaluate the esophagus, stomach and duodenum is recommended. Additionally, a coagulation panel and appropriate therapy as needed may be considered.\nConsider rectal exam to rule out constipation.\nConsider respiratory lavage for cytological exam, culture and sensitivity if the patient begins to show respiratory signs , if the patient is stable otherwise supportive care including oxygen and antibiotic therapy is indicated.\nConsider abdominal ultrasound to further investigate clinical significance of the visualized spleen and if enlargement is confirmed an FNA sample is recommended.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow.'}

{'bday': '2018-08-09', 'name': 'Vandervoort^Bella', 'breed': 'Other Breed', 'owner': 'Vandervoort^Jen', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Armstrong Veterinary Clinic ', 'email': '[email protected]', 'address': 'Canada - Armstrong', 'clinician': 'Armstrong Veterinary Clinic'}

Vomiting since yesterday afternoon and still this morning. Blood tinge in vomit Occasional run of diarrhea but normal feces yesterday. New kitten recently Indoor/Outdoor. No poisonous plants known Ate a little bit of chicken this morning, not sure if she has drank anything New kitten through Pawprints, has had 1 vaccine so far. Kitten is happy/healthy Not lethargic, playing in between vomiting spells nasal breathing has started in the last couple of months. No coughing

12 radiographs taken: some were taken prior to sedation and some were taken after she was anesthetized and her lungs were inflated.

standard

['Vomiting-FB/obstruction', 'Resp signs - heart/lungs']

['Diarrhea', 'Noisy/loud breathing', 'Vomiting', 'Hematemesis (vomiting blood)', 'Sedated', 'Feline']

[]

[76, 148, 256, 282, 2326, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-01-04', 'name': 'Koterba^Amaris', 'breed': 'Domestic Shorthair', 'owner': 'Koterba^Mary', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Pet Wellness Center of Southern Illinois', 'email': '[email protected]', 'address': 'United States - Effingham', 'clinician': 'Pet Wellness Center of Southern Illinois'}, 'accept_tos': 'true', 'consult_info': {'case_info': " Amaris presented 8/26/24 for a check of a stuffy nose for about a month. She went to Marion Vet and was started on 2 different antibiotics. Those didn't really work per owner. On her recheck she was started on another antibiotic. Amaris does eat but not like she used to. Temperature is 101.2. On examine, she is very resistant to having her face examined. ", 'questions': 'R/O nasal/intracranial masses/causes for the bloody mucus from nose.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'empty', 'source': 'rules'}, {'id': 1014, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1033, 'state': 'inprogress', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1274, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 195, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Spleen feline - Visible', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 733, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Resp Parenchymal - resp signs, CVP/CDP (not alveolar), no cardiomegaly', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1256, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 106.652, 'consult_name': 'Skull - frontal sinus opactiy, no ABL, likely mass', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Soft tissue opacity noted in the sinus described above, may represent a mass or fluid in the nasal cavity without definitive nasal turbinate destruction or bony lysis. This may be associated with inflammation, secondary to an infectious process, foreign material or polyp. Neoplastic disease may also be considered, taking the history and clinical presentation into account. \n\nSkull - oral pain/bleeding, dental disease\nDiagnosis - Evidence of periodontal disease. \n', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend sedated retrograde oropharyngeal-nasal examination, a rhinoscopy with biopsies, cultures and a CT scan for a more definitive diagnosis. \n\nRecommendation - Consider general anesthesia, dental radiography, and Comprehensive Oral Health Assessment and Treatment.', 'recommendation_custom_fields': None}], 'signals': [{'id': 150, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Nose discharge/Nasal discharge'}, {'id': 545, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': -3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 607, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 610, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Mentation altered - anxious/distressed'}, {'id': 2186, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2327, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', 'thoracolumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 812, 'group': 'dental', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'dental-tooth-periapical-lucency-class', 'custom_fields': {'___s1_': ['maxillary molar']}, 'finding_normal_text': 'Periapical Lucency', 'finding_abnormal_text': 'There appears to be a lucency associated with the apex of ___s1_. '}, {'id': 815, 'group': 'dental', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'dental-tooth-attachment-loss-class', 'custom_fields': {'___s1_': ['severe'], '___s2_': ['molar']}, 'finding_normal_text': 'Severe Attachment (Alveolar Bone) loss', 'finding_abnormal_text': 'There appears to be ___s1_ attachment loss associated with ___s2_. '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 1937, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-visible', 'custom_fields': {'___s1_': ['normal']}, 'finding_normal_text': 'Spleen Visible', 'finding_abnormal_text': 'The spleen is visualized in the cranioventral abdomen and has a ___s1_ appearance.'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2279, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['left'], '___s3_': ['interstitial to alveolar pattern']}, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'There is a ___s1_ increased opacity in the ___s2_ cranioventral lung field, characterized as a ___s3_ . '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2306, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None, 'finding_normal_text': 'The visible pharyngeal region appears within normal limits.', 'finding_abnormal_text': 'There is increased opacity noted within the pharyngeal region.'}, {'id': 2307, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None, 'finding_normal_text': 'The tympanic bulla are normal in appearance. ', 'finding_abnormal_text': 'There is increased opacity noted of the ___s1_ tympanic bulla. '}, {'id': 2308, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': {'___s1_': ['well defined'], '___s2_': ['left']}, 'finding_normal_text': 'The nasal cavities and frontal sinuses have a normal opacity. ', 'finding_abnormal_text': 'There is a ___s1_ increased opacity noted in the ___s2_ frontal sinus.'}, {'id': 2309, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'nasal-cavity', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'nasal cavity', 'finding_abnormal_text': 'There is increased opacity noted of the ___s1_ nasal cavity. '}, {'id': 2310, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None, 'finding_normal_text': 'The bones of the skull are within normal limits with no aggressive lesions or fractures noted.', 'finding_abnormal_text': 'There is a fracture noted in the ___s1_ bone of the skull. '}, {'id': 2312, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tmj-luxation-subluxation', 'custom_fields': None, 'finding_normal_text': 'The temporomandibular joint appears within normal limits.', 'finding_abnormal_text': 'The temporomandibular joint space is widened.'}, {'id': 2497, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is an endotracheal tube in place, terminating at the level of T3. Placement prevents accurate assessment for tracheal narrowing. ', 'signal_name': 'endotracheal-tube', 'custom_fields': {'___s1_': ['T3']}, 'finding_normal_text': 'Endotracheal tube', 'finding_abnormal_text': 'There is an endotracheal tube in place, terminating at the level of ___s1_. Placement prevents accurate assessment for tracheal narrowing. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2670, 'source': 'labelling', 'attention': False, 'signal_name': 'resp signs - upper vs lower'}, {'id': 2689, 'source': 'labelling', 'attention': False, 'signal_name': 'Skull-question'}], 'recommendations': [{'id': 961, 'state': 'abnormal', 'source': 'ai', 'attention': False, 'recommendation_name': 'Antibiotic'}], 'report_findings': 'Thorax\nThere is a moderate increased opacity in the left cranioventral lung field, characterized as a interstitial to alveolar pattern. There is an endotracheal tube in place, terminating at the level of T3. Placement prevents accurate assessment for tracheal narrowing. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe spleen is visualized in the cranioventral abdomen and has a normal appearance. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic and thoracolumbar spine. There is a well defined increased opacity noted in the left frontal sinus. There is increased opacity noted of the left nasal cavity. The rest of the observed musculoskeletal system is within normal limits.\n\nDental\nThere appears to be a lucency associated with the apex of maxillary molar. There appears to be severe attachment loss associated with molar. There are no other abnormalities noted in the rest of the observed dental.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 812, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'dental-tooth-periapical-lucency-class', 'is_locked_out': False}, {'id': 815, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'dental-tooth-attachment-loss-class', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spleen-visible', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2309, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'nasal-cavity', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2311, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'skull-abl', 'is_locked_out': False}, {'id': 2312, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tmj-luxation-subluxation', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2420, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ear-canal-mineralization', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2497, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'endotracheal-tube', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSoft tissue opacity noted in the sinus described above, may represent a mass or fluid in the nasal cavity without definitive nasal turbinate destruction or bony lysis. This may be associated with inflammation, secondary to an infectious process, foreign material or polyp. Neoplastic disease may also be considered, taking the history and clinical presentation into account. \n\nEvidence of periodontal disease.\nThe changes noted in the lungs are indicative of pathology but are not diagnostic for a specific etiology. Consideration is given to infectious, inflammatory, or neoplastic causes.\nVisualization of the spleen may be a normal variation, however, infiltrative disease cannot be excluded.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nRecommend sedated retrograde oropharyngeal-nasal examination, a rhinoscopy with biopsies, cultures and a CT scan for a more definitive diagnosis. \n\nConsider general anesthesia, dental radiography, and Comprehensive Oral Health Assessment and Treatment.\nConsider respiratory lavage for cytological exam, culture and sensitivity to further investigate the changes in the lungs. A CT scan may also yield additional information.\nConsider abdominal ultrasound to further investigate clinical significance of the visualized spleen and if enlargement is confirmed an FNA sample is recommended.'}

{'bday': '2010-01-04', 'name': 'Koterba^Amaris', 'breed': 'Domestic Shorthair', 'owner': 'Koterba^Mary', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Pet Wellness Center of Southern Illinois', 'email': '[email protected]', 'address': 'United States - Effingham', 'clinician': 'Pet Wellness Center of Southern Illinois'}

Amaris presented 8/26/24 for a check of a stuffy nose for about a month. She went to Marion Vet and was started on 2 different antibiotics. Those didn't really work per owner. On her recheck she was started on another antibiotic. Amaris does eat but not like she used to. Temperature is 101.2. On examine, she is very resistant to having her face examined.

R/O nasal/intracranial masses/causes for the bloody mucus from nose.

expert

['resp signs - upper vs lower', 'Skull-question']

['Discharge - nasal', 'Hyporexia', 'Mentation altered - anxious/distressed', 'Pain', 'Feline']

['Fever/pyrexia']

[150, 607, 610, 2186, 2327]

[545]

[]

[]

[]

[]

['Antibiotic']

[]

[961]

[]

{'patient': {'bday': '2013-03-15', 'name': 'SAM', 'breed': 'Golden Retriever', 'owner': 'MORENO CARMEN', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Westwood Animal Clinic', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'WestwoodVetClinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Unable to walk without help since yesterday. Hyporexia. Mass on left armpit that expand to the soft tissue of the ribcage, very painful at touch, and at deep the muscle can feel hardened. Another mass on left mandible that compromises 306-307, was previously surgical removed (was not malignant as said by o) but it reappear. UA: proteinuria w/unclassified crystals <1/HPF, CHEM Hypoalbuminemia 2.1g/dL, CBC Leukocytosis 19.94 K/uL w/neutrophilia 15.76K/ul, Monocytosis 2.74 K/uL, High MPV 14.5 fL ', 'questions': 'Nerve sheat tumor \r\nOsteosarcoma \r\nOsteoarthritits of hips \r\n', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level', 'acceptable', 'four'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['craniomandibular-osteopathy', 'distal-extremity-arthritis']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1014, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1023, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'partial', 'source': 'labelling'}, {'id': 1031, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1038, 'state': 'empty', 'source': 'labelling'}, {'id': 1053, 'state': 'partial', 'source': 'labelling'}, {'id': 1054, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': 'Hepatomegaly- benign', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 204, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Peritoneal - Summation(FP)', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Summation 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.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 213, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 7, 'consult_name': 'Negative Thorax - No thoracic masses', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 8, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Hindlimb Hip - chronic hip dysplasia, HOA and HIC', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Osteoarthritis of the hips secondary to hip dysplasia. This maybe contributing to lameness in the hindlimb.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 391, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Negative M/S - no cause for lameness', 'isAddressingConcern': False, 'diagnosis_custom_text': 'No musculoskeletal abnormalities identified in the forelimbs in the radiographs provided. The study is negative for fractures, luxation/subluxation and soft tissue swelling. This does not rule out a soft tissue injury, early neoplastic process or neuropathy at this time. Given the reported physical examination findings a peripheral nerve sheath tumor would be a differential.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Advanced imaging such as MRI would be the modality of choice for a definitive diagnosis of a peripheral nerve sheath tumor.', 'recommendation_custom_fields': None}, {'id': 415, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Skull - skull bone ABL, TSS', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Suspected skull bone lesion. Differentials include neoplasia (such as osteosarcoma, chondrosarcoma, osteoma, osteochondroma, MLTB), healed trauma, or osteomyelitis.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1139, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Splenomegaly - Irregular margins', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 575, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Mass/swelling - limb, upper'}, {'id': 607, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 629, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - musculoskeletal'}, {'id': 2185, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2186, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is evidence of hip incongruity of the hip on the right of the film.', 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2306, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None, 'finding_normal_text': 'The visible pharyngeal region appears within normal limits.', 'finding_abnormal_text': 'There is increased opacity noted within the pharyngeal region.'}, {'id': 2307, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None, 'finding_normal_text': 'The tympanic bulla are normal in appearance. ', 'finding_abnormal_text': 'There is increased opacity noted of the ___s1_ tympanic bulla. '}, {'id': 2308, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': None, 'finding_normal_text': 'The nasal cavities and frontal sinuses have a normal opacity. ', 'finding_abnormal_text': 'There is a ___s1_ increased opacity noted in the ___s2_ frontal sinus.'}, {'id': 2311, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'skull-abl', 'custom_fields': {'___s1_': ['indistinct'], '___s2_': ['mandibular']}, 'finding_normal_text': 'Bone lesion - skull', 'finding_abnormal_text': 'A ___s1_ lesion is noted on the ___s2_ bone of the skull. '}, {'id': 2312, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tmj-luxation-subluxation', 'custom_fields': None, 'finding_normal_text': 'The temporomandibular joint appears within normal limits.', 'finding_abnormal_text': 'The temporomandibular joint space is widened.'}, {'id': 2410, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a round increased soft tissue opacity noted in the cranial abdomen suspected to be pylorus.', 'signal_name': 'summation-structures', 'custom_fields': {'___s1_': ['cranial']}, 'finding_normal_text': 'summation of structures', 'finding_abnormal_text': 'There is an increased soft tissue opacity noted in the ___s1_ abdomen suspected to be summation of structures in the region. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2561, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'irregular-splenic-margins', 'custom_fields': None, 'finding_abnormal_text': 'The margins of the spleen have an irregular appearance'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [{'id': 1336, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Osteoarthritis, secondary'}, {'id': 1404, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Osteosarcoma (site unspecified)'}], 'questions': [{'id': 2671, 'source': 'ai', 'attention': False, 'signal_name': 'neoplasia-abdomen'}, {'id': 2673, 'source': 'ai', 'attention': False, 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2676, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-general'}], '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 a round increased soft tissue opacity noted in the cranial abdomen suspected to be pylorus. The margins of the spleen have an irregular appearance. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nSpondylosis deformans is noted in the thoracolumbar spine. There is evidence of hip incongruity and mild degenerative changes in the left and right coxofemoral joints. A soft tissue opacity is noted close to the mandibular bone of the skull. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': False}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 812, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'dental-tooth-periapical-lucency-class', 'is_locked_out': False}, {'id': 815, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'dental-tooth-attachment-loss-class', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2229, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-dysplasia', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2309, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'nasal-cavity', 'is_locked_out': False}, {'id': 2311, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'skull-abl', 'is_locked_out': False}, {'id': 2312, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tmj-luxation-subluxation', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2420, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ear-canal-mineralization', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo musculoskeletal abnormalities identified in the forelimbs in the radiographs provided. The study is negative for fractures, luxation/subluxation and soft tissue swelling. This does not rule out a soft tissue injury, early neoplastic process or neuropathy at this time. Given the reported physical examination findings a peripheral nerve sheath tumor would be a differential.\nOsteoarthritis of the hips secondary to hip dysplasia. This maybe contributing to lameness in the hindlimb.\nSuspected skull bone lesion. Differentials include neoplasia (such as osteosarcoma, chondrosarcoma, osteoma, osteochondroma, MLTB), healed trauma, or osteomyelitis.\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.\nSpleen with irregular border margins. Differentials include benign etiologies (sedation if applicable, EMH and lymphoid hyperplasia), infiltrative disease (round cell neoplasia) and infectious etiologies (ie: tick borne diseases).\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nNo evidence of pulmonary metastatic disease.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nAdvanced imaging such as MRI would be the modality of choice for a definitive diagnosis of a peripheral nerve sheath tumor.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis secondary to hip dysplasia.\nRecommend a CT scan of the skull and regional LNs. Thoracic radiographs to check for metastasis are recommended. A tissue biopsy may also be a consideration for a more definitive diagnosis.\nConsider abdominal ultrasound for further investigation to rule out a mass or lymphadenopathy in the area.\nRecommend abdominal ultrasound with FNA sampling for further diagnostics.\nConsider abdominal ultrasound to further investigate the enlarged liver +/- FNA sampling or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.'}

{'bday': '2013-03-15', 'name': 'SAM', 'breed': 'Golden Retriever', 'owner': 'MORENO CARMEN', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Westwood Animal Clinic', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'WestwoodVetClinic'}

Unable to walk without help since yesterday. Hyporexia. Mass on left armpit that expand to the soft tissue of the ribcage, very painful at touch, and at deep the muscle can feel hardened. Another mass on left mandible that compromises 306-307, was previously surgical removed (was not malignant as said by o) but it reappear. UA: proteinuria w/unclassified crystals <1/HPF, CHEM Hypoalbuminemia 2.1g/dL, CBC Leukocytosis 19.94 K/uL w/neutrophilia 15.76K/ul, Monocytosis 2.74 K/uL, High MPV 14.5 fL

Nerve sheat tumor Osteosarcoma Osteoarthritits of hips

standard

['neoplasia-abdomen', 'neoplasia-musculoskeletal', 'lameness-general']

['Mass/swelling - limb', 'Hyporexia', 'Pain - musculoskeletal', 'Lameness', 'Pain', 'Canine Medium/Large Breed']

[]

[575, 607, 629, 2185, 2186, 2656]

[]

['PDx: osteoarthritis', 'Osteosarcoma (site unspecified)']

[]

[1336, 1404]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-08-02', 'name': 'McGregor^Storm', 'breed': 'Other Breed', 'owner': 'McGregor^Janey', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Durham Region', 'email': '[email protected]', 'address': 'Canada - Whitby', 'clinician': 'AEC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'vomited 12 times in past 24 hours, at first was all food and this AM it has been clear/bile\r\nlethargic\r\nnot eating well, last full meal was last night\r\ndrinking well\r\ndoes eat plastic, owner did see him eat some plastic a couple days ago\r\nhas hx of early stage renal disease\r\ndoes have elevated levels that are in relation to heart failure, cardio pet BMP elevated \r\ncreat was increased in the winter\r\n\r\nVery painful on abdominal palpation\r\nHeart murmur and pro bnp elevated', 'questions': 'Underlying cause of emesis and clinical signs?', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'rules'}, {'id': 1021, 'state': 'inprogress', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'inprogress', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'normal', 'source': 'rules'}], 'consult': [{'id': 195, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spleen feline - Visible', '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': 274, 'state': 'normal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Cardiac feline - Normal heart, symptomatic (cardiac dz)/murmur', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 430, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Renal - SKD, RMN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 251, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}, {'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 622, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'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': 699, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-mineralization', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a round, soft tissue foreign material located within ventral small intestines, better appreciated on the right lateral view', 'elapsedTime': 114.388, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['soft tissue']}}, {'id': 798, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-small', 'custom_fields': {'___s1_': ['left']}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}}, {'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': None, 'signal_name': 'spleen-visible', 'custom_fields': {'___s1_': ['normal']}}, {'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': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 389, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Heart (cardiac) disease'}, {'id': 2177, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Renal (kidney) disorder'}], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [{'id': 1392, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'blood-serum-creatinine-kinase-determination'}], 'report_findings': 'Abdomen\nThe spleen is visualized in the cranioventral abdomen and has a normal appearance. There is radiopaque material within the stomach which has the appearance of kibble/food. There is a round, soft tissue foreign material located within ventral small intestines, better appreciated on the right lateral view. There is increased opacity noted over the silhouette of the left and right kidneys. The left 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.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spleen-visible', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], '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 cannot be ruled out completely. \nGastric material may represent food however foreign material cannot be entirely ruled out. \nThe small kidney and mineralization may indicate chronic renal disease. \nVisualization of the spleen is likely a be normal variation.\nThe cardiovascular structures appear normal though early feline cardiomyopathy may not be associated with changes to the cardiac silhouette.\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.\nCorrelate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation of the kidney(s).\nFor further assessment, an echocardiogram and blood pressure measurement would be optimal to investigate the reported murmur."}

{'bday': '2010-08-02', 'name': 'McGregor^Storm', 'breed': 'Other Breed', 'owner': 'McGregor^Janey', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

vomited 12 times in past 24 hours, at first was all food and this AM it has been clear/bile lethargic not eating well, last full meal was last night drinking well does eat plastic, owner did see him eat some plastic a couple days ago has hx of early stage renal disease does have elevated levels that are in relation to heart failure, cardio pet BMP elevated creat was increased in the winter Very painful on abdominal palpation Heart murmur and pro bnp elevated

Underlying cause of emesis and clinical signs?

standard

['Vomiting-FB/obstruction', 'Resp signs - heart/lungs']

['Lethargic/tired', 'Foreign body ingestion', 'Vomiting', 'Hyporexia', 'Pain - abdominal', 'Heart Murmur', 'Feline']

[]

[131, 251, 256, 607, 622, 2175, 2327]

[]

['Heart (cardiac) disease', 'Renal (kidney) disorder']

[]

[389, 2177]

[]

['Blood test: Serum creatinine kinase determination']

[]

[1392]

[]

{'patient': {'bday': '2023-02-17', 'name': 'MORALES-VANEGAS^MICHI', 'breed': 'Domestic Shorthair', 'owner': 'MORALES-VANEGAS', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'address': 'United States - Annandale', 'clinician': 'CPA TECHS'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Fell 3-4 feet off a window ledge today. Was holding up right front paw.', 'questions': 'Broken bone in forelimb', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1016, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'empty', 'source': 'rules'}, {'id': 1029, 'state': 'empty', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1038, 'state': 'empty', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 391, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': None, 'consult_name': 'Negative - no cause for lameness', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 259, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 2185, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2327, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2346, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 2, 'signal_name': 'lameness-forelimb'}, {'id': 2530, 'source': 'labelling', 'history': True, 'attention': True, 'confidence': 3, 'signal_name': 'patient-fell'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2374, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tail', 'custom_fields': None, 'finding_normal_text': 'The tail is normal in appearance with no evidence of fracture, luxation/subluxation, or aggressive lesions.', 'finding_abnormal_text': 'A ___s1_ is noted at the caudal vertebrae of the tail. '}, {'id': 2446, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'The carpal joints are unremarkable, no evidence of degenerative changes.', 'finding_abnormal_text': 'There is degenerative joint disease affecting the ___s1_ carpus. '}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2675, 'source': 'labelling', 'attention': True, 'signal_name': 'trauma-general'}, {'id': 2677, 'source': 'labelling', 'attention': True, 'signal_name': 'lameness-frontLimb'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2291, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2374, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tail', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': True}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo musculoskeletal abnormalities identified in the radiographs provided. The study is negative for fractures, luxation/subluxation and soft tissue swelling. This does not rule out a soft tissue injury or neuropathy at this time.\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.'}

{'bday': '2023-02-17', 'name': 'MORALES-VANEGAS^MICHI', 'breed': 'Domestic Shorthair', 'owner': 'MORALES-VANEGAS', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'address': 'United States - Annandale', 'clinician': 'CPA TECHS'}

Fell 3-4 feet off a window ledge today. Was holding up right front paw.

Broken bone in forelimb

standard

['trauma-general', 'lameness-frontLimb']

['Traumatic injury', 'Lameness', 'Feline', 'Forelimb lameness', 'Fell/dropped']

[]

[259, 2185, 2327, 2346, 2530]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-01-10', 'name': 'Roser^Bailey^^^', 'breed': 'Chihuahua', 'owner': 'roser-stephan', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Walker Animal Hospital-SVP', 'email': '[email protected]', 'address': 'United States - Walker', 'clinician': 'Walker Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient was diagnosed with an audible click by a cardiologist. No murmur. No clinical signs. Was sent to Cardiology for a possible heart murmur but Cardio confirmed no murmur. \r\nIntermittent back pain and patellar luxation ', 'questions': 'Cardiomegaly? IVDD? ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Negative Thorax - Cardiac/lung Screening, normal', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 843, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 4.938, 'consult_name': 'Negative M/S - No cause for neck/back pain', 'isAddressingConcern': True, 'diagnosis_custom_text': "The radiographs provided are not diagnostic for a specific etiology and cannot completely rule out pathology. Intervertebral disc disease or other infectious/inflammatory causes affecting the spinal cord cannot be ruled out. The reported clinical signs and lack of other abnormalities highly suggest partial prolapse of an intervertebral disc.\nThe patella's appear to be in the normal position however the patella's being in normal location does not exclude patellar luxation as a diagnosis.\xa0", 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider medical management with steroids, muscle relaxants and exercise restriction, and if pain persists or neurologic signs develop, consider advanced imaging such as a myelogram or MRI.\nCorrelate with palpation of stifles for patellar luxation.\n', 'recommendation_custom_fields': None}, {'id': 900, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Resp Trachea - redundant tracheal membrane versus mucous', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 631, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - spinal'}, {'id': 2654, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2259, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['cervical']}, 'finding_normal_text': 'Redundant Tracheal Membrane', 'finding_abnormal_text': 'There is increased soft tissue opacity within the ___s1_ region of the trachea. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2307, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None, 'finding_normal_text': 'The tympanic bulla are normal in appearance. ', 'finding_abnormal_text': 'There is increased opacity noted of the ___s1_ tympanic bulla. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [{'id': 1541, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Patellar luxation'}], 'questions': [{'id': 2662, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2679, 'source': 'ai', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}, {'id': 2683, 'source': 'labelling', 'attention': False, 'signal_name': 'screening-thorax'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is increased soft tissue opacity within the cervical region of the trachea. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is moderate distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue 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, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2573, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tibia Displacement', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2653, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fragmented-fabella', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology.\nThe radiographs provided are not diagnostic for a specific etiology and cannot completely rule out pathology. Intervertebral disc disease or other infectious/inflammatory causes affecting the spinal cord cannot be ruled out. The reported clinical signs and lack of other abnormalities highly suggest partial prolapse of an intervertebral disc.\nThe patella's appear to be in the normal position however the patella's being in normal location does not exclude patellar luxation as a diagnosis.\nGastric material. This is most consistent with digested food; however, non-obstructive foreign material cannot be ruled out.\nThe increased opacity noted in the trachea may represent a redundant tracheal membrane or may represent mucus within the trachea.\n\nRecommendations:\nConsider medical management with steroids, muscle relaxants and exercise restriction, and if pain persists or neurologic signs develop, consider advanced imaging such as a myelogram or MRI.\nCorrelate with palpation of stifles for patellar luxation.\nConsider tracheoscopy if clinical signs warrant further investigation of the increased opacity noted in the tracheal lumen."}

{'bday': '2016-01-10', 'name': 'Roser^Bailey^^^', 'breed': 'Chihuahua', 'owner': 'roser-stephan', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Walker Animal Hospital-SVP', 'email': '[email protected]', 'address': 'United States - Walker', 'clinician': 'Walker Animal Hospital'}

Patient was diagnosed with an audible click by a cardiologist. No murmur. No clinical signs. Was sent to Cardiology for a possible heart murmur but Cardio confirmed no murmur. Intermittent back pain and patellar luxation

Cardiomegaly? IVDD?

standard

['Resp signs - heart/lungs', 'spine-neurological-ivdd-pain', 'screening-thorax']

['Pain - spinal', 'Canine Small Breed']

[]

[631, 2654]

[]

['Patellar luxation']

[]

[1541]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-07-22', 'name': 'Koppel^Russo', 'breed': 'Pit Bull Terrier Mix', 'owner': 'Koppel^Matthew', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Middle Georgia Veterinary Emergency Center', 'email': '[email protected]', 'address': 'United States - Warner Robins', 'clinician': 'MGVEX'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient has been coughing on/off for about a month. Cough sounds like a dry cough. Not on heart worm prevention. Has not been boarding. ', 'questions': 'n/a', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Gastric - Post prandial ', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 300, 'state': 'normal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 33.965, 'consult_name': 'Negative Thorax - Normal lungs, large breed', 'isAddressingConcern': False, 'diagnosis_custom_text': 'The cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology. A normal radiograph does not rule out bronchitis completely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}], 'diagnosis': [], 'questions': [{'id': 2662, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - heart/lungs'}], '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 which has the appearance of digested food admixed with unidentified soft tissue 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, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nThe cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology. A normal radiograph does not rule out bronchitis completely.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nRecommend symptomatic treatment. If the patient does not respond to treatment, endoscopic evaluation, lower airway sampling, and respiratory PCR should be considered.'}

{'bday': '2023-07-22', 'name': 'Koppel^Russo', 'breed': 'Pit Bull Terrier Mix', 'owner': 'Koppel^Matthew', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Middle Georgia Veterinary Emergency Center', 'email': '[email protected]', 'address': 'United States - Warner Robins', 'clinician': 'MGVEX'}

Patient has been coughing on/off for about a month. Cough sounds like a dry cough. Not on heart worm prevention. Has not been boarding.

standard

['Resp signs - heart/lungs']

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

[]

[69, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-02-22', 'name': 'Geffert^Ellie', 'breed': 'Terrier, Yorkshire', 'owner': 'Geffert^Amanda', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Emergency Pet Care of Texas', 'email': '[email protected]', 'address': 'United States - Magnolia', 'clinician': 'Emergency Pet Care of Texas'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Pt presented for vomiting brown material starting Wed (08/28) PM with food. Still has appetite. Eating mix of Dr Marty's raw and Blue Buffalo with no diet change, gets treats and greenies. O's out of town X 2 wks. Hx of sensitive stomach. No known diarrhea. Lethargic today and vomited again this AM. UTD vaccines and HWP. Mild abdominal distension-mild cranial abdominal pain. AFAST-suggestive for echogenic debris in pyloric region. CBC / Chem 17 / cPL pending.", 'questions': 'Obstructive foreign body vs. pancreatitis vs. enteritis ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 245, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Intestines - Gastroenteritis, foreign material', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Hindlimb Hip - hip OA, no lameness', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 723, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 8.765, 'consult_name': 'Gastric - follow up, empty', 'isAddressingConcern': False, 'diagnosis_custom_text': '\xa0No radiographic indication of gastric material (debris) in pyloric region.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '', 'recommendation_custom_fields': None}, {'id': 894, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Splenomegaly - Folded spleen', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 508, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Abdominal distension'}, {'id': 622, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2654, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': {'___s1_': ['mildly'], '___s2_': ['possibly due to positioning.']}, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['small', 'mineral']}, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['right']}, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2661, 'source': 'labelling', 'attention': False, '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 spleen appears mildly enlarged possibly due to positioning. There is small mineral foreign material located within the small intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. There are degenerative changes affecting the right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], '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.\nNo radiographic indication of gastric material (debris) in pyloric region.\nThe spleen appears prominent. Consider folded spleen or abnormal position of the spleen though splenic congestion or mass cannot be ruled out.\nDegenerative joint disease of the right hip.\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.\nConsider abdominal ultrasound for further investigation of the prominent spleen and to assess for folded spleen or abnormal position, as well as to evaluate for splenic congestion or mass.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the right hip.'}

{'bday': '2015-02-22', 'name': 'Geffert^Ellie', 'breed': 'Terrier, Yorkshire', 'owner': 'Geffert^Amanda', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Emergency Pet Care of Texas', 'email': '[email protected]', 'address': 'United States - Magnolia', 'clinician': 'Emergency Pet Care of Texas'}

Pt presented for vomiting brown material starting Wed (08/28) PM with food. Still has appetite. Eating mix of Dr Marty's raw and Blue Buffalo with no diet change, gets treats and greenies. O's out of town X 2 wks. Hx of sensitive stomach. No known diarrhea. Lethargic today and vomited again this AM. UTD vaccines and HWP. Mild abdominal distension-mild cranial abdominal pain. AFAST-suggestive for echogenic debris in pyloric region. CBC / Chem 17 / cPL pending.

Obstructive foreign body vs. pancreatitis vs. enteritis

standard

['Vomiting-FB/obstruction', 'Gi signs - Systemic vs general']

['Lethargic/tired', 'Abdominal distension', 'Pain - abdominal', 'Canine Small Breed']

[]

[131, 508, 622, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-10-12', 'name': 'HEELING HOUSE^BOBA', 'breed': 'Labrador Retriever', 'owner': 'HEELING HOUSE^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Nova Animal Hospital - VA', 'email': '[email protected]', 'address': 'United States - Ashburn', 'clinician': 'david Iskandar'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'pt is presented for neuter surgery and routine radiology to check for hip issues , no limping , Pt doing good at home ', 'questions': 'routine rads for check of hip/stifle joint . ', 'specialty_area': ''}}

{'tags': {'userTags': ['basic_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1030, 'state': 'partial', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 357, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb Stifle - fp stifle effusion(questionable), rotation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1091, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb - Normal hip screening', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2713, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Screening radiographs - M/S'}], 'findings': [{'id': 10, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['questionable'], '___s2_': ['left and right']}, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in the ___s2_. '}, {'id': 870, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'The tarsal joints are unremarkable, no evidence of degenerative changes.', 'finding_abnormal_text': 'There is degenerative joint disease affecting the ___s1_ tarsus. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There is degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2274, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'growth-plate-abnormalities', 'custom_fields': None, 'finding_normal_text': 'The growth plates appear within normal limits. ', 'finding_abnormal_text': 'The ___s1_ growth plate of the ___s2_ appears ___s3_. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}], 'diagnosis': [], 'questions': [], 'recommendations': [{'id': 954, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Elective neutering - castration'}], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is a questionable increased soft tissue opacity in the stifle joint noted in the left and right stifle. 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', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': True}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2274, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'growth-plate-abnormalities', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2638, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nIncreased opacity noted within the stifle joint is likely a normal variant and less likely pathologic effusion. \nBoth hips are unremarkable with adequate acetabular coverage and congruency. No evidence of degenerative joint disease or mineralization is observed.\n\nRecommendations:\nAdditional radiographic views including stress radiographs or compression-distraction radiographs may be more sensitive in detecting the presence of hip incongruity or laxity, even in the absence of radiographic evidence.'}

{'bday': '2023-10-12', 'name': 'HEELING HOUSE^BOBA', 'breed': 'Labrador Retriever', 'owner': 'HEELING HOUSE^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Nova Animal Hospital - VA', 'email': '[email protected]', 'address': 'United States - Ashburn', 'clinician': 'david Iskandar'}

pt is presented for neuter surgery and routine radiology to check for hip issues , no limping , Pt doing good at home

routine rads for check of hip/stifle joint .

standard

[]

['Canine Medium/Large Breed', 'Screening radiographs - M/S']

[]

[2656, 2713]

[]

[]

[]

[]

[]

['Elective neutering - castration']

[]

[954]

[]

{'patient': {'bday': '2023-02-14', 'name': 'APONTE^Roma^^^', 'breed': 'Miniature Schnauzer', 'owner': 'APONTE^EIRA', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Doctor Pet Emergency Hospital (PR)', 'email': '[email protected]', 'clinician': 'Doctor Pet Emergency Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient is currently hospitalized for straining to defecate. The owner is concerned about a possible foreign body obstruction since she ate some palm seeds. ', 'questions': 'DDx mecanical obstruction vs gastroenteritis', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 252, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Colon - No constipation', 'diagnosis_custom_text': 'There is no indication of constipation noted on the radiographs. There is some small amounts of material in the colon although not indicative for constipation.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 488, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Intestines - No Fb visible, poss ingestion', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 775, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Bladder - Concern for urinary obstruction, no calculi', 'diagnosis_custom_text': 'Distended urinary bladder with no apparent calculi observed. The straining noted may be associated with the bladder although other potential causes cannot be entirely ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 243, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Straining to defaecate'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2265, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', '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': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nAbdomen\nThere is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': False}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThere is no indication of constipation noted on the radiographs. There is some small amounts of material in the colon although not indicative for constipation.\nNo evidence of intestinal foreign body or intestinal obstruction noted in the radiographs provided. Presence of occult foreign material cannot completely be excluded radiographically.\nDistended urinary bladder with no apparent calculi observed. The straining noted may be associated with the bladder although other potential causes cannot be entirely ruled out.\n\nRecommendations:\nCorrelate with rectal exam and clinical signs to further investigate for constipation.\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/persist.\nAn abdominal ultrasound (or contrast radiography) could be considered as a (standard) radiograph does not rule out radiolucent bladder stones, cystitis, neoplastic disease and polyps. Ensure the patient is able to urinate. A lower urinary tract obstruction may be present. Correlate with biochemistry profile, urinalysis, +/- urine culture.'}

{'bday': '2023-02-14', 'name': 'APONTE^Roma^^^', 'breed': 'Miniature Schnauzer', 'owner': 'APONTE^EIRA', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Doctor Pet Emergency Hospital (PR)', 'email': '[email protected]', 'clinician': 'Doctor Pet Emergency Hospital'}

Patient is currently hospitalized for straining to defecate. The owner is concerned about a possible foreign body obstruction since she ate some palm seeds.

DDx mecanical obstruction vs gastroenteritis

expert

['Vomiting-FB/obstruction']

['Straining to defaecate', 'Canine Small Breed']

[]

[243, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-12-14', 'name': 'Champagne', 'breed': 'Bichon Frise', 'owner': 'White', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Elkridge Animal Hospital', 'email': '[email protected]', 'clinician': 'Elkridge Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Frequent reverse sneezing, Frequent vomiting - usually early morning on an empty stomach with white or yellow foam, not responsive to H1 or H2 blockers. ', 'questions': 'n/a', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1007, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1033, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 304, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Upper - normal thorax & trachea, upper airway disease likely', 'diagnosis_custom_text': 'No abnormalities noted in the thorax. Given the history of reverse sneezing, an upper airway etiology is considered likely.', '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 reverse sneezing.', 'recommendation_custom_fields': None}, {'id': 1181, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Intestines - Chronic vomit/regurg, +/- weight loss, no xray abnormalities', 'diagnosis_custom_text': 'No radiographic evidence is noted for the described vomiting. There is no evidence of esophageal abnormalities, although cannot be entirely ruled out radiographically. There is no evidence of GI obstruction or foreign body. No thoracic/abdominal masses are noted. Other differentials may include gastritis, gastric ulcers, a systemic illness causing secondary GI signs or an underlying enteropathy.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with history. Can consider barium study or endoscopy to rule out occult esophageal and gastric abnormalities. Abdominal ultrasound, blood work, testing for pancreatitis and/or a gastrointestinal panel may be useful to further investigate intestinal or organ-related causes.', 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2182, 'source': 'labelling', 'history': True, 'confidence': 2, 'signal_name': 'Chronic Vomiting'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2694, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Reverse Sneezing'}], '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': 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': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 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': 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': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', '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': 2659, 'source': 'ai', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2670, 'source': 'labelling', 'signal_name': 'resp signs - upper vs lower'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears enlarged. 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', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo radiographic evidence is noted for the described vomiting. There is no evidence of esophageal abnormalities, although cannot be entirely ruled out radiographically. There is no evidence of GI obstruction or foreign body. No thoracic/abdominal masses are noted. Other differentials may include gastritis, gastric ulcers, a systemic illness causing secondary GI signs or an underlying enteropathy.\nNo abnormalities noted in the thorax. Given the history of reverse sneezing, an upper airway etiology is considered likely.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\n\nRecommendations:\nCorrelate with history. Can consider barium study or endoscopy to rule out occult esophageal and gastric abnormalities. Abdominal ultrasound, blood work, testing for pancreatitis and/or a gastrointestinal panel may be useful to further investigate intestinal or organ-related causes of the vomiting and the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nA more detailed upper airway exam and/or CT and rhinoscopy may be useful for further investigation of the reported reverse sneezing.'}

{'bday': '2014-12-14', 'name': 'Champagne', 'breed': 'Bichon Frise', 'owner': 'White', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Frequent reverse sneezing, Frequent vomiting - usually early morning on an empty stomach with white or yellow foam, not responsive to H1 or H2 blockers.

expert

['Vomiting-FB/obstruction', 'resp signs - upper vs lower']

['Vomiting', 'Chronic vomiting', 'Canine Small Breed', 'Reverse Sneezing']

[]

[256, 2182, 2654, 2694]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-01-05', 'name': 'LUKE', 'breed': 'Mixed - Large', 'owner': 'UPCHURCH', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'address': 'United States - Auburn', 'clinician': 'Dr. Brown'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Vomited this morning twice but ate tonight about 3 hours ago and hasn't vomited. Temp 101.3. Blood tests pending.", 'questions': 'None', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1044, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 457, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 5, 'consult_name': 'Renal - SKD, juvenile or young', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 3, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 2, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1228, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 4, 'consult_name': 'Systemic - No cause for fever of unknown origin', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 545, 'source': 'labelling', 'history': True, 'attention': True, 'confidence': 2, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 607, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2352, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lab-work-pending'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 744, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': {'___s1_': ['moderate']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is a ___s1_ accumulation of fecal material in the colon.'}, {'id': 798, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-small', 'custom_fields': {'___s1_': ['right']}, 'finding_normal_text': 'Small Kidney', 'finding_abnormal_text': 'The ___s1_ kidney measures below normal range. '}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': True, 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2680, 'source': 'labelling', 'attention': False, 'signal_name': 'non-specific-ADR'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is radiopaque material within the stomach which has the appearance of kibble/food. There is a moderate accumulation of formed fecal material in the colon. The right and left kidneys measure 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, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nGiven the normal appearance of the GI tract and clinical history provided, clinical signs may be consistent with a gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion should be considered.\nMild fecal retention. Rule out constipation.\nThe cause of the patient's described fever is not identified in the radiographs provided. Some differentials for causes of fever including infections causing vomiting, urinary tract infections, upper respiratory infections, inflammatory causes (pancreatitis, polyarthritis, auto-immune, etc.), paraneoplastic syndromes should be considered.\nThe small kidneys may indicate renal hypoplasia and less likely chronic renal disease considering the age of the patient.\n\nRecommendations:\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\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 assess gastrointestinal pattern and lab testing for pancreatitis.\nCorrelate with clinical history to rule out constipation.\nCorrelate with minimum database including blood work and urinalysis. Symptomatic treatment may be necessary with follow-up testing if there is no response to treatment.\nConsider an abdominal ultrasound for further investigation of the hypoplastic kidney. Correlate with biochemistry profile and urinalysis."}

{'bday': '2024-01-05', 'name': 'LUKE', 'breed': 'Mixed - Large', 'owner': 'UPCHURCH', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'address': 'United States - Auburn', 'clinician': 'Dr. Brown'}

Vomited this morning twice but ate tonight about 3 hours ago and hasn't vomited. Temp 101.3. Blood tests pending.

standard

['Vomiting-FB/obstruction', 'non-specific-ADR']

['Vomiting', 'Fever/pyrexia', 'Hyporexia', 'Lab work pending']

[]

[256, 545, 607, 2352]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-12-05', 'name': 'Wyand^Luna^^^', 'breed': 'Pit Bull Mix', 'owner': 'Kacy Wyand', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Sumner', 'clinician': 'Emily Moren'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'About 2-3 days ago, Pt was showing coughing symptoms. Pt had been at a dog park 1 week prior to visit. Cough is dry, Seems to be more productive of a cough when pt is excited. Pt dragging hind end on carpet/Pea gravel. Pt eliminated bowels at least 1x in the last week on O bed. Hard stool, Minimal volume. ', 'questions': 'r/o tracheobronchitis', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1033, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with clinical findings and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material, only if clinically warranted.', 'recommendation_custom_fields': None}, {'id': 273, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 4, 'consult_name': 'Cardiomegaly Left - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 295, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'consult_name': 'Resp Bronchial - acute bronchitis ', 'diagnosis_custom_text': 'Bronchial pattern consistent with bronchitis. Considerations to allergic bronchitis, chronic bacterial bronchitis, exposure to a respiratory irritant, heartworm disease, lung worm infection, fungal pneumonia and other inflammatory condition should be given in decreasing order of likelihood. Dynamic airway collapse and infectious tracheobronchitis cannot be entirely ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 303, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 2, 'consult_name': 'Resp Trachea - cough, redundant tracheal membrane', 'diagnosis_custom_text': 'Changes in the trachea are concerning for chondromalacia and may be an early stage of collapsing trachea or\xa0may represent mucus within the trachea.\n\n', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider tracheoscopy if clinical signs warrant further investigation of the increased opacity noted in the tracheal lumen. Alternatively, consider\xa0symptomatic therapy for tracheal collapse. Limiting stress/excitement, avoiding neck leashes and collars, the judicious use of antitussives such as hydrocodone, and possibly anti-inflammatory medications may be considered.', 'recommendation_custom_fields': None}, {'id': 476, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 3, 'consult_name': 'Colon - Constipation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 500, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': 'Intestines - FB small (incidental)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider follow-up radiographs to ensure passage of the described intestinal foreign material, only if clinically warranted. Monitor for development of clinical signs.', 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 243, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Straining to defaecate'}, {'id': 511, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Anal irritation'}, {'id': 512, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Defaecation abnormal - decreased frequency'}, {'id': 2482, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 2, 'signal_name': 'dehydration'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 715, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': 'A bronchial pattern is present. ', 'signal_name': 'lung-pulmonary-pattern', 'custom_fields': None, 'finding_normal_text': 'Bronchial Pulmonary Pattern', 'finding_abnormal_text': 'A bronchial pattern is present. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['small', 'radio-opaque']}, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'id': 744, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': {'___s1_': ['significant']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is a ___s1_ accumulation of fecal material in the colon.'}, {'id': 947, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': {'___s1_': ['.']}, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2259, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': None, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['thoracic inlet']}, 'finding_normal_text': 'Redundant Tracheal Membrane', 'finding_abnormal_text': 'There is increased soft tissue opacity within the ___s1_ region of the trachea. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2661, 'source': 'labelling', 'attention': False, 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2663, 'source': 'ai', 'attention': False, 'signal_name': 'Resp signs - general'}, {'id': 2670, 'source': 'labelling', 'attention': False, 'signal_name': 'resp signs - upper vs lower'}, {'id': 2688, 'source': 'labelling', 'attention': False, 'signal_name': 'straining-constipation'}], 'recommendations': [{'id': 2043, 'state': 'abnormal', 'source': 'ai', 'attention': False, 'recommendation_name': 'ecg-c'}], 'report_findings': 'Thorax\nThe heart measures above the normal range. A bronchial pattern is present. There is increased soft tissue opacity within the thoracic inlet region of the trachea. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is mild distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue material. There is small radio-opaque foreign material located within the small intestine. There is a significant 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, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2319, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone-na', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nBronchial pattern is consistent with bronchitis. Considerations of allergic bronchitis, chronic bacterial bronchitis, exposure to a respiratory irritant, heartworm disease, lungworm infection, fungal pneumonia, and other inflammatory conditions should be given in decreasing order of likelihood. Dynamic airway collapse and infectious tracheobronchitis cannot be entirely ruled out.\nChanges in the trachea are concerning for chondromalacia and may be an early stage of collapsing trachea or\xa0may represent mucus within the trachea.\nFecal retention noted is consistent with constipation.\nThe VHS is calculated above the normal range; however, the cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy.\nGastric material. This is most consistent with digested food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\nSmall intestinal foreign material, as described, is likely to pass on its own. No evidence of obstruction noted. Likely incidental.\n\nRecommendations:\nTherapy for bronchitis is recommended at this time. For further evaluation, endoscopic evaluation, lower airway sampling and a respiratory PCR could be considered if the patient does not respond to medical management.\nConsider tracheoscopy if clinical signs warrant further investigation of the increased opacity noted in the tracheal lumen. Alternatively, consider\xa0symptomatic therapy for tracheal collapse. Limiting stress/excitement, avoiding neck leashes and collars, the judicious use of antitussives such as hydrocodone, and possibly anti-inflammatory medications may be considered.\nTreatment for constipation/obstipation is indicated at this time.\nConsider an echocardiogram and blood pressure measurement for further investigation to rule out underlying cardiac disease.\nCorrelate with clinical findings and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material, only if clinically warranted.\nConsider follow-up radiographs to ensure passage of the described intestinal foreign material, only if clinically warranted. Monitor for development of clinical signs.'}

{'bday': '2018-12-05', 'name': 'Wyand^Luna^^^', 'breed': 'Pit Bull Mix', 'owner': 'Kacy Wyand', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Sumner', 'clinician': 'Emily Moren'}

About 2-3 days ago, Pt was showing coughing symptoms. Pt had been at a dog park 1 week prior to visit. Cough is dry, Seems to be more productive of a cough when pt is excited. Pt dragging hind end on carpet/Pea gravel. Pt eliminated bowels at least 1x in the last week on O bed. Hard stool, Minimal volume.

r/o tracheobronchitis

standard

['Gi signs - Systemic vs general', 'Resp signs - general', 'resp signs - upper vs lower', 'straining-constipation']

['Coughing', 'Straining to defaecate', 'Anal irritation/pruritus', 'Defaecation abnormal - decreased frequency', 'Dehydration', 'Canine Medium/Large Breed']

[]

[69, 243, 511, 512, 2482, 2656]

[]

[]

[]

[]

[]

['ECG']

[]

[2043]

[]

{'patient': {'bday': '2017-12-13', 'name': 'Garcia^Nala Garcia', 'breed': 'Yorkshire Terrier', 'owner': 'Garcia^Candice', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Paw Works Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Thousand Oaks', 'clinician': 'PWVH'}, 'accept_tos': 'true', 'consult_info': {'case_info': '\r\nNala is a 7y FS Yorkshire Terrier that presents for non-weight bearing lameness of the right thoracic limb. evidence of a distal styloid fracture of the RTL. Conservative management with cast placement was used to stabilize the fracture for 8weeks and managed with VMSG. Two weeks ago the cast was removed and the owner noticed that she progressively has been unwilling to ambulate on the right thoracic limb, but no swelling or pain has been observed on the RTL. \r\n\r\n', 'questions': 'recheck fracture ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1016, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1039, 'state': 'abnormal', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 406, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 56.404, 'consult_name': 'Subcut - Swelling, non specific, no trauma', 'diagnosis_custom_text': 'Soft tissue swelling as described. No fractures observed in the associated bony structures. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of soft tissue injury and rest is recommended at this time. If no response to medical management, consider follow-up diagnostics such as recheck radiographs or advanced imaging.', 'recommendation_custom_fields': None}, {'id': 1047, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Forelimb Carpus - arthritis, lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with orthopedic examination. Consider analgesic and exercise restriction and monitor response to therapy. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 177, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 2185, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2545, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}, {'id': 2584, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Articular Fracture'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': {'___s1_': ['articular'], '___s2_': ['right', 'ulnar epiphysis']}, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the right', 'carpus']}, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2446, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': {'___s1_': ['right']}, 'finding_normal_text': 'The carpal joints are unremarkable, no evidence of degenerative changes.', 'finding_abnormal_text': 'There is degenerative joint disease affecting the ___s1_ carpus. '}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}], 'diagnosis': [], 'questions': [{'id': 2674, 'source': 'labelling', 'attention': False, 'signal_name': 'trauma-fractures'}], 'recommendations': [], 'report_findings': 'The soft tissue around the right carpus is noticeable swollen. Additionally, there is evidence of degenerative joint disease affecting the same area.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2291, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2374, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tail', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2446, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': True}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2690, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}], 'report_conclusions': "The imaging shows soft tissue swelling. The nearby bones do not have fractures at this moment. The arthritis noted in the carpus could likely be causing the reported lameness.\nI recommend starting with medical management and rest for the soft tissue injury. If this approach has no improvement, we should consider additional diagnostics, such as follow-up radiographs or more advanced imaging techniques. It's also important to correlate these findings with an orthopedic examination. I suggest prescribing analgesics and restricting exercise while closely monitoring the response to this treatment plan."}

{'bday': '2017-12-13', 'name': 'Garcia^Nala Garcia', 'breed': 'Yorkshire Terrier', 'owner': 'Garcia^Candice', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Paw Works Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Thousand Oaks', 'clinician': 'PWVH'}

Nala is a 7y FS Yorkshire Terrier that presents for non-weight bearing lameness of the right thoracic limb. evidence of a distal styloid fracture of the RTL. Conservative management with cast placement was used to stabilize the fracture for 8weeks and managed with VMSG. Two weeks ago the cast was removed and the owner noticed that she progressively has been unwilling to ambulate on the right thoracic limb, but no swelling or pain has been observed on the RTL.

recheck fracture

standard

['trauma-fractures']

['Panting', 'Lameness', 'Non-weight bearing lameness', 'Articular Fracture', 'Canine Small Breed']

[]

[177, 2185, 2545, 2584, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-07-20', 'name': 'Walsh^Einstein', 'breed': 'Pitbull', 'owner': 'Walsh^Dan', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Hospital & Urgent Care', 'email': '[email protected]', 'address': 'United States - Raleigh', 'clinician': 'SignalPet'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Surgery for GDV on 7/21. Recovering well but suddenly vomiting and inappetant today( 6 days post op). Spleen is concerning in size and location. There does appear to be blood flow on FAST.', 'questions': 'Is this concerning for splenic torsion? ', 'specialty_area': ''}}

{'tags': {'userTags': ['overcall_high_radiographic', 'acceptable', 'five'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['muscle-atrophy', 'panosteitis', 'hypertrophic-osteodystrophy', 'craniomandibular-osteopathy', 'enthesopathy', 'joint-luxation', 'distal-extremity-arthritis', 'osteochondritis-dissecans', "Hypertrophic osteopathy (Marie's disease)", 'joint-effusion', 'Implant Motion/Infection', 'surgical-device', 'agressive-bone-lesion-discospondylitis', 'lung-diffuse-parenchymal']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 221, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Peritoneal - LAD+Gas, post op', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Free fluid and gas noted in the abdomen is consistent with the history of recent surgery. Acute peritonitis cannot be ruled out', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend further work-up and/or additional diagnostics to rule out acute peritonitis.', 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': '', 'recommendation_custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Gastric - Aerophagia', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': '', 'recommendation_custom_fields': None}, {'id': 441, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Intestines - Functional ileus', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Distension of the GI tract with no evidence of obstruction may suggest ileus consistent with history of recent surgery. This may also be due to enteritis of various causes or administration of parasympatholytics and sedatives. Other causes include peritonitis, blunt abdominal trauma, electrolyte imbalance.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider repeat radiographs to further investigate for ileus. Medical management of the clinical signs (if any) may be indicated at this time.', 'recommendation_custom_fields': None}, {'id': 894, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Splenomegaly - Folded spleen', 'isAddressingConcern': False, 'diagnosis_custom_text': 'The spleen appears prominent. Consider folded spleen or abnormal position of the spleen though splenic congestion or torsion cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with abdominal ultrasound to assess and evaluate for splenic congestion or torsion.', 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': None, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 871, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-gas', 'custom_fields': None, 'finding_normal_text': 'Peritoneal gas', 'finding_abnormal_text': 'There is evidence of free gas in the peritoneum. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2315, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': None, 'finding_normal_text': 'stomach-gas', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with ___s2_. '}, {'id': 2436, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': None, 'finding_normal_text': 'diffuse distension of SI', 'finding_abnormal_text': 'There is diffuse distension of the small intestine with ___s1_. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [], 'internal_notes': 'Spleen probably abnormal position post-op; No SIO, changes may be due to post op ileus vs a mechanical obstruction; Acute peritonitis post op cannot be ruled out\n\nThis radiograph is a mess :)', 'recommendations': [], 'report_findings': 'Abdomen\nThe spleen appears enlarged. There is mild distension of the stomach with gas. There is evidence of free gas in the peritoneum. There is mild loss of serosal detail in the abdomen. There is mild 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 lumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 709, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2699, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'sio-colon', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe spleen appears prominent. Consider folded spleen or abnormal position of the spleen though splenic congestion or torsion cannot be ruled out.\nFree fluid and gas noted in the abdomen is consistent with the history of recent surgery. Acute peritonitis cannot be ruled out.\nThe gas distension observed in the GI tract is most consistent with aerophagia.\nDistension of the GI tract with no evidence of obstruction may suggest ileus consistent with history of recent surgery. This may also be due to enteritis of various causes or administration of parasympatholytics and sedatives. Other causes include peritonitis, blunt abdominal trauma, electrolyte imbalance.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nCorrelate with abdominal ultrasound to assess and evaluate for splenic congestion or torsion.\nRecommend further work-up and/or additional diagnostics to rule out acute peritonitis.\nCorrelate with clinical signs and exam for clinical significance of gastric gas distension.\nConsider repeat radiographs to further investigate for ileus. Medical management of the clinical signs (if any) may be indicated at this time.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2019-07-20', 'name': 'Walsh^Einstein', 'breed': 'Pitbull', 'owner': 'Walsh^Dan', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Animal Emergency Hospital & Urgent Care', 'email': '[email protected]', 'address': 'United States - Raleigh', 'clinician': 'SignalPet'}

Surgery for GDV on 7/21. Recovering well but suddenly vomiting and inappetant today( 6 days post op). Spleen is concerning in size and location. There does appear to be blood flow on FAST.

Is this concerning for splenic torsion?

standard

[]

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

[]

[256, 606, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-09-06', 'name': 'Wansitlee^Archer', 'breed': 'Mixed - Small', 'owner': 'Wansitlee^Colton', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'EVS Pet Urgent Care of Northbrook', 'email': '[email protected]', 'clinician': 'EVS Pet Urgent Care '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Archer presented today for coughing. Was at doggy day care yesterday but had been coughing for a few weeks.\r\nArcher was bright, alert, and responsive. Lungs sounded clear on ascultation. I discussed with the owners that coughing could be caused by any number of etiologies including, infection, inflammation, structural, cardiac ect. I discussed that the likelihood of kennel cough which is a generic term for a canine respiratory infection is most likely given the recent history of day care.', 'questions': 'Dry cough. normal energy. UTD on vaccinations and heartworm testing. No chronic conditions/no medications currently being taken', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'excluded', 'source': 'labelling'}, {'id': 1007, 'state': 'excluded', 'source': 'labelling'}, {'id': 1020, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'partial', 'source': 'labelling'}, {'id': 1033, 'state': 'partial', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 297, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 8.21, 'consult_name': 'Resp Bronchial - Normal, infectious tracheobronchitis', 'diagnosis_custom_text': 'No cause for the described respiratory signs has been determined from this radiographic study. Given the history, infectious tracheobronchitis would be the primary differential. Bronchitis or dynamic airway collapse cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider testing and medical management for infectious tracheobronchitis, but consider laryngeal palpation and examination under sedation.', 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 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': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['kibble/food']}}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 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': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nAbdomen\nThere is mild distension of the stomach with the presence of radiopaque material which has the appearance of kibble/food . The rest of the observed abdomen is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo cause for the described respiratory signs has been determined from this radiographic study. Given the history, infectious tracheobronchitis would be the primary differential. Bronchitis or dynamic airway collapse cannot be ruled out.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nConsider testing and medical management for infectious tracheobronchitis, but consider laryngeal palpation and examination under sedation.'}

{'bday': '2023-09-06', 'name': 'Wansitlee^Archer', 'breed': 'Mixed - Small', 'owner': 'Wansitlee^Colton', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'EVS Pet Urgent Care of Northbrook', 'email': '[email protected]', 'clinician': 'EVS Pet Urgent Care '}

Archer presented today for coughing. Was at doggy day care yesterday but had been coughing for a few weeks. Archer was bright, alert, and responsive. Lungs sounded clear on ascultation. I discussed with the owners that coughing could be caused by any number of etiologies including, infection, inflammation, structural, cardiac ect. I discussed that the likelihood of kennel cough which is a generic term for a canine respiratory infection is most likely given the recent history of day care.

Dry cough. normal energy. UTD on vaccinations and heartworm testing. No chronic conditions/no medications currently being taken

standard

['Resp signs - general']

['Coughing', 'Canine Small Breed']

[]

[69, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-07-22', 'name': 'Miller^Bailey', 'breed': 'Shih Tzu', 'owner': 'Miller^Donna', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'I-20 Animal Hospital', 'email': '[email protected]', 'address': 'United States - Hudson Oaks', 'clinician': 'I-20 Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'n/a', 'questions': 'N/A', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Spine - incidental VAN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 239, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 115.028, 'consult_name': 'Gastric - Small FB', 'diagnosis_custom_text': 'Gastric foreign material as described which may pass on its own.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign material.', 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 119, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Health check '}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2657, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], '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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is an accumulation of fecal material in the colon.', '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': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T13']}}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 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': 2483, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'gastric-fb', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['mineralized'], '___s3_': ['with a gravel like appearance']}}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2683, 'source': 'labelling', 'signal_name': 'screening-thorax'}, {'id': 2684, 'source': 'labelling', 'signal_name': 'screening-abdomen'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is moderate distention of the stomach and it contains a mineralized opacity with a gravel like appearance. There is an accumulation of fecal material in the colon. 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.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nThe cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology.\nGastric foreign material as described which may pass on its own.\nVertebral anomaly. Likely incidental.\nMild fecal retention. Rule out constipation.\n\nRecommendations:\nRecommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign material.\nCorrelate with physical exam for clinical significance of the vertebral anomaly.\nCorrelate with clinical history to rule out constipation.'}

{'bday': '2018-07-22', 'name': 'Miller^Bailey', 'breed': 'Shih Tzu', 'owner': 'Miller^Donna', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'I-20 Animal Hospital', 'email': '[email protected]', 'address': 'United States - Hudson Oaks', 'clinician': 'I-20 Animal Hospital'}

standard

['screening-thorax', 'screening-abdomen']

['Health check', 'Canine Small Breed', 'Brachycephalic']

[]

[119, 2654, 2657]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-01-07', 'name': 'Bello', 'breed': 'Domestic Shorthair', 'owner': 'Moore', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Room - San Antonio', 'email': '[email protected]', 'clinician': 'Animal Emergency Room'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P went outside for breakfast, P came back limping, has abdominal/inguinal wound, and tachypneic ', 'questions': 'unkown injury to abdominal/thoracic area', 'specialty_area': ''}}

{'tags': {'userTags': ['standard'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['bone-lesion-spine', 'lumbosacral-degeneration', 'Lumbosacral-stenosis', 'craniomandibular-osteopathy', 'distal-extremity-arthritis', 'tail']}, 'groups': [{'id': 1016, 'state': 'inprogress', 'source': 'rules'}, {'id': 1019, 'state': 'partial', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1037, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1053, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1274, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': 'Gastric - Post prandial ', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Hindlimb Hip - hip OA, no lameness', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 379, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 483, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Negative Thorax - trauma, no contusions', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 893, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Peritoneal - No penetrating wounds, abdomen', 'isAddressingConcern': False, 'diagnosis_custom_text': 'No evidence of penetrating wound in the abdomen. Serosal detail is adequate and there is no evidence of any free peritoneal gas and no herniated viscera noted. However, penetrating wounds cannot always be completely ruled out radiographically. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1251, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Spine general - Bridging spondylosis, no pain', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2185, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2327, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2582, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Abdominal Wall Trauma'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar', 'lumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 19, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['cranially positioned']}, 'finding_normal_text': 'There are no degenerative changes noted in the shoulders. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ shoulder. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 879, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'subcutaneous-gas', 'custom_fields': {'___s1_': ['ventral', 'abdomen']}, 'finding_normal_text': 'Subcutaneous gas', 'finding_abnormal_text': 'There is gas noted in the soft tissue of the ___s1_. '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is radiopaque material within the stomach which has the appearance of digested food. ', 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the ventral', 'abdomen']}, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - general'}, {'id': 2675, 'source': 'labelling', 'attention': False, 'signal_name': 'trauma-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 which has the appearance of digested food. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar and lumbar spine. There is soft tissue swelling involving the ventral abdomen. There are degenerative changes noted in the cranially positioned shoulder. There are degenerative changes affecting the left coxofemoral joint. There is gas noted in the soft tissue of the ventral abdomen. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 722, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesions-of-the-third-phalanx', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2291, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2403, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'sternal-deformity', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2421, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'sternal-degeneration', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2491, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Inter-sternebral narrowing', 'is_locked_out': False}, {'id': 2492, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Sternal-subluxation', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2576, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Bone Lucency', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2586, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Subluxation of Ribs', 'is_locked_out': False}, {'id': 2594, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fractured Rib Cartilages', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2690, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo evidence of penetrating wound in the abdomen. Serosal detail is adequate and there is no evidence of any free peritoneal gas and no herniated viscera noted. However, penetrating wounds cannot always be completely ruled out radiographically.\nNo pulmonary pathology observed at the time of this study.\nDegenerative changes in the shoulder.\nDegenerative joint disease of the hips.\nBridging spondylosis is noted. Likely incidental.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nConsider exploration of the wound to assess extent.\nRecommend follow up thoracic radiographs to assess for ensuing pulmonary contusion.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the shoulder.\nCorrelate with orthopedic examination.'}

{'bday': '2016-01-07', 'name': 'Bello', 'breed': 'Domestic Shorthair', 'owner': 'Moore', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Emergency Room - San Antonio', 'email': '[email protected]', 'clinician': 'Animal Emergency Room'}

P went outside for breakfast, P came back limping, has abdominal/inguinal wound, and tachypneic

unkown injury to abdominal/thoracic area

standard

['Resp signs - general', 'trauma-general']

['Tachypnoea', 'Lameness', 'Feline', 'Abdominal Wall Trauma']

[]

[666, 2185, 2327, 2582]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-12-31', 'name': 'Herrera^Reina', 'breed': 'Labradoodle', 'owner': 'Herrera^Silvia', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'EVS Pet Urgent Care of Reno', 'email': '[email protected]', 'clinician': 'EVS Reno'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Vomiting for the last 2 days, blood in stool just once this afternoon. Vomiting water but will keep the food down but is not eating as much. P likes to eat anything and everything and there is a possibility that she ate something she was not supposed to. 2 other dogs in household do not have any symptoms.', 'questions': 'Abdomen.', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'partial', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 1160, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Soft tissue FB vs. Rugal folds vs. fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1257, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Small intestines - 2 pops (less confident), small foreign material', 'diagnosis_custom_text': 'The changes noted in the small intestines are suspicious for two populations of small intestine. This most commonly represents a mechanical obstruction though severe enteritis cannot be definitively ruled out. Some foreign material is noted and therefore a small intestinal foreign body obstruction must be considered. Differentials include\xa0dietary indiscretion, parasitemia, systemic disease, stress, parasite, hemorrhagic diarrhea syndrome or other cause should be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 92, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2184, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'id': 2475, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 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': 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_': ['soft tissue']}}, {'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': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['rugal folds']}}, {'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': 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}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is radiopaque material within the stomach which has the appearance of rugal folds. There is presence of distension of a portion of small intestine and a population of non-distended intestine. There is soft tissue 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.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': True}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2699, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sio-colon', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nA small, soft-tissue opacity is noted within the stomach, which may represent food/fluid or rugal folds, but foreign material cannot be entirely ruled out. \nChanges in the small intestines are suspicious for two populations of small intestine, most commonly representing a mechanical obstruction, though severe enteritis cannot be definitively ruled out. Some foreign material is noted, therefore a small intestinal foreign body obstruction must be considered. Other differentials include dietary indiscretion, parasitemia, systemic disease, stress, parasites, or other causes.\n\nRecommendations:\nCorrelate with the history of the patient's last meal, last episode of vomiting, and consider an abdominal ultrasound for further investigation of these abnormalities. Alternatively, repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying can also be considered.\nRecommend abdominal ultrasound for further investigation of distended small intestines and confirmation of a possible intestinal obstruction prior to abdominal exploratory surgery. Medical management with follow-up radiographs may also be considered if the patient is closely monitored for any change in status."}

{'bday': '2021-12-31', 'name': 'Herrera^Reina', 'breed': 'Labradoodle', 'owner': 'Herrera^Silvia', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'EVS Pet Urgent Care of Reno', 'email': '[email protected]', 'clinician': 'EVS Reno'}

Vomiting for the last 2 days, blood in stool just once this afternoon. Vomiting water but will keep the food down but is not eating as much. P likes to eat anything and everything and there is a possibility that she ate something she was not supposed to. 2 other dogs in household do not have any symptoms.

Abdomen.

standard

['Vomiting-FB/obstruction', 'Gi signs - Systemic vs general']

['Diarrhea', 'Dietary indiscretion', 'Vomiting', 'Hyporexia', 'Suspected foreign body ingestion', 'Hematochezia', 'Canine Medium/Large Breed']

[]

[76, 92, 256, 607, 2184, 2475, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-05-10', 'name': 'Liberty', 'breed': 'Dachsund', 'owner': 'Mitchell', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Town and Country Animal Hospital - Fairfax', 'email': '[email protected]', 'address': 'United States - Fairfax', 'clinician': 'tnc9836'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'has megaesophagus; 10 days ago diagnosed with aspiration pneumonia - recheck of this', 'questions': 'pneumonia still present? ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1024, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 258, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Esoph - EFB vs. hiatal hernia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 326, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Parenchymal - follow up, pneumonia improved', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2658, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'chondrodysplastic'}], '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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': {'___s1_': ['soft tissue'], '___s2_': ['caudal thoracic']}}, {'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_': ['focal'], '___s2_': ['caudal thoracic']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [{'id': 2057, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pneumonia - aspiration'}], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], 'recommendations': [{'id': 2160, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Megaesophagus-c'}], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nA soft tissue opacity foreign body is present in the caudal thoracic esophagus. There is focal distention of the caudal thoracic esophagus. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2314, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-displacement', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2372, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs-na', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2572, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Hiatal hernia', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nDiffuse esophageal distention with soft tissue opacity at the caudal thoracic esophagus. The possible diagnoses include hiatal hernia, food/esophageal foreign body, and less likely, mass lesion or esophagitis. \nPersistent parenchymal pattern present, though appears improved compared to the previous study.\n\nRecommendations:\nConsider endoscopy or contrast study for further investigation of the described soft tissue opacity. Many pets with megaesophagus will have food stuck in the caudal esophagus.\nContinue antibiotic therapy and recheck radiographs in 2-4 weeks to monitor the persistent lung pattern.'}

{'bday': '2011-05-10', 'name': 'Liberty', 'breed': 'Dachsund', 'owner': 'Mitchell', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

has megaesophagus; 10 days ago diagnosed with aspiration pneumonia - recheck of this

pneumonia still present?

standard

['Resp signs - general']

['Canine Small Breed', 'Chondrodysplastic']

[]

[2654, 2658]

[]

['Pneumonia - aspiration']

[]

[2057]

[]

['Megaesophagus C']

[]

[2160]

[]

{'patient': {'bday': '2024-05-19', 'name': 'SWETT^BUDDY', 'breed': 'Maltese', 'owner': 'SWETT^SANDIE', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Newaukum Valley Veterinary Services', 'email': '[email protected]', 'address': 'United States - Chehalis', 'clinician': 'Newaukum Valley Veterinary Services'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'O fell on p yesterday and is now non-weight bearing on right hind leg. ', 'questions': 'Besides green stick fracture of right tibia, would like further assessment of hips (if possible) ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1016, 'state': 'ready', 'source': 'rules'}, {'id': 1019, 'state': 'partial', 'source': 'rules'}, {'id': 1029, 'state': 'inprogress', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1032, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'inprogress', 'source': 'rules'}, {'id': 1043, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1293, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 222, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Peritoneal - Juvenile LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 392, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'M/S Limb Fracture - acute fracture', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 880, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 136.019, 'consult_name': 'limited evaluation', 'diagnosis_custom_text': 'Limited evaluation of the hips due to patient positioning. There is no obvious pathology but fractures can not be ruled out due to severe rotation of the hips.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Due to limited evaluation, consider additional radiographic views or advanced imaging if a more thorough evaluation is needed. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 259, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 2185, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2345, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2545, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}, {'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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': {'___s1_': ['non displaced', 'transverse', 'greenstick'], '___s2_': ['right', 'tibial diaphysis']}}, {'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': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['mild']}}, {'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': 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': 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}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2674, 'source': 'labelling', 'signal_name': 'trauma-fractures'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is mild loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is a non displaced transverse greenstick fracture of the right tibial diaphysis. The rest of the observed musculoskeletal system is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 705, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-fluid', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2319, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone-na', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2573, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tibia Displacement', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2638, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nEvidence of appendicular fracture as described.\nLimited evaluation of the hips due to patient positioning, no obvious pathology but fractures cannot be ruled out due to severe rotation of the hips.\nAbdominal detail loss presumably from immaturity, ascites not excluded.\n\nRecommendations:\nSummary:\nRecommend analgesics and stabilization with strict cage rest, +/- orthopedic consultation for the described appendicular fracture. Consider additional radiographic views or advanced imaging if a more thorough evaluation is needed.'}

{'bday': '2024-05-19', 'name': 'SWETT^BUDDY', 'breed': 'Maltese', 'owner': 'SWETT^SANDIE', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Newaukum Valley Veterinary Services', 'email': '[email protected]', 'address': 'United States - Chehalis', 'clinician': 'Newaukum Valley Veterinary Services'}

O fell on p yesterday and is now non-weight bearing on right hind leg.

Besides green stick fracture of right tibia, would like further assessment of hips (if possible)

expert

['trauma-fractures']

['Traumatic injury', 'Lameness', 'Hindlimb lameness', 'Non-weight bearing lameness', 'Canine Small Breed']

[]

[259, 2185, 2345, 2545, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-09-16', 'name': 'BANG^HUXLEY', 'breed': 'Labrador Retriever', 'owner': 'BANG^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Best Care Animal Hospital Matthews & Charlotte', 'email': '[email protected]', 'clinician': 'Best Care Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presents for poss. fb. \r\nhasnt seemed like normal self \r\nthrown up about 4 time, treats and white foam, managed to eat dinner, then threw up 6 am this morning\r\nvery restless \r\ncant get comfortble. \r\nc/s? none \r\nmeds? none, simp trio \r\nq/c/i? might have eaten something, ate soap yesterday, does normally get into the trash\r\n', 'questions': 'Possible FB- O isnt sure if P ate something. ', 'specialty_area': ''}}

{'tags': {'userTags': ['expert'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['fluid-wispy', 'summation-structures', 'splenic-nodule', 'splenic-mass', 'liver-mass', 'right-heart-enlargement']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1013, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 242, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Intestines - 2 pops(confident), with FB', 'isAddressingConcern': False, 'diagnosis_custom_text': 'The changes in the GI tract are consistent with small intestinal obstruction likely secondary to foreign material. A concurrent stricture or intestinal lesion cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 424, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Repros - PMG, intact male, asymptomatic', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 878, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Gastric - acute vomiting, GAD, fluid-filled', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Moderate distension of the stomach with gas is observed. Consider aerophagia, or outflow obstruction/proximal intestinal obstruction.\xa0', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '.', 'recommendation_custom_fields': None}], 'signals': [{'id': 23, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Agitated'}, {'id': 92, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 256, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 15, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-obstruction', 'custom_fields': None, 'finding_normal_text': 'Two Populations of Small Intestine', 'finding_abnormal_text': 'There is presence of distension of a portion of small intestine and a population of non-distended intestine. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is radio-opaque foreign material located within the small intestine. It is noted in the left abdomen on the vd view, lateral to L2-L3 and on the lateral views in the mid abdomen.', 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['radio-opaque']}, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'id': 1635, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'The prostate is prominent. ', 'signal_name': 'prostate-visible', 'custom_fields': None, 'finding_normal_text': 'Prostate Visible', 'finding_abnormal_text': 'The prostate is prominent. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2315, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': {'___s1_': ['moderate']}, 'finding_normal_text': 'stomach-gas', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with ___s2_. '}, {'id': 2698, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is presence of distension of a portion of proximal duodenum on the left lateral view.', 'signal_name': 'proximal-duodenum-distension', 'custom_fields': None, 'finding_abnormal_text': 'There is presence of distension of a portion of proximal duodenum with the rest of the intestinal population non-distended.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is moderate distension of the stomach with ___s2_. There is presence of distension of a portion of small intestine and a population of non-distended intestine. There is radio-opaque foreign material located within the small intestine. It is noted in the left abdomen on the vd view, lateral to L2-L3 and on the lateral views in the mid abdomen. The prostate is prominent. There is presence of distension of a portion of proximal duodenum on the left lateral 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, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 707, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'prostate-mineralization', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'prostate-visible', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2254, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'utd-secondary-to-fetus', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2451, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Prostate-fp', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2699, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'sio-colon', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nModerate distension of the stomach with gas is observed. Consider aerophagia, or outflow obstruction/proximal intestinal obstruction.\nThe changes in the GI tract are consistent with small intestinal obstruction likely secondary to foreign material. A concurrent stricture or intestinal lesion cannot be ruled out.\nIncreased size of the prostate gland is likely secondary to benign hypertrophy being an intact male.\n\nRecommendations:\n.\nRecommend surgical exploration of the abdomen.\nCorrelate with rectal exam and clinical signs for clinical significance of the enlarged prostate.'}

{'bday': '2023-09-16', 'name': 'BANG^HUXLEY', 'breed': 'Labrador Retriever', 'owner': 'BANG^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Presents for poss. fb. hasnt seemed like normal self thrown up about 4 time, treats and white foam, managed to eat dinner, then threw up 6 am this morning very restless cant get comfortble. c/s? none meds? none, simp trio q/c/i? might have eaten something, ate soap yesterday, does normally get into the trash

Possible FB- O isnt sure if P ate something.

standard

['Vomiting-FB/obstruction']

['Agitated/restless', 'Dietary indiscretion', 'Vomiting', 'Canine Medium/Large Breed']

[]

[23, 92, 256, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-08-16', 'name': 'VALENTINE', 'breed': 'Domestic Shorthair', 'owner': 'RIEBE', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'address': 'United States - Auburn', 'clinician': 'Dr. Rule'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Valentine has been healthy up until this year with more problems with asthma that has been treated for several years.He gets prednisolone 1 mg PRN.Reduced appetite started 8/7/24.Radiographs on 8/12 and steroid shot.He was more active and started eating as well.His appetite has continued to decrease and as of yesterday, he has been completely anorexic.Drinking and urinating normally.No coughing recently.On presentation, Valentine was QAR.mm pink, moist;.Dysnpea.No auscultable heart murmurs.', 'questions': '\xa0R/O: \xa0Congestive heart failtard, asthma, neoplasia.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1006, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1023, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}, {'id': 1034, 'state': 'partial', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1095, 'state': 'partial', 'source': 'labelling'}, {'id': 1274, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 185, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Hepatomegaly- severe(ill)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 195, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Spleen feline - Visible', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'consult_name': 'Spine - incidental VAN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 293, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 37.027, 'consult_name': 'Resp Bronchial - Feline, bronchitis, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with clinical history and/or additional diagnostics and continue medical management for lower airway disease/bronchitis.', 'recommendation_custom_fields': None}, {'id': 328, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Resp Neoplasia - TMS fp', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 333, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Parenchymal - pleural effusion, CVP/CDP, lung lobe collapse', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Spine - TID/CID with spondylosis', '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': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2175, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart-Murmur'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 6, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pleural-effusion', 'custom_fields': {'___s1_': ['severe']}, 'finding_normal_text': 'Pleural Fluid', 'finding_abnormal_text': 'There is evidence of a ___s1_ amount of fluid in the pleural space.'}, {'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', 'lumbosacral']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 714, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-diffuse-parenchymal', 'custom_fields': {'___s1_': ['entire'], '___s2_': ['mixed interstitial to alveolar pattern']}, 'finding_abnormal_text': 'There is increased opacity throughout the ___s1_ lung field, characterized as a ___s2_ .'}, {'id': 715, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pulmonary-pattern', 'custom_fields': None, 'finding_normal_text': 'Bronchial Pulmonary Pattern', 'finding_abnormal_text': 'A bronchial pattern is present. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 1937, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-visible', 'custom_fields': {'___s1_': ['normal']}, 'finding_normal_text': 'Spleen Visible', 'finding_abnormal_text': 'The spleen is visualized in the cranioventral abdomen and has a ___s1_ appearance.'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2158, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T13']}, 'finding_normal_text': 'Vertebral Anomaly', 'finding_abnormal_text': 'Vertebral anomaly is noted at ___s1_. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L7-S1']}, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2366, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'thoracic-mass-fp', 'custom_fields': None, 'finding_normal_text': 'False positive thoracic mass', 'finding_abnormal_text': 'The described thoracic mass is suspected to be secondary to overlap of soft tissue structures in the region.'}], 'diagnosis': [], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [{'id': 976, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Corticosteroid'}, {'id': 2227, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Feline asthma'}], 'report_findings': 'Thorax\nA bronchial pattern is present. The described thoracic mass is suspected to be secondary to overlap of soft tissue structures in the region. There is evidence of a severe amount of fluid in the pleural space. There is increased opacity throughout the entire lung field, characterized as a mixed interstitial to alveolar pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The spleen is visualized in the cranioventral abdomen and has a normal appearance. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic and lumbosacral spine. Vertebral anomaly is noted at ,T13. There is intervertebral disc space narrowing at L7-S1. 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', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spleen-visible', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe clinical signs are attributed to the large volume of pleural effusion, an underlying cause for which is not determined during this evaluation. No clear pulmonary lesion is detected, nor is there vascular distention or cardiomegaly. There is collapse of the described lung which may be atelectasis or a pulmonary lesion is possible.\nBronchial pattern is consistent with lower airway disease/bronchitis. Differentials include feline asthma, chronic inhaled irritants, infectious etiologies (bacterial) and parasitic (including heartworm disease).\nThe increased opacity noted in the thorax is suspected to be secondary to overlap of soft tissue structures in the region. Primary lung tumor, lymph node, or consolidated lung considered less likely.\nHepatomegaly consistent with active infiltration. Rule out neoplasia versus inflammatory or benign causes.\nVisualization of the spleen may be normal variation or due to infiltrative disease such as lymphosarcoma, mast cell neoplasia, or other.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\nVertebral anomaly. Likely incidental.\n\nRecommendations:\nConsider thoracentesis and fluid analysis followed by recheck radiographs for further investigation of the large volume of pleural effusion and collapse of the lung.\nCorrelate with clinical history and/or additional diagnostics and continue medical management for lower airway disease/bronchitis.\nConsider additional radiographic views or follow-up radiographs to further investigate and/or monitor progression of the increased opacity noted in the thorax.\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling , or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nConsider abdominal ultrasound to further investigate clinical significance of the visualized spleen and if enlargement is confirmed an FNA sample is recommended.\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 physical exam for clinical significance of the vertebral anomaly.'}

{'bday': '2011-08-16', 'name': 'VALENTINE', 'breed': 'Domestic Shorthair', 'owner': 'RIEBE', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'address': 'United States - Auburn', 'clinician': 'Dr. Rule'}

Valentine has been healthy up until this year with more problems with asthma that has been treated for several years.He gets prednisolone 1 mg PRN.Reduced appetite started 8/7/24.Radiographs on 8/12 and steroid shot.He was more active and started eating as well.His appetite has continued to decrease and as of yesterday, he has been completely anorexic.Drinking and urinating normally.No coughing recently.On presentation, Valentine was QAR.mm pink, moist;.Dysnpea.No auscultable heart murmurs.

 R/O:  Congestive heart failtard, asthma, neoplasia.

standard

['Resp signs - heart/lungs']

['Dyspnoea', 'Hyporexia', 'Feline']

['Heart Murmur']

[50, 607, 2327]

[2175]

[]

[]

[]

[]

['Corticosteroid', 'Feline asthma']

[]

[976, 2227]

[]

{'patient': {'bday': '2022-12-14', 'name': 'Batten^Josie', 'breed': 'Dachshund Mix', 'owner': 'Batten^Naqdi', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'address': 'Canada - Vancouver', 'clinician': 'Dr. Grubac'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Fell 2 stories, hematochezia/diarrhea, pale/cyanotic mucous membranes. Oxygen dependent. BRadycardia - responded to Atropine. Harsh lung sounds. Started on conservative IVF rate.', 'questions': 'For radiographs, given Butorphanol . Concern for diaphragmatic hernia +/- pneumothorax. Fractured left hind leg', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'rules'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1019, 'state': 'partial', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'inprogress', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'partial', 'source': 'rules'}, {'id': 1030, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1034, 'state': 'partial', 'source': 'rules'}, {'id': 1040, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 253, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'elapsedTime': 114.696, 'consult_name': 'Colon - hematochezia/diarrhea, normal gut', 'diagnosis_custom_text': 'Given the history, colitis related to shock is considered likely, however, dietary indiscretion, stress, parasite, hemorrhagic diarrhea syndrome or other cause cannot be ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'If there is no response to treatment and gastrointestinal symptoms progress, consider further testing with fecal testing.', 'recommendation_custom_fields': None}, {'id': 291, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Cardiac - Hypovolemia, microcardia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 370, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 28.594, 'consult_name': 'Pelvis - trauma, pelvic fracture', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Analgesics and cage confinement is recommended. Once stabilized, an orthopedic consultation to discuss surgical vs. non-surgical treatment options is recommended for pelvic fractures.', 'recommendation_custom_fields': None}, {'id': 385, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Spine - TID/CID, asymptomatic', 'diagnosis_custom_text': 'Evidence of disc space narrowing and mineralized discs as indicated.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'For further evaluation of the spinal abnormalities, correlate with a physical & neurological exam for clinical significance.', 'recommendation_custom_fields': None}, {'id': 699, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 219.504, 'consult_name': 'Resp Parenchymal - resp signs, trauma, CVP/CDP, pulmonary contusions', 'diagnosis_custom_text': 'The increased opacity noted in the lung is consistent with pulmonary contusion secondary to reported trauma. There is evidence of pleural fluid, likely hemorrhage secondary to trauma. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Continue with aggressive stabilization of the patient with supplemental oxygen, IV fluids, pain management and other treatment (+/- blood transfusion) as indicated. A CBC and biochemistry profile are recommended. Consider therapeutic thoracocentesis with fluid analysis/cytology. Close respiratory and cardiac monitoring is indicated.', 'recommendation_custom_fields': None}, {'id': 770, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 36.260000000000005, 'consult_name': 'M/S GEN - joint luxation/dislocation', 'diagnosis_custom_text': 'Tarsometatarsal joint luxation with soft tissue swelling noted, as described. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend closed reduction for the described luxation, otherwise orthopedic consultation may be considered once stabilized.', 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 259, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 677, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Cyanotic mucous membrane'}, {'id': 2326, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'sedated'}, {'id': 2475, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2530, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'patient-fell'}, {'id': 2536, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lung-crackles-sounds'}, {'id': 2647, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Bradycardia'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2658, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'chondrodysplastic'}], 'findings': [{'id': 6, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pleural-effusion', 'custom_fields': {'___s1_': ['moderate']}}, {'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': 16, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fracture-pelvis-fracture', 'custom_fields': {'___s1_': ['left', 'body of the ilium']}}, {'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': 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': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'joint-luxation', 'custom_fields': {'___s1_': ['left', 'tarsometatarsal']}}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the left', 'distal', 'hock']}}, {'id': 2279, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['left'], '___s3_': ['unstructured interstitial pattern']}}, {'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_': ['L6-L7']}}, {'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': 2402, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'mineralized-disk', 'custom_fields': {'___s1_': ['T8-T9', 'L2-L3', 'L5-L6']}}, {'id': 2414, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'caudal-vena-cana-sm', 'custom_fields': None}, {'id': 2415, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'microcardia', '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': [], 'questions': [], 'recommendations': [], 'report_findings': 'Thorax\nThe caudal vena cava appears to be narrowed. The cardiac silhouette appears small in size. There is a moderate increased opacity in the left cranioventral lung field, characterized as a unstructured interstitial pattern . There is evidence of a moderate amount of fluid in the pleural space. The rest of the observed thorax is within normal limits.\n\nMusculoskeletal\nThere is a fracture of the left body of the ilium. There is intervertebral disc space narrowing at L6-L7. There is evidence of mineralized disc material noted at T8-T9, L2-L3 and L5-L6. There is soft tissue swelling involving the left distal hock. There is luxation of the left tarsometatarsal joint. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of digested food admixed with unidentified soft tissue material. The rest of the observed abdomen is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': True}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2508, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pelvic-fracture-fp', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2638, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe increased lung opacity is consistent with pulmonary contusion secondary to reported trauma, with evidence of pleural fluid likely hemorrhage. Microcardia and a small caudal vena cava are consistent with hypovolemia. Evidence of pelvic fractures and tarsometatarsal joint luxation with soft tissue swelling noted. Colitis related to shock is considered likely, however, other causes such as dietary indiscretion, stress, parasite, or hemorrhagic diarrhea syndrome cannot be ruled out. Evidence of disc space narrowing and mineralized discs is also indicated. Gastric material noted is consistent with food/recent meal.\n\nRecommendations:\nSummary:\nContinue aggressive stabilization of the patient with supplemental oxygen, IV fluids, pain management, and other treatment (+/- blood transfusion) as indicated. Cage confinement is indicated. A CBC and biochemistry profile are recommended. Consider therapeutic thoracocentesis if respiratory distress is significant. Fluid should be sent for fluid analysis/cytology. Close respiratory and cardiac monitoring is indicated.\nOnce stabilized, consult orthopedics for discussion of surgical vs. non-surgical treatment options for pelvic fractures.\nConsider closed reduction for the described luxation, otherwise, consult orthopedics once stabilized.\nIf there is no response to treatment and gastrointestinal symptoms progress, consider further testing with fecal testing.\nCorrelate with a physical & neurological exam for clinical significance of the spinal abnormalities identified.'}

{'bday': '2022-12-14', 'name': 'Batten^Josie', 'breed': 'Dachshund Mix', 'owner': 'Batten^Naqdi', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'address': 'Canada - Vancouver', 'clinician': 'Dr. Grubac'}

Fell 2 stories, hematochezia/diarrhea, pale/cyanotic mucous membranes. Oxygen dependent. BRadycardia - responded to Atropine. Harsh lung sounds. Started on conservative IVF rate.

For radiographs, given Butorphanol . Concern for diaphragmatic hernia +/- pneumothorax. Fractured left hind leg

expert

[]

['Diarrhea', 'Traumatic injury', 'Mucous membranes abnormal - cyanosed', 'Sedated', 'Hematochezia', 'Fell/dropped', 'Lung crackles/lung sounds', 'Bradycardia', 'Canine Small Breed', 'Chondrodysplastic']

[]

[76, 259, 677, 2326, 2475, 2530, 2536, 2647, 2654, 2658]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-05-08', 'name': 'JONES^MAX^^^', 'breed': 'Shih Tzu', 'owner': 'Misty', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Katy'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'e/d decreased since beginning of month. no V/D/C/S. o unsure if pt ate anything', 'questions': 'foreign body', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1022, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1023, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'empty', 'source': 'labelling'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 264, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Contrast, no 2 pops, no FB', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1230, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Contrast medium noted in the stomach. ', 'diagnosis_custom_text': 'The contrast appears to be highlighting material within the stomach. This may represent food however foreign material cannot be entirely ruled out. Given that it appears there is accumulation of material some considerations would be a possible\xa0pyloric outflow obstruction, pyloric hypertrophy, gastro-duodenal intussusception.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': "Correlate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying. Alternatively, consider abdominal ultrasound and endoscopy for further investigation.", 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'Coughing'}, {'id': 76, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'Diarrhea-c'}, {'id': 230, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'Sneezing'}, {'id': 256, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 619, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Thirst decreased'}, {'id': 2532, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'barium-study'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], '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': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The contrast appears to be highlighting material in the stomach most notably at the pylorus. On the VD it appears to be an accumulation of material rather than a distinctive intact foreign body.', 'elapsedTime': 76.231, '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': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2193, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Stifle', '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': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2680, 'source': 'labelling', 'signal_name': 'non-specific-ADR'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe contrast appears to be highlighting material in the stomach most notably at the pylorus. On the VD it appears to be an accumulation of material rather than a distinctive intact foreign body. 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': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': False}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': "Conclusions:\nThe contrast appears to be highlighting material within the stomach. This may represent food however foreign material cannot be entirely ruled out. Given that it appears there is accumulation of material some considerations would be a possible\xa0pyloric outflow obstruction, pyloric hypertrophy, gastro-duodenal intussusception.\nThe contrast appears to be passing through the intestinal tract as expected with no definitive evidence of obstruction, foreign body, or plication.\n\nRecommendations:\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying. Alternatively, consider abdominal ultrasound and endoscopy for further investigation."}

{'bday': '2015-05-08', 'name': 'JONES^MAX^^^', 'breed': 'Shih Tzu', 'owner': 'Misty', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

e/d decreased since beginning of month. no V/D/C/S. o unsure if pt ate anything

foreign body

standard

['non-specific-ADR']

['Hyporexia', 'Drinking less', 'Barium study', 'Canine Small Breed']

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

[607, 619, 2532, 2654]

[69, 76, 230, 256]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-08-30', 'name': 'Soto^Nicky', 'breed': 'Chihuahua Mix', 'owner': 'Soto^Fabiola', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Carroll County Animal Hospital on Columbia Drive ', 'email': '[email protected]', 'address': 'United States - Carrollton', 'clinician': 'Adrian Nunn'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'attacked by dog, hernia palpable in right inguinal region', 'questions': 'any intra-abdominal / organ trauma?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Gastric - Post prandial ', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1069, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Peritoneal - Trauma and PEG', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1084, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Subcut - Inguinal hernia', 'isAddressingConcern': True, 'diagnosis_custom_text': 'The subcutaneous gas noted is consistent with external puncture wounds, there is\xa0 evidence of penetrating wounds into the abdomen;\xa0 herniated viscera and peritoneal gas observed. An inguinal hernia is present.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 37, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Bitten'}, {'id': 259, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 509, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Abdominal injury'}, {'id': 2582, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Abdominal Wall Trauma'}, {'id': 2654, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2658, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'chondrodysplastic'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 871, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-gas', 'custom_fields': None, 'finding_normal_text': 'Peritoneal gas', 'finding_abnormal_text': 'There is evidence of free gas in the peritoneum. '}, {'id': 879, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'subcutaneous-gas', 'custom_fields': {'___s1_': ['dorsal', 'lumbar spine', 'ventral', 'abdominal wall']}, 'finding_normal_text': 'Subcutaneous gas', 'finding_abnormal_text': 'There is gas noted in the soft tissue of the ___s1_. '}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2291, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'abdominal-hernia', 'custom_fields': {'___s1_': ['small intestines'], '___s2_': ['inguinal region']}, 'finding_normal_text': 'Abdominal Hernia', 'finding_abnormal_text': 'There is evidence of herniation of ___s1_ through the ___s2_. \r\n'}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2500, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a wispy soft tissue opacity noted over the entire abdominal organs in the abdomen.', 'elapsedTime': 13.719, 'signal_name': 'fluid-wispy', 'custom_fields': {'___s1_': [], '___s2_': []}, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [], '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, which has the appearance of digested food admixed with unidentified soft tissue material. There is evidence of free gas in the peritoneum. There is evidence of herniation of small intestines through the inguinal region. A wispy soft tissue opacity is noted over the entire abdominal organs in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. There is gas noted in the soft tissue of the dorsal lumbar spine ventral abdominal wall. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2291, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2319, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone-na', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe subcutaneous gas noted is consistent with external puncture wounds; there is evidence of penetrating wounds into the abdomen;\xa0 herniated viscera and peritoneal gas observed. An inguinal hernia is present.\nWith the given history and evidence of free gas in the peritoneum, there is concern for a penetrating abdominal wound. Laceration of abdominal organs cannot be determined or ruled out based on radiographs alone.\nSpondylosis deformans. Likely incidental.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nCorrelate with a physical exam and consider abdominal ultrasound for further investigation. Surgical repair is often necessary in similar cases.\nExplore of the wound and abdomen would be indicated.'}

{'bday': '2014-08-30', 'name': 'Soto^Nicky', 'breed': 'Chihuahua Mix', 'owner': 'Soto^Fabiola', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Carroll County Animal Hospital on Columbia Drive ', 'email': '[email protected]', 'address': 'United States - Carrollton', 'clinician': 'Adrian Nunn'}

attacked by dog, hernia palpable in right inguinal region

any intra-abdominal / organ trauma?

standard

[]

['Bitten/attacked by other animal', 'Traumatic injury', 'Abdominal injury', 'Abdominal Wall Trauma', 'Canine Small Breed', 'Chondrodysplastic']

[]

[37, 259, 509, 2582, 2654, 2658]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-06-18', 'name': 'Watson^Rose', 'breed': 'Pointer, German Shorthaired', 'owner': 'Watson^Katie', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'I-20 Animal Hospital', 'email': '[email protected]', 'clinician': 'I-20 Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'presented for increased RR/RE , lethargy ', 'questions': 'POCUS - effusion, abdominal+ pericardial ', 'specialty_area': ''}}

{'tags': {'userTags': ['expert'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['Incomplete study/missing orthogonal view', 'liver-mass', 'splenic-mass', 'splenic-nodule']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1006, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1021, 'state': 'inprogress', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}, {'id': 1272, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 219, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Peritoneal - LAD, no trauma', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Other differentials for peritoneal effusion include low oncotic pressure, portal hypertension, a neoplastic effusion, abdominal hemorrhage, septic or non septic peritonitis etc.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 276, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Cardiomegaly Gen - symptomatic, failure', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Generalized cardiomegaly consistent with a cardiomyopathy. Given the pleural effusion and peritoneal effusion, there is concern for right sided heart failure. Concurrent pericardial effusion cannot be entirely ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Gastric - Aerophagia', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1209, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Resp Neoplasia - Poss TMS, severe effusion', 'isAddressingConcern': False, 'diagnosis_custom_text': 'In addition to the cardiovascular changes, pleural effusion with potential mass lesion in the thorax may be concerning for malignant neoplasia. Overlying soft tissue structures in the region or unusual atelectasis cannot be completely ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 2179, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 6, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pleural-effusion', 'custom_fields': {'___s1_': ['moderate']}, 'finding_normal_text': 'Pleural Fluid', 'finding_abnormal_text': 'There is evidence of a ___s1_ amount of fluid in the pleural space.'}, {'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 714, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-diffuse-parenchymal', 'custom_fields': None, 'finding_abnormal_text': 'There is increased opacity throughout the ___s1_ lung field, characterized as a ___s2_ .'}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['severe']}, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a suspicious soft tissue mass noted in the right thorax. ', 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2315, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': {'___s1_': ['moderate']}, 'finding_normal_text': 'stomach-gas', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with ___s2_. '}, {'id': 2318, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly-na', 'custom_fields': None, 'finding_normal_text': 'liver-hepatomegaly-na', 'finding_abnormal_text': 'There is not enough visibility of the liver to determine size or shape. '}, {'id': 2500, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': {'___s1_': ['intestines', 'kidneys'], '___s2_': ['cranial', 'caudal', 'dorsal', 'ventral', 'cranioventral', 'caudodorsal', 'mid']}, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [], 'recommendations': [], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart ___s1_. There is a suspicious soft tissue mass noted in the right thorax. There is evidence of a moderate amount of fluid in the pleural space. There is increased opacity throughout the ___s1_ lung field, characterized as a ___s2_ . The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is not enough visibility of the liver to determine size or shape. There is moderate distension of the stomach with ___s2_. There is severe 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. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 886, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2318, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly-na', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2563, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node', 'is_locked_out': False}, {'id': 2564, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Sternal lymph node', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2664, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGeneralized cardiomegaly consistent with a cardiomyopathy. Given the pleural effusion and peritoneal effusion, there is concern for right sided heart failure. Concurrent pericardial effusion cannot be entirely ruled out.\nIn addition to the cardiovascular changes, pleural effusion with potential mass lesion in the thorax may be concerning for malignant neoplasia. Overlying soft tissue structures in the region or unusual atelectasis cannot be completely ruled out.\nOther differentials for peritoneal effusion include low oncotic pressure, portal hypertension, a neoplastic effusion, abdominal hemorrhage, septic or non septic peritonitis etc.\nThe gas distension observed in the GI tract is most consistent with aerophagia.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nConsider an echocardiogram and blood pressure for further investigation of the described cardiomegaly. Consultation with a cardiologist for medication recommendations may also be considered.\nConsider thoracocentesis, fluid analysis, and repeat radiographs to further refine the diagnosis of the potential pulmonary mass lesion. Thoracic ultrasound with FNA sampling +/- CT scan may also be considered to confirm.\nFor further assessment, advise abdominocentesis for analysis and cytology +/- an abdominal ultrasound.'}

{'bday': '2014-06-18', 'name': 'Watson^Rose', 'breed': 'Pointer, German Shorthaired', 'owner': 'Watson^Katie', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'I-20 Animal Hospital', 'email': '[email protected]', 'clinician': 'I-20 Animal Hospital'}

presented for increased RR/RE , lethargy

POCUS - effusion, abdominal+ pericardial

standard

[]

['Lethargic/tired', 'Respiratory distress', 'Canine Medium/Large Breed']

[]

[131, 2179, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-06-23', 'name': 'deleon^simba^^^', 'breed': 'Shih Tzu', 'owner': 'Michelle Deleon', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'address': 'United States - Katy ', 'clinician': 'Affordable Pet Clinic Katy'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Hasn't pooped since Sunday night. Limping back right leg. Brother fell on the dog. E/D normal. C/S/V/D none.", 'questions': 'Sent home with Gabapentin.', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'rules'}, {'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'partial', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'inprogress', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1032, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'normal', 'source': 'rules'}, {'id': 1095, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 252, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Colon - No constipation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 391, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - no cause for lameness', 'diagnosis_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. Given the history of trauma, soft tissue injury is most likely.", 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1075, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Food bloat', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 65, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Collapsed'}, {'id': 259, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 512, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Defaecation abnormal - decreased frequency'}, {'id': 2345, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 10, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['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': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2285, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['digested food admixed with unidentified soft tissue material']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', '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': 2673, 'source': 'ai', 'signal_name': 'neoplasia-musculoskeletal'}], 'recommendations': [{'id': 959, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Analgesic'}], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nAbdomen\nThere is moderate distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue material. The rest of the observed abdomen is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2573, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tibia Displacement', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2638, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe cause of the patient's clinical signs is not identified in the radiographs provided. However, given the history of trauma, soft tissue injury is most likely. There is no indication of constipation noted on the radiographs. Severe distension of the stomach with soft tissue opacity material and no evidence of torsion is consistent with a possible food bloat. Foreign material cannot be definitively ruled out.\n\nRecommendations:\nRecommend medical management for soft tissue injury and exercise restriction. If there is no response to treatment or if the exam suggests more than a soft tissue injury, consider sedation and additional views of the region of interest +/- orthopedic consult.\nCorrelate with rectal exam and clinical signs to further investigate for constipation.\nConsider medical management and follow-up radiographs to check for passage of the material through the GI tract."}

{'bday': '2024-06-23', 'name': 'deleon^simba^^^', 'breed': 'Shih Tzu', 'owner': 'Michelle Deleon', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'address': 'United States - Katy ', 'clinician': 'Affordable Pet Clinic Katy'}

Hasn't pooped since Sunday night. Limping back right leg. Brother fell on the dog. E/D normal. C/S/V/D none.

Sent home with Gabapentin.

standard

['neoplasia-musculoskeletal']

['Collapsed', 'Traumatic injury', 'Defaecation abnormal - decreased frequency', 'Hindlimb lameness', 'Canine Small Breed']

[]

[65, 259, 512, 2345, 2654]

[]

[]

[]

[]

[]

['Analgesic']

[]

[959]

[]

{'patient': {'bday': '2007-04-30', 'name': 'Meuter^Paris', 'breed': 'Ragdoll', 'owner': 'Meuter^Violet', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'address': 'United States - Fountain Valley', 'clinician': 'FVEPH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presenting for acute bleeding from the mouth noticed tonight. No V/D. \r\n\r\nPMH: CKD, asthma, arthritis\r\n\r\nMeds: Daily SC fluids, inhaler, monthly injections for arthritis (Librela?)\r\n\r\nPE: Pale MM. Large blood clot noted in oral cavity. No obvious oral lesions or broken teeth. No obvious ulcerations. No epistaxis.\r\n\r\nCBC/Chem: rbc 4.85 (L), hct 21.6 (L), hgb 7.0 (L), wbc 25.76 (H), neut 13.5 (H), mono 0.81 (H), eosin 8.74 (H), baso 0.45 (H), alp <10 (L), bun 34 (N), creat 1.8 (N)', 'questions': "bleeding from oral cavity - r/o tooth root abscess vs ulcer vs trauma vs Other\r\nSevere eosinophilia - r/o Infectious/inflammatory vs Neoplasia vs Parasitic vs Othe\r\n\r\nAdd'l WB images uploaded separate.\r\n\r\n", 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1014, 'state': 'abnormal', 'source': 'rules'}, {'id': 1019, 'state': 'partial', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'partial', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1274, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 217, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Resp Bronchial - Feline, BPP, no cough', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, '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': 4, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 848, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Bladder feline - Urine retention, no obstruction', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 877, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Peritoneal - no evidence of intra-abdominal trauma', 'diagnosis_custom_text': 'No radiographic evidence of abdominal or thoracic trauma noted at this time.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical examination, consider abdominal ultrasound for further investigation for evidence of intra-abdominal trauma if clinically warranted.', 'recommendation_custom_fields': None}, {'id': 889, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 83.15899999999999, 'consult_name': 'Skull - Skull Fracture', 'diagnosis_custom_text': 'There is a fracture noted in the skull as described, suggestive of trauma. Appearance of the bone in the region does is not consistent with a neoplastic process but this cannot be ruled out.\nLaterality of the region of the noted fracture cannot be determined as no VD/DV views are provided.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 40, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Bleeding from mouth'}, {'id': 41, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Bleeding from nose'}, {'id': 76, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 259, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 674, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Mucous membranes abnormal - pale'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', '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': 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': 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': 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': 2265, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', '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': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2307, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None}, {'id': 2308, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': None}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'elapsedTime': 64.348, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2312, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tmj-luxation-subluxation', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2689, 'source': 'labelling', 'signal_name': 'Skull-question'}], 'recommendations': [], 'report_findings': 'Assessment includes separately submitted whole body study.\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. There appears to be mandibular fracture noted at the region of the condyloid / articular process of the mandible, at the temporomandibular joint. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere is moderate distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue material . There is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nThorax\nA bronchial pattern is present. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': False}, {'id': 733, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 812, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'dental-tooth-periapical-lucency-class', 'is_locked_out': False}, {'id': 815, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'dental-tooth-attachment-loss-class', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'nasal-cavity', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2311, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-abl', 'is_locked_out': False}, {'id': 2312, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tmj-luxation-subluxation', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2420, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ear-canal-mineralization', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': "Conclusions:.\n\nspecific dental radiography with is recommended but there is no clear evidence of an abscess or advanced imaging \n\nconfirm no other localised area of haemorrhage e.g. coagulaopathy \n\n\nLaterality of the region of the noted fracture cannot be determined as no VD/DV views are providedphic evidence of abdominal or thoracic trauma noted at this time.\n\nBronchial pattern is consistent with lower airway disease/bronchitis. Differentials include feline asthma, chronic inhaled irritants, infectious etiologies (bacterial) and parasitic (including heartworm disease).\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nThe urinary bladder is distended. Suspected to be urinary retention secondary to anxiety or lack of access to a litter box.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nComplete neurologic exam should be performed to examine for evidence of traumatic brain injury. Consider CT \n\n\nCorrelate with physical examination, consider abdominal ultrasound for further investigation for evidence of intra-abdominal trauma if clinically warranted.\nCorrelate with physical exam and clinical signs to rule out asymptomatic feline bronchitis.\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nBiochemistry profile and urinalysis may be considered if there is concern for calculi.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified."}

{'bday': '2007-04-30', 'name': 'Meuter^Paris', 'breed': 'Ragdoll', 'owner': 'Meuter^Violet', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

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

Presenting for acute bleeding from the mouth noticed tonight. No V/D. PMH: CKD, asthma, arthritis Meds: Daily SC fluids, inhaler, monthly injections for arthritis (Librela?) PE: Pale MM. Large blood clot noted in oral cavity. No obvious oral lesions or broken teeth. No obvious ulcerations. No epistaxis. CBC/Chem: rbc 4.85 (L), hct 21.6 (L), hgb 7.0 (L), wbc 25.76 (H), neut 13.5 (H), mono 0.81 (H), eosin 8.74 (H), baso 0.45 (H), alp <10 (L), bun 34 (N), creat 1.8 (N)

bleeding from oral cavity - r/o tooth root abscess vs ulcer vs trauma vs Other Severe eosinophilia - r/o Infectious/inflammatory vs Neoplasia vs Parasitic vs Othe Add'l WB images uploaded separate.

standard

['Skull-question']

['Bleeding - oral', 'Diarrhea', 'Vomiting', 'Traumatic injury', 'Mucous membranes abnormal - pale', 'Feline']

['Bleeding - nasal']

[40, 76, 256, 259, 674, 2327]

[41]

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[]

{'patient': {'bday': '2020-07-15', 'name': 'Bairnsfather^Skipper^^^', 'breed': 'Labrador Retriever', 'owner': 'Baimsfather', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Pet Care Center- Main (SVP)', 'email': '[email protected]', 'clinician': 'Pet Care Center'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Kennel cough for about 4 weeks, green mucoid nasal discharge ', 'questions': 'Patient is UTD On HWP but recently had a housemate from the shelter added to the house. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1033, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 320, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Parenchymal - resp signs, alveolar pattern, pneumonia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 900, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Trachea - redundant tracheal membrane versus mucous', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 150, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Nose discharge/Nasal discharge'}, {'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': 713, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-caudodorsal-parenchymal', 'custom_fields': {'___s1_': ['severe'], '___s2_': ['right'], '___s3_': ['interstitial to alveolar']}}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['thoracic inlet']}}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 4883, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Boarding history'}], 'questions': [{'id': 2670, 'source': 'labelling', 'signal_name': 'resp signs - upper vs lower'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nThere is severe increased opacity in the right caudodorsal lung field, characterized as a interstitial to alveolar pattern. There is increased soft tissue opacity within the thoracic inlet region of the trachea. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nAlveolar pattern identified as described, differentials include pneumonia/pneumonitis such as bronchopneumonia (bacterial, viral, fungal) or aspiration pneumonia, and parasitic infection (heartworm, lungworm, Toxo). \nThe increased opacity noted in the trachea may represent a redundant tracheal membrane or mucus within the trachea.\n\nRecommendations:\nConsider respiratory lavage for cytological exam, culture, and sensitivity to further investigate the described alveolar pattern in the lungs.\nConsider tracheoscopy if clinical signs warrant further investigation of the increased opacity noted in the tracheal lumen.'}

{'bday': '2020-07-15', 'name': 'Bairnsfather^Skipper^^^', 'breed': 'Labrador Retriever', 'owner': 'Baimsfather', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Pet Care Center- Main (SVP)', 'email': '[email protected]', 'clinician': 'Pet Care Center'}

Kennel cough for about 4 weeks, green mucoid nasal discharge

Patient is UTD On HWP but recently had a housemate from the shelter added to the house.

expert

['resp signs - upper vs lower']

['Coughing', 'Discharge - nasal', 'Canine Medium/Large Breed']

[]

[69, 150, 2656]

[]

['Boarding history']

[]

[4883]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-07-11', 'name': 'LADYHAWKE', 'breed': 'Small mixed breed', 'owner': 'KAUFFMAN', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'Dr. Rule'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Lady Hawk was in the backyard playing and started crying and screaming about 1 hour ago. \xa0Digit 5 RF appears deformed.On presentation, Lady Hawk was Quiet, Alert, and Responsive. \xa0mm pink, moist; \xa0CRT < 1.M/S -- \xa0Grade 3/6 lameness RF limb. \xa0Deformity digit 5 RF limb. \xa0Nail seems firmly attached.', 'questions': 'R/O fractures digit 5 RF limb.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'partial', 'source': 'rules'}, {'id': 1016, 'state': 'inprogress', 'source': 'rules'}, {'id': 1019, 'state': 'partial', 'source': 'rules'}, {'id': 1030, 'state': 'abnormal', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 1109, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 12.982, 'consult_name': 'M/S GEN - acute fracture, swelling, no subcut gas (closed fracture)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider analgesics and stabilization, +/- orthopedic consultation to discuss surgical vs. non-surgical options.', 'recommendation_custom_fields': None}], 'signals': [{'id': 71, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Crying'}, {'id': 2185, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2186, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': {'___s1_': ['displaced', 'closed', 'complete', 'transverse'], '___s2_': ['right', 'digit 5']}}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is soft tissue swelling involving digit 5 of the right forelimb. ', 'elapsedTime': 12.995, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the right', 'digit 5']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2446, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2674, 'source': 'labelling', 'signal_name': 'trauma-fractures'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is a displaced closed complete transverse fracture of the right digit 5. There is soft tissue swelling involving digit 5 of the right forelimb. 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', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 722, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'bone-lesions-of-the-third-phalanx', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2403, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'sternal-deformity', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2421, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'sternal-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': True}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2491, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Inter-sternebral narrowing', 'is_locked_out': False}, {'id': 2492, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Sternal-subluxation', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Bone Lucency', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2586, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Subluxation of Ribs', 'is_locked_out': False}, {'id': 2594, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Fractured Rib Cartilages', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2690, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nEvidence of appendicular fracture with associated soft tissue swelling, consistent with history of trauma and local hemorrhage/hematoma.\n\nRecommendations:\nConsider analgesics and stabilization, and consider orthopedic consultation to discuss surgical vs. non-surgical options.'}

{'bday': '2021-07-11', 'name': 'LADYHAWKE', 'breed': 'Small mixed breed', 'owner': 'KAUFFMAN', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'Dr. Rule'}

Lady Hawk was in the backyard playing and started crying and screaming about 1 hour ago.  Digit 5 RF appears deformed.On presentation, Lady Hawk was Quiet, Alert, and Responsive.  mm pink, moist;  CRT < 1.M/S --  Grade 3/6 lameness RF limb.  Deformity digit 5 RF limb.  Nail seems firmly attached.

R/O fractures digit 5 RF limb.

expert

['trauma-fractures']

['Crying/yelping', 'Lameness', 'Pain', 'Canine Small Breed']

[]

[71, 2185, 2186, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-01-25', 'name': 'Pelletier^Homer', 'breed': 'Other Breed', 'owner': 'Pelletier^Sharon', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Durham Region', 'email': '[email protected]', 'address': 'Canada - Whitby', 'clinician': 'AEC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Homer has been vomiting for 24 hours. He has marke elevations in amylase/lipase/cpli, wbc and neutrophils\r\n\r\nHis alt nd lk phos are mildly elevated\r\nHe has a moderate pyuria \r\nHis abdomen is painful to touch, He appears to be breathing ok', 'questions': 'Are the lungs concerning', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 189, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Hepatomegaly - Mass', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 7, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 266, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'elapsedTime': 6.683, 'consult_name': 'Cardiomegaly Left - asymptomatic, no LAE', 'diagnosis_custom_text': 'The cardiac silhouette appears enlarged, with no evidence of left atrial enlargement and no evidence of decompensation. The lungs are clear with no evidence of pathology.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 9, 'consult_name': 'Gastric - Aerophagia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 8, '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': 420, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Bladder - Normal urinary tract, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 890, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Peritoneal - small effusion vs peritonitis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 894, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': 'Splenomegaly - Folded spleen', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1103, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'elapsedTime': 133.447, 'consult_name': 'Intestines - Pancreatitis, normal GIT, pancreatitis test pos', 'diagnosis_custom_text': 'Given the overall appearance of the GI tract and the clinical history provided, clinical signs are most consistent with pancreatitis. There is foreign material noted in the GI tract therefore dietary indiscretion cannot be excluded. No obstructive pattern is appreciated.\nOther differentials include gastroenteritis due to inflammation, toxins, and infectious or parasitic causes.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Confirm pancreatitis with abdominal ultrasound. Recommend supportive medical management for pancreatitis and close monitoring of the patient.\nMonitor for passage of the material noted. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further investigate the identified intestinal foreign material.', 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 622, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2404, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-enzymes-elevated'}, {'id': 2542, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'pancreatic-lipase'}, {'id': 2634, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Neutrophilia'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'The spleen appears mildly enlarged on the vd view. ', 'elapsedTime': 6.434, 'signal_name': 'spleen-splenomegaly', 'custom_fields': {'___s1_': ['mildly']}, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a small mineral opacity foreign material that is suspected to be located within the small intestine.', 'elapsedTime': 15.305, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': None, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 947, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': {'___s1_': ['.']}, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2315, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['gas']}, 'finding_normal_text': 'stomach-gas', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with ___s2_. '}, {'id': 2368, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-mass', 'custom_fields': None, 'finding_normal_text': 'Liver mass', 'finding_abnormal_text': 'There is the appearance of a mass associated with the liver '}, {'id': 2500, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': {'___s1_': ['intestines'], '___s2_': ['mid']}, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [{'id': 2229, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Urinary tract infection (UTI)'}], 'questions': [{'id': 2661, 'source': 'labelling', 'attention': False, 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2663, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - general'}, {'id': 2685, 'source': 'labelling', 'attention': False, 'signal_name': 'urinary-stones'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart measures above the normal range. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The spleen appears mildly enlarged on the VD view. There is mild distension of the stomach with gas. There is a small mineral opacity foreign material that is suspected to be located within the small intestine. There is a wispy soft tissue opacity noted over the intestines in the mid abdomen. 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 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, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2319, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone-na', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nGiven the overall appearance of the GI tract and the clinical history provided, clinical signs are most consistent with pancreatitis. There is foreign material noted in the GI tract therefore dietary indiscretion cannot be excluded. No obstructive pattern is appreciated.\nOther differentials include gastroenteritis due to inflammation, toxins, and infectious or parasitic causes.\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.\nThe cause for the patient's urinary issues is not noted.\nThe cardiac silhouette appears enlarged, with no evidence of left atrial enlargement and no evidence of decompensation. The lungs are clear with no evidence of pathology.\nThe spleen appears prominent. Consider folded spleen or abnormal position of the spleen though splenic congestion or mass cannot be ruled out.\nSpondylosis deformans. Likely incidental.\nDegenerative joint disease of the hips.\nThe gas distension observed in the GI tract is most consistent with aerophagia.\n\nRecommendations:\nConfirm pancreatitis with abdominal ultrasound. Recommend supportive medical management for pancreatitis and close monitoring of the patient.\nMonitor for passage of the material noted. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further investigate the identified intestinal foreign material.\nConsider an abdominal ultrasound for further investigation of the area in the abdomen with unclear organ margins and slight loss of serosal detail.\nConsider abdominal ultrasound to further evaluate hepatomegaly, and FNA or biopsy to aid in investigation of elevation of hepatic parameters.\nCorrelation with biochemistry profile, urinalysis, +/- urine culture is recommended. An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps.\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 for further investigation of the prominent spleen and to assess for folded spleen or abnormal position, as well as to evaluate for splenic congestion or mass.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the hips.\nCorrelate with clinical signs and exam for clinical significance of gastric gas distension."}

{'bday': '2012-01-25', 'name': 'Pelletier^Homer', 'breed': 'Other Breed', 'owner': 'Pelletier^Sharon', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Homer has been vomiting for 24 hours. He has marke elevations in amylase/lipase/cpli, wbc and neutrophils His alt nd lk phos are mildly elevated He has a moderate pyuria His abdomen is painful to touch, He appears to be breathing ok

Are the lungs concerning

standard

['Gi signs - Systemic vs general', 'Resp signs - general', 'urinary-stones']

['Vomiting', 'Pain - abdominal', 'Elevated liver enzymes', 'Pancreatic Lipase tests/ cPLI/fPLI positive', 'Neutrophilia']

[]

[256, 622, 2404, 2542, 2634]

[]

['Urinary tract infection (UTI)']

[]

[2229]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-08-20', 'name': 'Olivares^Gunner', 'breed': 'American Staffordshire Terrier', 'owner': 'Olivares^Bobbie', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Tyler', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presents for: vomiting/bloody diarrhea\r\nSigns and symptoms: bloody diarrhea, primarily blood 1hr ago, vomiting started at 11am. pt has been in and out of house every other hour, yesterday was acting normal\r\nEvents leading up to problem: pt does not eat toys/foreign objects, does get table scraps, no diet change\r\nAllergies: NKA\r\nMedications: none\r\nLast oral intake food/water: normal this morning\r\nPertinent past history: Hx to heartworms ', 'questions': 'FB vs gastroenteritis vs other', 'specialty_area': ''}}

{'tags': {'userTags': ['overcall_incidental_radiographic', 'acceptable', 'five'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': ['right-heart-enlargement', 'microcardia', 'caudal-vena-cana-sm', 'muscle-atrophy', 'panosteitis', 'hypertrophic-osteodystrophy', 'enthesopathy', 'joint-luxation', 'fluid-wispy', 'osteochondritis-dissecans', "Hypertrophic osteopathy (Marie's disease)", 'joint-effusion', 'summation-structures', 'liver-mass', 'Implant Motion/Infection', 'surgical-device', 'agressive-bone-lesion-discospondylitis', 'pulmonary-vessel-congestion']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1023, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'partial', 'source': 'labelling'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1032, 'state': 'partial', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 714, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Intestines - Hemorrhagic gastro enteritis (vom+diarr).', 'diagnosis_custom_text': 'A cause for the described clinical signs is not determined from the radiographs. No obvious obstructive pattern is noted. Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential. Dietary indiscretion, inflammatory, infectious, parasite, colitis due to stress or other cause cannot be ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the clinical signs is indicated at this time. Consider fecal testing and blood work (including cPL) for further investigation of the reported hematochezia. ', 'recommendation_custom_fields': None}, {'id': 899, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Splenomegaly - Mild', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2475, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'The spleen appears mildly enlarged on the VD/DV abdominal view. ', 'signal_name': 'spleen-splenomegaly', 'custom_fields': {'___s1_': ['mildly'], '___s2_': ['.']}, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['right']}, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}], 'diagnosis': [], 'questions': [], 'internal_notes': "Excellent review and recommendations\nBut no one mentioned the SQ foreign body (pellet) in the right axillae area! Shouldn't AI have picked that up?", 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe spleen appears mildly enlarged on the VD abdominal view. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are degenerative changes affecting the right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nA cause for the described clinical signs is not determined from the radiographs. No obvious obstructive pattern is noted. Given the history, acute hemorrhagic diarrhea syndrome is considered as a primary differential. Dietary indiscretion, inflammatory (eg. pancreatitis), infectious, parasite, colitis due to stress or other cause cannot be ruled out. \nThe spleen appears mildly enlarged, possibly secondary to congestion and/or sedation. Other benign etiologies such as EMH and lymphoid hyperplasia, or infiltrative disease (round cell neoplasia) and infectious etiologies (ie: tick borne diseases) cannot be ruled out.\n\nRecommendations:\nMedical management of the clinical signs is indicated at this time. Empiric treatments recommended include bland food diet, antiemetics, fluid therapy for rehydration if indicated based on physical exam, +/- probiotics. For further investigation, consider fecal testing and blood work (including cPL) for further investigation of the reported hematochezia. Also, consider abdominal ultrasound for further investigation of the mildly enlarged spleen to evaluate for potential benign etiologies, infiltrative disease, and infectious etiologies.'}

{'bday': '2019-08-20', 'name': 'Olivares^Gunner', 'breed': 'American Staffordshire Terrier', 'owner': 'Olivares^Bobbie', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Tyler', 'clinician': 'Tyler Animal Emergency Hospital '}

Patient presents for: vomiting/bloody diarrhea Signs and symptoms: bloody diarrhea, primarily blood 1hr ago, vomiting started at 11am. pt has been in and out of house every other hour, yesterday was acting normal Events leading up to problem: pt does not eat toys/foreign objects, does get table scraps, no diet change Allergies: NKA Medications: none Last oral intake food/water: normal this morning Pertinent past history: Hx to heartworms

FB vs gastroenteritis vs other

standard

[]

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

[]

[256, 2475, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-07-01', 'name': 'Carr^Sweet Annie', 'breed': 'Mixed - Small', 'owner': 'William Carr', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Middle Georgia Veterinary Emergency Center', 'email': '[email protected]', 'clinician': 'MGVEX'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet either had a syncopal episode or seizure at home. Disoriented and vocalizing when owner found her. Gr 6/6 murmur, crackles present; no known medical conditions', 'questions': 'Just ruling out heart vs other', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'partial', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1034, 'state': 'inprogress', 'source': 'rules'}, {'id': 1038, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}, {'id': 1096, 'state': 'partial', 'source': 'rules'}], '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': 374, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Forelimb Elbow - arthritis, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1099, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly - GEN, unstructured interstitial, CHF', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1115, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly - venous congestion, heart failure', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 80, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Disorientated'}, {'id': 145, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Meowing '}, {'id': 628, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Seizure(s)'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2536, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'lung-crackles-sounds'}, {'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': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are degenerative changes noted in the cranially positioned elbow on the right lateral.', 'elapsedTime': 7.612, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['cranially 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': 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': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['unstructured interstitial']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['kibble/food']}}, {'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': [{'id': 285, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Syncope'}], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere are degenerative changes noted in the cranially positioned elbow on the right lateral. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is moderate distension of the stomach with the presence of radiopaque material which has the appearance of kibble/food. There are no other abnormalities noted in the rest of the observed abdomen.\n\nThorax\nThere appears to be a generalized enlargement of the heart. There is increased opacity throughout the lung fields, characterized as a unstructured interstitial pattern. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2579, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGeneralized cardiomegaly and unstructured interstitial pattern throughout the lungs as described. Possible differentials include: valvular disease leading to insufficiency vs DCM, with pulmonary edema, +/- pulmonary hypertension.\nGastric material. This is most consistent with digested food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\nHepatomegaly likely secondary to venous congestion caused by concurrent congestive heart failure.\nDegenerative changes in the elbow.\n\nRecommendations:\nFor further assessment, an echocardiogram and blood pressure measurement would be optimal. Diuretics, as pre-load reducer, are a mainstay of reducing pulmonary edema. Supportive care such as oxygen therapy may be indicated. Additional cardiac medication (pimobendan) should also be considered.\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material.\nAbdominal ultrasound with FNA and cytology can be considered for further investigation if warranted.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow.'}

{'bday': '2012-07-01', 'name': 'Carr^Sweet Annie', 'breed': 'Mixed - Small', 'owner': 'William Carr', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Pet either had a syncopal episode or seizure at home. Disoriented and vocalizing when owner found her. Gr 6/6 murmur, crackles present; no known medical conditions

Just ruling out heart vs other

expert

['Resp signs - heart/lungs']

['Disorientated', 'Vocalizing ', 'Seizure(s)', 'Heart Murmur', 'Lung crackles/lung sounds', 'Canine Small Breed']

[]

[80, 145, 628, 2175, 2536, 2654]

[]

['Syncope']

[]

[285]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-07-25', 'name': 'Eli Xavier', 'breed': 'Domestic Mediumhair', 'owner': 'Whitehead', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Burleson ', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient has been coughing and acting like something was stuck in throat since yesterday. \r\n\r\nPatient is indoor only, and the only pet coughing in the house. \r\n\r\nPatient is still eating and drinking. \r\n\r\nPatient is known to eat plastic. ', 'questions': 'Foreign body', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'partial', 'source': 'rules'}, {'id': 1024, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1274, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 349, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 4.391, 'consult_name': 'Gastric - Aerophagia', 'diagnosis_custom_text': 'The gas distension observed in the GI tract is most consistent with aerophagia. Enteritis or partial obstruction in the small intestines cannot be completely excluded radiographically.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Repeat abdominal radiographs in 12-24 hours to monitor gastrointestinal pattern.', 'recommendation_custom_fields': None}, {'id': 653, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 51.855, 'consult_name': 'Negative Thorax - Feline, normal lungs', 'diagnosis_custom_text': 'No lung or heart abnormalities are noted radiographically. Asthma or bronchitis cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '.', 'recommendation_custom_fields': None}, {'id': 791, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 55.791, 'consult_name': 'Esoph - Regurg, no ESD/EFB, reflux/esophagitis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Symptomatic treatment may be considered. A sedated laryngeal examination to rule out upper airway causes is recommended. Endoscopy, swallow study or lower airway sampling and respiratory PCR may be indicated for further investigation if there is no response to therapy. ', 'recommendation_custom_fields': None}, {'id': 976, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': ' Resp Trachea - No Inhaled Foreign Body', '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': 521, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 2184, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'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': 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': None, 'signal_name': 'spleen-visible', 'custom_fields': {'___s1_': ['normal']}}, {'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': 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': 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': 2315, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': {'___s1_': ['moderate']}}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': {'___s1_': ['gas']}}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [], 'recommendations': [], 'report_findings': 'Abdomen\nThe spleen is visualized in the cranioventral abdomen and has a normal appearance. There is moderate distension of the stomach with gas. 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.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spleen-visible', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2698, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nA cause for the described clinical signs is not identified in the radiographs provided, however, causes may include gastroesophageal reflux or esophagitis. No lung or heart abnormalities are noted radiographically, but asthma or bronchitis cannot be ruled out. No evidence of radiopaque inhaled foreign body within the airway. The gas distension observed in the GI tract is most consistent with aerophagia, and enteritis or partial obstruction in the small intestines cannot be completely excluded radiographically.\n\nRecommendations:\nSymptomatic treatment may be considered. For further investigation, a sedated laryngeal examination to rule out upper airway causes is recommended. Endoscopy, swallow study, or lower airway sampling and respiratory PCR may be indicated if there is no response to therapy.\nConsider follow-up radiographs if clinical signs consistent with inhaled foreign body develop. Repeat abdominal radiographs in 12-24 hours to monitor gastrointestinal pattern.'}

{'bday': '2016-07-25', 'name': 'Eli Xavier', 'breed': 'Domestic Mediumhair', 'owner': 'Whitehead', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Patient has been coughing and acting like something was stuck in throat since yesterday. Patient is indoor only, and the only pet coughing in the house. Patient is still eating and drinking. Patient is known to eat plastic.

Foreign body

expert

[]

['Coughing', 'Gagging/retching', 'Suspected foreign body ingestion', 'Feline']

[]

[69, 521, 2184, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-01-31', 'name': 'Juma-maine^Missy^^^', 'breed': 'Cavalier King Charles Spaniel', 'owner': 'Vicki Juma-Maine', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Sumner', 'clinician': 'Sumner Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'For roughly one month Missy has been coughing and hacking. She did a round of antibiotics from their rDVM that appeared to work initially. Upper Respiratory PCR Panel returned negative. Today she has a wet, hacking cough with a terminal gag and has a fever of 102.7. \r\nOral exam is normal, heart/lungs auscult normally.', 'questions': 'Infectious vs Other', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'rules'}, {'id': 1007, 'state': 'partial', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1034, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 320, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Parenchymal - resp signs, alveolar pattern, pneumonia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 331, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Pleural - small fissure line', 'diagnosis_custom_text': 'The pleural fissure line noted may represent pleural fluid. Thickening of the pleura/pleuritis or artifactual appearance cannot be ruled out.', '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': 521, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 545, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'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': 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': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2279, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['severe'], '___s2_': ['left and right'], '___s3_': ['interstitial to alveolar pattern']}}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 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_': ['cranioventral']}}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nThorax\nThere is a severe increased opacity in the left and right cranioventral lung field, characterized as a interstitial to alveolar pattern. A pleural fissure line is noted in the cranioventral thorax. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2283, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'feeding-tube', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nAlveolar pattern identified as described. Differentials are pneumonia/pneumonitis including bronchopneumonia (bacterial, viral, fungal) or aspiration pneumonia, parasitic infection (heartworm, lungworm, Toxo).\nThe pleural fissure line noted may represent pleural fluid. Thickening of the pleura/pleuritis or artifactual appearance cannot be ruled out.\n\nRecommendations:\nConsider respiratory lavage for cytological exam, culture and sensitivity to further investigate the described alveolar pattern in the lungs.\nCorrelate with history for the clinical significance of the noted pleural fissure line.'}

{'bday': '2024-01-31', 'name': 'Juma-maine^Missy^^^', 'breed': 'Cavalier King Charles Spaniel', 'owner': 'Vicki Juma-Maine', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Sumner', 'clinician': 'Sumner Veterinary Hospital'}

For roughly one month Missy has been coughing and hacking. She did a round of antibiotics from their rDVM that appeared to work initially. Upper Respiratory PCR Panel returned negative. Today she has a wet, hacking cough with a terminal gag and has a fever of 102.7. Oral exam is normal, heart/lungs auscult normally.

Infectious vs Other

standard

['Resp signs - general']

['Coughing', 'Gagging/retching', 'Fever/pyrexia', 'Canine Small Breed']

[]

[69, 521, 545, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-04-18', 'name': 'Buchanan^Dolly', 'breed': 'Shih Tzu', 'owner': 'Buchanan^Kristi', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Owners started seeing diarrhea yesterday evening. During the night Dolly woke them up 4-5 times throughout the night with diarrhea every time. This morning the diarrhea has had small amounts of blood in it. \r\n\r\nDolly has vomited once on the car ride over.', 'questions': 'checking for possible foreign body or other concerns ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 714, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Hemorrhagic gastro enteritis (vom+diarr).', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 899, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Splenomegaly - Mild', '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': 2475, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2657, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], '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': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2597, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Cecum Distention', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe spleen appears prominent. There is a curvilinear, gas distended enteric segment adjacent to the colon on both projections which likely reflects the cecum. 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.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2597, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Cecum Distention', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nA cause for the described clinical signs is not determined from the radiographs, however, hemorrhagic diarrhea syndrome is considered as a primary differential. Dietary indiscretion, inflammatory, infectious, parasite, colitis due to stress or other cause cannot be ruled out. \nThe spleen appears mildly enlarged, possibly secondary to congestion and/or sedation. Other benign etiologies such as EMH and lymphoid hyperplasia, or infiltrative disease like round cell neoplasia and infectious etiologies like tick borne diseases cannot be ruled out.\n\nRecommendations:\nConsider fecal testing and blood work for further investigation of the reported hematochezia. Medical management of the clinical signs is indicated at this time. Additionally, consider abdominal ultrasound for further investigation of the mildly enlarged spleen to evaluate for potential benign etiologies, infiltrative disease, and infectious etiologies.'}

{'bday': '2022-04-18', 'name': 'Buchanan^Dolly', 'breed': 'Shih Tzu', 'owner': 'Buchanan^Kristi', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Owners started seeing diarrhea yesterday evening. During the night Dolly woke them up 4-5 times throughout the night with diarrhea every time. This morning the diarrhea has had small amounts of blood in it. Dolly has vomited once on the car ride over.

checking for possible foreign body or other concerns

expert

['Vomiting-FB/obstruction']

['Diarrhea', 'Vomiting', 'Hematochezia', 'Canine Small Breed', 'Brachycephalic']

[]

[76, 256, 2475, 2654, 2657]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-01-01', 'name': 'Martin^Ringo', 'breed': 'Cardigan Welsh Corgi', 'owner': 'Martin', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'I-20 Animal Hospital', 'email': '[email protected]', 'address': 'United States - Hudson Oaks', 'clinician': 'I-20 Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Right thoracic limb lameness', 'questions': 'Fracture? Osteosarcoma? ST injury?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1016, 'state': 'empty', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1038, 'state': 'empty', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'normal', 'source': 'rules'}], 'consult': [{'id': 391, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - no cause for lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2185, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2346, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lameness-forelimb'}, {'id': 2654, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2374, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tail', 'custom_fields': None, 'finding_normal_text': 'The tail is normal in appearance with no evidence of fracture, luxation/subluxation, or aggressive lesions.', 'finding_abnormal_text': 'A ___s1_ is noted at the caudal vertebrae of the tail. '}, {'id': 2446, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': {'___s1_': ['right']}, 'finding_normal_text': 'The carpal joints are unremarkable, no evidence of degenerative changes.', 'finding_abnormal_text': 'There is degenerative joint disease affecting the ___s1_ carpus. '}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2673, 'source': 'ai', 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2674, 'source': 'labelling', 'signal_name': 'trauma-fractures'}, {'id': 2677, 'source': 'labelling', 'signal_name': 'lameness-frontLimb'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic 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', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2374, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tail', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': True}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], '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.\n\nRecommendations:\nMedical management for soft tissue injury and exercise restriction is recommended. If the examination suggests more than a soft tissue injury or there is no response to treatment, consider sedation and additional views of the region of interest, and potentially consult with an orthopedic specialist."}

{'bday': '2015-01-01', 'name': 'Martin^Ringo', 'breed': 'Cardigan Welsh Corgi', 'owner': 'Martin', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'I-20 Animal Hospital', 'email': '[email protected]', 'address': 'United States - Hudson Oaks', 'clinician': 'I-20 Animal Hospital'}

Right thoracic limb lameness

Fracture? Osteosarcoma? ST injury?

standard

['neoplasia-musculoskeletal', 'trauma-fractures', 'lameness-frontLimb']

['Lameness', 'Forelimb lameness', 'Canine Small Breed']

[]

[2185, 2346, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2008-08-09', 'name': 'Whalen^Luke^^^', 'breed': 'Dachshund', 'owner': 'Whalen', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Pet Care Center- Main (SVP)', 'email': '[email protected]', 'clinician': 'Pet Care Center'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Diagnosed with a heart murmur several years ago. Recently had an increased proBNP (~1000). O started noticing occasional coughing, and that respiratory rate when resting will get up to 36-40bpm, and noticing decreased energy for normal walks and increase respiratory effort during walks. No crackles or wheezes on auscultation. ', 'questions': 'Starting pimobenden and enalapril. Is there enough radiographic evidence to start furosemide?', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'partial', 'source': 'labelling'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'partial', 'source': 'labelling'}, {'id': 1021, 'state': 'partial', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1095, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 667, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Subcut - Subcutaneous mass', 'diagnosis_custom_text': 'Subcutaneous masses as described.', '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, coughing/panting/dyspnoea/syncope', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1115, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Hepatomegaly - venous congestion, heart failure', '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': 257, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Exercise intolerance'}, {'id': 666, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2179, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'Respiratory-Distress'}, {'id': 2456, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Wheezing'}, {'id': 2536, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'lung-crackles-sounds'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2658, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'chondrodysplastic'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['cranially 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': 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': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are masses of soft tissue opacity associated the ventral thorax. ', 'elapsedTime': 13.168, 'signal_name': 'subcutaneous-mass', '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': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [{'id': 1055, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'pimobendan'}, {'id': 2017, 'state': 'abnormal', 'source': 'ai', 'recommendation_name': 'proBNP-c'}], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are masses of soft tissue opacity associated the ventral thorax. 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', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2469, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'narrowed-mainstem-bronchi', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe cardiac silhouette appears enlarged making cardiac disease a realistic potential cause of the clinical signs. No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded.\nHepatomegaly likely secondary to venous congestion caused by concurrent congestive heart failure.\nSubcutaneous masses as described.\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.\nAbdominal ultrasound with FNA and cytology can be considered for further investigation if warranted.\nCorrelate with physical exam and consider tissue sampling of the described subcutaneous/cutaneous mass to determine etiology.'}

{'bday': '2008-08-09', 'name': 'Whalen^Luke^^^', 'breed': 'Dachshund', 'owner': 'Whalen', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Pet Care Center- Main (SVP)', 'email': '[email protected]', 'clinician': 'Pet Care Center'}

Diagnosed with a heart murmur several years ago. Recently had an increased proBNP (~1000). O started noticing occasional coughing, and that respiratory rate when resting will get up to 36-40bpm, and noticing decreased energy for normal walks and increase respiratory effort during walks. No crackles or wheezes on auscultation.

Starting pimobenden and enalapril. Is there enough radiographic evidence to start furosemide?

expert

['Resp signs - heart/lungs']

['Coughing', 'Exercise intolerance ', 'Tachypnoea', 'Heart Murmur', 'Respiratory distress', 'Canine Small Breed', 'Chondrodysplastic']

['Wheezing', 'Lung crackles/lung sounds']

[69, 257, 666, 2175, 2179, 2654, 2658]

[2456, 2536]

[]

[]

[]

[]

['Pimobendan', 'proBNP']

[]

[1055, 2017]

[]

{'patient': {'bday': '2023-09-09', 'name': 'pepper', 'breed': 'American Pit Bull Terrier', 'owner': 'bartlett^karina', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Tyler', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P hospitalized for last 12 hours on IVF, cerenia and metronidazole. P has been NPO during stay. P doing well, vitals stalbe, no vomiting or nausea. P is having hematochezia. ', 'questions': 'Comparison to rule out FB from previous study.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'ready', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1029, 'state': 'inprogress', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 726, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': None, 'consult_name': 'Intestines - follow up 2 pops, resolved', 'isAddressingConcern': True, 'diagnosis_custom_text': 'No evidence of intestinal obstruction is noted in the current study. The intestinal pattern noted on previous radiographs appears to have resolved.\xa0Given the history, hemorrhagic diarrhea syndrome may be considered a differential based on prior clinical signs (hematemesis and hematochezia). Dietary indiscretion, inflammatory, infectious (parvo virus), parasite (giarda), colitis due to stress or other cause cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of gastrointestinal signs is indicated at this time.\xa0Consider fecal testing and blood work for further investigation of the reported clinical signs.\xa0', 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 256, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 2475, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2703, 'source': 'labelling', 'history': True, 'attention': True, 'confidence': 3, 'signal_name': 'Follow-up/re-examination Abdomen'}, {'id': 2704, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Follow-up/re-examination M/S'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2661, 'source': 'labelling', 'attention': True, 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2682, 'source': 'labelling', 'attention': True, 'signal_name': 'follow-up-abdomen'}], 'recommendations': [{'id': 48, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'recommendation_name': 'Fluid therapy administration - intravenous (IV)'}, {'id': 961, 'state': 'abnormal', 'source': 'ai', 'attention': False, 'recommendation_name': 'Antibiotic'}, {'id': 1029, 'state': 'abnormal', 'source': 'ai', 'attention': False, 'recommendation_name': 'fluid-therapy'}], 'report_findings': 'Abdomen\nThe intestines contain a small amount of gas.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2319, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone-na', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo evidence of intestinal obstruction is noted in the current study. The intestinal pattern noted on previous radiographs appears to have resolved.\xa0Given the history, hemorrhagic diarrhea syndrome may be considered a differential based on prior clinical signs (hematemesis and hematochezia). Dietary indiscretion, inflammatory, infectious (parvovirus), parasite (giardia), or colitis due to stress or other causes cannot be ruled out.\n\nRecommendations:\nMedical management of gastrointestinal signs is indicated at this time.\xa0Consider fecal testing, blood work and abdominal ultrasound for further investigation of the reported clinical signs.'}

{'bday': '2023-09-09', 'name': 'pepper', 'breed': 'American Pit Bull Terrier', 'owner': 'bartlett^karina', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Tyler', 'clinician': 'Tyler Animal Emergency Hospital '}

P hospitalized for last 12 hours on IVF, cerenia and metronidazole. P has been NPO during stay. P doing well, vitals stalbe, no vomiting or nausea. P is having hematochezia.

Comparison to rule out FB from previous study.

standard

['Vomiting-FB/obstruction', 'Gi signs - Systemic vs general', 'follow-up-abdomen']

['Diarrhea', 'Hematochezia', 'Canine Medium/Large Breed', 'Follow-up/re-examination Abdomen', 'Follow-up/re-examination M/S']

['Vomiting']

[76, 2475, 2656, 2703, 2704]

[256]

[]

[]

[]

[]

['Fluid therapy administration - intravenous (IV)', 'Antibiotic', 'Fluid therapy']

[]

[48, 961, 1029]

[]

{'patient': {'bday': '2015-07-03', 'name': 'Echevarria^Mio', 'breed': 'Domestic Shorthair', 'owner': 'Echevarria^Selene', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Foothills Animal Hospital', 'email': '[email protected]', 'clinician': 'Foothills Animal Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'PE: Right popliteal LN enlargement, No obvious swellings or wounds located on RH limb, possible scab on metatarsal pad\r\n\r\nO states that yesterday, pt went outside and came back in and O noticed that pt had a few scratches and was limping RRL occasionally will weight bare. Pt seems painful when leg is touched leg does not feel war. No visible puncture wounds on the leg according to O. ', 'questions': 'lymph node swelling vs other ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'excluded', 'source': 'rules'}, {'id': 1030, 'state': 'excluded', 'source': 'rules'}, {'id': 1032, 'state': 'empty', 'source': 'rules'}, {'id': 1038, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'excluded', 'source': 'rules'}, {'id': 1095, 'state': 'excluded', 'source': 'rules'}], 'consult': [{'id': 354, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Hindlimb Stifle - mild stifle effusion', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 296, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': -3, 'signal_name': 'Wound'}, {'id': 575, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': -3, 'signal_name': 'Mass/swelling - limb, upper'}, {'id': 2185, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2186, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2327, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 10, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['right']}, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 870, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'The tarsal joints are unremarkable, no evidence of degenerative changes.', 'finding_abnormal_text': 'There is degenerative joint disease affecting the ___s1_ tarsus. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the right', 'proximal', 'hind limb']}, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2676, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-general'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is soft tissue swelling involving the right proximal hind limb. There is a mild increased soft tissue opacity in the stifle joint noted in the right stifle. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': True}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe increased soft tissue opacity noted in the indicated stifle is most consistent with intra-articular injury (CCL strain or partial tear or meniscal injury) however, given the minimal nature of this finding may be secondary to positioning or technique of the radiographs.\n\nRecommendations:\nCorrelate with orthopedic examination and consider medical management including rest for further investigation of the increased soft tissue opacity noted in the stifle.'}

{'bday': '2015-07-03', 'name': 'Echevarria^Mio', 'breed': 'Domestic Shorthair', 'owner': 'Echevarria^Selene', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

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

PE: Right popliteal LN enlargement, No obvious swellings or wounds located on RH limb, possible scab on metatarsal pad O states that yesterday, pt went outside and came back in and O noticed that pt had a few scratches and was limping RRL occasionally will weight bare. Pt seems painful when leg is touched leg does not feel war. No visible puncture wounds on the leg according to O.

lymph node swelling vs other

standard