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{'patient': {'bday': '2010-09-10', 'name': 'HEDENSKOG^VADER', 'breed': 'Domestic Shorthair', 'owner': 'HEDENSKOG^SCOTT', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', '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': 'Hx of chronic pancreatitis and diabetes (has been on Vetsulin for years). Presented for occasional dyspnea and vomiting for last 3 days. ', 'questions': 'Further assessment of changes on radiographs requested - thank you ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'partial', 'source': 'rules'}, {'id': 1021, 'state': 'partial', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'partial', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1034, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 186, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 61.812, 'consult_name': 'Hepatomegaly- Endocrine', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Hepatomegaly consistent with reported endocrine disorder.', 'recommendation_custom_fields': None}, {'id': 195, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Spleen feline - Visible', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': 'Spondylosis deformans. Likely incidental.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1173, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Pleural - heart not visible, PEF, suspicious for heart disease', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1242, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Colon Feline - Constipation suspected', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 6, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pleural-effusion', 'custom_fields': {'___s1_': ['moderate']}}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 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': 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': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['unstructured interstitial']}}, {'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': 2606, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Chronic Fecal Material', 'custom_fields': None}], 'diagnosis': [{'id': 149, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}, {'id': 561, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Diabetes mellitus'}], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart. There is increased opacity throughout the lung fields, characterized as a unstructured interstitial. 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 spondylosis deformans noted in the thoracic spine. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The spleen is visualized in the cranioventral abdomen and has a normal appearance. There is an accumulation of fecal material in the colon. The fecal material noted in the colon is very radiopaque, consistent with chronicity. 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': -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': 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': -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': 'labelling', 'history': False, 'confidence': 2, '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': 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': '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': 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': 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': 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': 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': 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': 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': 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': 2579, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 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:\nVisibility of the cardiac silhouette is limited due to border effacement preventing thorough evaluation. Based on the clinical signs and other pathology observed on the radiographs, heart disease is a likely differential. Neoplasia or other disease processes cannot be ruled out.\nHepatomegaly consistent with a metabolic/endocrine hepatopathy. Other etiologies including vacuolar or EMH/nodular hyperplasia, infiltrative neoplasia, or acute hepatitis 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.\nEvidence of fecal retention is noted in the colon.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nRecommend supportive care and thoracocentesis. Recheck radiographs after thoracocentesis for other pathology and to better assess the heart. Additionally an echocardiogram, an ECG and a blood pressure measurement should be considered. Given the suspicion for cardiac disease, treatment with diuretics is recommended. \nHepatomegaly consistent with reported endocrine disorder.\nConsider abdominal ultrasound to further investigate clinical significance of the visualized spleen and if enlargement is confirmed an FNA sample is recommended.\nCorrelate with clinical history and abdominal palpation to rule out constipation. Consider intravenous fluids, enemas, oral stool softeners, or other treatments as indicated if constipation is confirmed clinically.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2010-09-10', 'name': 'HEDENSKOG^VADER', 'breed': 'Domestic Shorthair', 'owner': 'HEDENSKOG^SCOTT', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Hx of chronic pancreatitis and diabetes (has been on Vetsulin for years). Presented for occasional dyspnea and vomiting for last 3 days.

Further assessment of changes on radiographs requested - thank you

expert

['Gi signs - Systemic vs general', 'Resp signs - heart/lungs']

['Dyspnoea', 'Vomiting', 'Feline']

[]

[50, 256, 2327]

[]

['Pancreatitis', 'Diabetes mellitus (DM)']

[]

[149, 561]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-08-08', 'name': 'Green^Althea', 'breed': 'Collie, Mix', 'owner': 'Green^Sarah', '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': 'Pet started to gag really loud after chewing on a bone and stomach was sunk in. Pet was shaking and looked like she could not breath. O tried Heimlich and could not get anything out. Pet vomited 3 times on the way to the clinic and she was coughing, licking, and seemed nervous. O said after the last vomit pet seemed like she was much better and could breath better. Repeated gag response on palpation of cranial trachea', 'questions': 'Possible tracheal foreign body', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', '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': 'empty', 'source': 'rules'}, {'id': 1024, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1033, 'state': 'abnormal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 305, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Upper - Laryngeal Par, normal thorax, breed specific(Labrador)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 791, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Esoph - Regurg, no ESD/EFB, reflux/esophagitis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 63, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Choking'}, {'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 521, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 620, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 2179, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'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': 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': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 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': 612, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Foreign body'}], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}, {'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\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': 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': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'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': 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': 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': 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': 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': 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': 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': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', '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': 0, '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': 0, 'signal_name': 'SI-bunching', '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': 2669, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nA cause for the clinical signs is not determined during this evaluation, the results of which are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, masses. Given the signalment and clinical history, along with the unremarkable thoracic films, laryngeal paralysis should be considered. \nA cause for the described clinical signs is not identified in the radiographs provided. Causes may include gastroesophageal reflux or esophagitis.\n\nRecommendations:\nA sedated upper airway exam may be used to confirm the presence of laryngeal paralysis. Symptomatic treatment may be considered. If there is no response to therapy, endoscopy or a swallow study may be indicated for further investigation.'}

{'bday': '2023-08-08', 'name': 'Green^Althea', 'breed': 'Collie, Mix', 'owner': 'Green^Sarah', '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'}

Pet started to gag really loud after chewing on a bone and stomach was sunk in. Pet was shaking and looked like she could not breath. O tried Heimlich and could not get anything out. Pet vomited 3 times on the way to the clinic and she was coughing, licking, and seemed nervous. O said after the last vomit pet seemed like she was much better and could breath better. Repeated gag response on palpation of cranial trachea

Possible tracheal foreign body

standard

['Resp signs - heart/lungs', 'resp signs - upper vs lower']

['Choking/something stuck in throat', 'Coughing', 'Vomiting', 'Gagging/retching', 'Tremors/shaking/trembling', 'Respiratory distress', 'Canine Medium/Large Breed']

[]

[63, 69, 256, 521, 620, 2179, 2656]

[]

['Foreign body']

[]

[612]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-08-14', 'name': 'Penny', 'breed': 'PITBULL', 'owner': 'Cioffi^Adam', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'address': 'United States - Pasadena', 'clinician': 'Kristie Villicana'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Penny Sanders is presented as an emergency patient for evaluation of being hit by a car this evening. Her owners state she was struck on the side and and went under the car. She was hit by a car ~1 year ago as well and has a historic front limb lameness (uncertain which arm). \r\n\r\nBAR and stable on presentation. Increased BV sounds in all quadrants. Bruising and abrasions on all four limbs, the thorax and face', 'questions': 'evidence of traumatic pulmonary disease?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1016, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'empty', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1031, 'state': 'ready', 'source': 'rules'}, {'id': 1032, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'partial', 'source': 'rules'}, {'id': 1038, 'state': 'inprogress', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'normal', 'source': 'rules'}, {'id': 1095, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 391, 'state': 'normal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 7.085, 'consult_name': 'Negative - no cause for lameness', 'diagnosis_custom_text': 'The study is negative for fractures, luxation or subluxation. This does not rule out a soft tissue injury at this time.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 699, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Parenchymal - resp signs, trauma, CVP/CDP, pulmonary contusions', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1102, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Subcut - Swelling, trauma, only significant finding', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 30, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Been run over/hit by car/Motor vehicle accident '}, {'id': 54, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Bruising'}, {'id': 259, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 296, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Wound'}, {'id': 550, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'hematoma'}, {'id': 2185, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2536, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lung-crackles-sounds'}, {'id': 2656, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-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': 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': 713, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is moderate increased opacity in the left caudodorsal lung field, characterized as a contusion .', 'elapsedTime': 9.431, 'signal_name': 'lung-caudodorsal-parenchymal', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['left']}, 'finding_normal_text': 'Lung fields are clear.', 'finding_abnormal_text': 'There is ___s1_ increased opacity in the ___s2_ caudodorsal lung field, characterized as a ___s3_ .'}, {'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': 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': 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': 787, 'group': 'thorax', 'source': 'rules', 'history': 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, '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, '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, '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, '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': 2166, 'group': 'thorax', 'source': 'rules', 'history': 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': 2275, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the right']}, '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': 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': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': 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, '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': 'rules', 'history': 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': 2500, 'group': 'abdomen', 'source': 'rules', 'history': 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, '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': [{'id': 2324, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Wound'}, {'id': 2332, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Wound - abrasion'}, {'id': 2334, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Wound - laceration'}], 'questions': [{'id': 2674, 'source': 'labelling', 'signal_name': 'trauma-fractures'}, {'id': 2675, 'source': 'labelling', 'signal_name': 'trauma-general'}, {'id': 2676, 'source': 'labelling', 'signal_name': 'lameness-general'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is moderate increased opacity in the left caudodorsal lung field, characterized as a contusion . The rest of the observed thorax 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.\n\nMusculoskeletal\nThere is soft tissue swelling involving the right. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', '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': -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': 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': -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': 'labelling', 'history': False, 'confidence': 2, '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': 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': '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': 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': 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': 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': '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': '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': 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': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', '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': 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': 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': 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': 2446, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': True}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', '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': 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': 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': 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': -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:\nThe increased opacity noted in the lung is consistent with pulmonary contusion secondary to reported trauma. signs can progress over 24-48 hours. \nSoft tissue swelling as described. Consistent with history of trauma and physical exam. No pathology observed in the associated bony structures.\nThe study is negative for fractures, luxation or subluxation. This does not rule out a soft tissue injury at this time.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nRespiratory monitoring and supportive care including supplemental oxygen, judicious use of IV fluids (restrictive unless hypotensive) , and analgesics are indicated.\nMedical management of soft tissue injury and rest is recommended at this time. If no response to medical management, consider follow-up diagnostics such as advanced imaging.\nRecommend medical management for soft tissue injury and exercise restriction. If exam suggests more than a soft tissue injury or there is no response to treatment, consider sedation and +/- orthopedic consult.'}

{'bday': '2023-08-14', 'name': 'Penny', 'breed': 'PITBULL', 'owner': 'Cioffi^Adam', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Penny Sanders is presented as an emergency patient for evaluation of being hit by a car this evening. Her owners state she was struck on the side and and went under the car. She was hit by a car ~1 year ago as well and has a historic front limb lameness (uncertain which arm). BAR and stable on presentation. Increased BV sounds in all quadrants. Bruising and abrasions on all four limbs, the thorax and face

evidence of traumatic pulmonary disease?

standard

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

['Hit by car', 'Bruising/contusion', 'Traumatic injury', 'Wound', 'Bleeding - hematoma', 'Lameness', 'Lung crackles/lung sounds', 'Canine Medium/Large Breed']

[]

[30, 54, 259, 296, 550, 2185, 2536, 2656]

[]

['Wound', 'Wound - abrasion', 'Wound - laceration']

[]

[2324, 2332, 2334]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-01-05', 'name': 'ROSCOE', 'breed': 'American Bulldog', 'owner': 'BRIAN ROSS', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Regal Animal Hospital', 'email': '[email protected]', 'address': 'United States - Lake worth', 'clinician': 'Victoria Delaporte'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet presented for staging/monitoring following removal of his gallbladder for a neuroendocrine carcinoma (found incidentally during foreign body removal in Dec 2023). Pet reported to be doing well at home, no concerns expressed. Abdominal ultrasound performed last week by internist, no signs of metastasis within abdomen. Last staging (chest rads and ab u/s) performed in May 2024.', 'questions': 'met check ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'partial', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'rules'}, {'id': 1036, 'state': 'ready', 'source': 'rules'}, {'id': 1053, 'state': 'normal', 'source': 'rules'}], 'consult': [{'id': 213, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Negative - No thoracic masses', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Gastric - Aerophagia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 879, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly - Mild(likely incidental)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1057, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Negative - Met check, no abd masses', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1252, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Spine - TID/CID, VAN+SPN, breed conformation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2386, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'met-check'}, {'id': 2656, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2703, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Follow-up/re-examination Abdomen'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': 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': 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': 702, 'group': 'abdomen', 'source': 'rules', 'history': 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, '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': 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': 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': 787, 'group': 'thorax', 'source': 'rules', 'history': 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': 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': 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 is a ___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_': ['multiple thoracic vertebrae']}, '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': 2166, 'group': 'thorax', 'source': 'rules', 'history': 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, '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, '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': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['multiple areas in the thoracic spine']}, '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': 2315, 'group': 'abdomen', 'source': 'labelling', 'history': 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 gas. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': 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': [{'id': 1200, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Squamous cell carcinoma (site unspecified)'}], 'questions': [{'id': 2683, 'source': 'labelling', 'signal_name': 'screening-thorax'}, {'id': 2684, 'source': 'labelling', 'signal_name': 'screening-abdomen'}], 'internal_notes': 'more likely English bulldog - based on conformation. ', '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 moderate distension of the stomach with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic and lumbar spine. Vertebral anomaly is noted at multiple thoracic vertebrae. There is intervertebral disc space narrowing at multiple areas in the thoracic spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', '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': -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': 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': 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': 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': 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': -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': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', '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': 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': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', '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': 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': 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': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', '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}, {'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}, {'id': 2698, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo evidence of pulmonary metastatic disease or apparent masses in the abdomen. \nThe liver appears mildly enlarged, possibly normal for the patient or representing mild congestion. Gas distension in the GI tract is most consistent with aerophagia. \nEvidence of disc space narrowing associated with vertebral anomalies and spondylosis is likely an incidental finding due to breed conformation.\n\nRecommendations:\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.\nCorrelate with clinical signs and exam for clinical significance of gastric gas distension.\nCorrelate with physical examination for clinical significance of spine abnormalities.'}

{'bday': '2018-01-05', 'name': 'ROSCOE', 'breed': 'American Bulldog', 'owner': 'BRIAN ROSS', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Regal Animal Hospital', 'email': '[email protected]', 'address': 'United States - Lake worth', 'clinician': 'Victoria Delaporte'}

Pet presented for staging/monitoring following removal of his gallbladder for a neuroendocrine carcinoma (found incidentally during foreign body removal in Dec 2023). Pet reported to be doing well at home, no concerns expressed. Abdominal ultrasound performed last week by internist, no signs of metastasis within abdomen. Last staging (chest rads and ab u/s) performed in May 2024.

met check

standard

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

['Metastasis check', 'Canine Medium/Large Breed', 'Follow-up/re-examination Abdomen']

[]

[2386, 2656, 2703]

[]

['Squamous cell carcinoma (site unspecified)']

[]

[1200]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-02-14', 'name': 'Storey^Freddie', 'breed': 'Poodle', 'owner': 'Storey^Lisa', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'address': 'Canada - Vancouver', 'clinician': 'Parmjit Dhillon'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Diarrhea, reduced appetite, lethargy for last week or so. Straining to defecate. \r\nHistory of previous gastroenteritis episodes, suspected food allergies, heart murmur, heartworm in 2023 (treated and confirmed resolved as per owner) ', 'questions': 'Cardiomegaly/concern for underlying heart disease\r\nGastroenteritis, pancreatitis, ascites, organomegaly (hepatic/renal disease) as potential causes of current symptoms ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'inprogress', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1032, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1038, 'state': 'empty', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, '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': 267, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Cardiomegaly Left - Symptomatic, small breed, not on meds', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 879, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Hepatomegaly - Mild(likely incidental)', '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': 131, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 243, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Straining to defaecate'}, {'id': 607, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2175, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'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_': ['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': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'The liver appears enlarged. ', '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': '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': 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': 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'}, {'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 ____. '}], 'diagnosis': [{'id': 143, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Gastroenteritis'}, {'id': 149, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}, {'id': 389, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Heart (cardiac) disease'}, {'id': 2599, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'heartworm-disease'}], 'questions': [{'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 may be mild left atrial enlargement. Right side of the heart appears enlarged. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is 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': -2, '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': 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': 'labelling', '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': 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': 'labelling', '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': 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': 'labelling', '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': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, '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': 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': 0, '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': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', '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': 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': 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': -3, 'signal_name': 'globoid-heart', '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': 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': 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': 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': 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': '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': 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:\nPotential cardiomegaly (difficult to be sure in barrel chested dogs), possibly right sided changes from previous heartworm diseaase. \nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nFor further assessment, an echocardiogram and blood pressure measurement would be optimal.\nConsider lab-work (CBC/chemistry, UA). \nA cause of the diarrhea and dyschezia is not seen. A primary gastroenteritis is possible along with systemic illnesses such as pancreatitis. Neoplasia is not ruled out. The blood work will help rule out systemic illnesses causing GI signs. \nSupportive care is indicated. Given the sensitive GI tract, consider switching to a hydrolyzed diet. Increased soluble fiber can help with the large bowel signs. If there is no response to treatment consider PCR fecal pathogen profile, PCR parasite screen and/or endoscopy. '}

{'bday': '2016-02-14', 'name': 'Storey^Freddie', 'breed': 'Poodle', 'owner': 'Storey^Lisa', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Diarrhea, reduced appetite, lethargy for last week or so. Straining to defecate. History of previous gastroenteritis episodes, suspected food allergies, heart murmur, heartworm in 2023 (treated and confirmed resolved as per owner)

Cardiomegaly/concern for underlying heart disease Gastroenteritis, pancreatitis, ascites, organomegaly (hepatic/renal disease) as potential causes of current symptoms

standard

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

['Diarrhea', 'Lethargic/tired', 'Straining to defaecate', 'Hyporexia', 'Heart Murmur', 'Canine Medium/Large Breed']

[]

[76, 131, 243, 607, 2175, 2656]

[]

['Gastroenteritis', 'Pancreatitis', 'Heart (cardiac) disease', 'Heartworm disease']

[]

[143, 149, 389, 2599]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-07-20', 'name': 'rigsby', 'breed': 'german shepard', 'owner': 'constanzo', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Night Watch Elite Animal Emergency (TX)', 'email': '[email protected]', 'clinician': 'NightWatch'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'presenting for vomit episodes - P has had 5 episodes in the last hour of white foamy vomit, O is travelling from CO. \r\n\r\nP is not on any rx meds at this time ; hx of distemper as a puppy and herniated neck disc that P had sx on years ago. \r\n\r\nLabs done with mild increase in GLU and CREA and low K \r\nGLU 141 ; CREA 1.5 & K+ 2.8 \r\nCBC is still currently running during this time. ', 'questions': 'Suspect GDV , Any issues seen with other organs liver , kidney ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1024, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'ready', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 240, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Gastric - GDV', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 255, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 14.308, 'consult_name': 'Esoph - No regurg, ESD, moderate, aerophagia', 'diagnosis_custom_text': 'The distension noted in the esophagus may be secondary to aerophagia. Megaesophagus cannot be ruled out. The gas distension observed in the GI tract is most consistent with aerophagia.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, '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': 1251, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, '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': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'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', 'lumbosacral']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 13, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-dilatation', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 799, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'esophagus-distension', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['cervical', 'cranial thoracic', 'caudal thoracic']}}, {'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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is severe distension of the stomach with the presence of gas. ', 'elapsedTime': 12.801, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['severe']}}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': {'___s1_': ['gas']}}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 57, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Gastric dilation-volvulus syndrome (GDV)'}, {'id': 1016, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Canine distemper'}, {'id': 1422, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Intervertebral disc degeneration - previous dx'}], 'questions': [{'id': 2684, 'source': 'labelling', 'signal_name': 'screening-abdomen'}], 'recommendations': [{'id': 137, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Blood test: Biochemistry - basic profile'}], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the thoracic and lumbosacral spine. There is degenerative changes affecting the left coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere is craniodorsal displacement of the pylorus with evidence of gastric torsion. There is severe distension of the stomach with the presence of gas. There is diffuse distension of the small intestine with gas. The rest of the observed abdomen is within normal limits.\n\nThorax\nThere is moderate distention of the cervical cranial thoracic caudal thoracic esophagus. 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': 'labelling', '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': 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': 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': 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': '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': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia', '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': 2283, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'feeding-tube', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', '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': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', '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': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', '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:\nGastric dilatation and volvulus with secondary changes noted in the abdomen.\nThe distension noted in the esophagus may be secondary to aerophagia. Megaesophagus cannot be ruled out. The gas distension observed in the GI tract is most consistent with aerophagia.\nDegenerative joint disease of the hips.\nBridging spondylosis is noted. Likely incidental.\n\nRecommendations:\nStabilization of the patient and emergency exploratory laparotomy of the abdomen is recommended at this time to correct the gastric dilatation and volvulus. \nCorrelate with clinical signs and exam to further investigate the distension noted in the esophagus.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the hips.\nCorrelate with physical exam findings to determine the clinical significance of this bridging spondylosis.'}

{'bday': '2014-07-20', 'name': 'rigsby', 'breed': 'german shepard', 'owner': 'constanzo', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

presenting for vomit episodes - P has had 5 episodes in the last hour of white foamy vomit, O is travelling from CO. P is not on any rx meds at this time ; hx of distemper as a puppy and herniated neck disc that P had sx on years ago. Labs done with mild increase in GLU and CREA and low K GLU 141 ; CREA 1.5 & K+ 2.8 CBC is still currently running during this time.

Suspect GDV , Any issues seen with other organs liver , kidney

expert

['screening-abdomen']

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

[]

[256, 2656]

[]

['Gastric dilatation-volvulus syndrome (GDV)', 'Canine distemper', 'PDx: IVDD']

[]

[57, 1016, 1422]

[]

['Blood test: Chemistry - basic profile']

[]

[137]

[]

{'patient': {'bday': '2023-04-27', 'name': 'Eisenstein^LOUIE', 'breed': 'Golden Retriever', 'owner': 'Eisenstein^Alycia', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', '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': 'P presented today for V/D. Started with several bouts of diarrhea and then to vomit today. Unsure if he could have gotten a foreign body like a sock. On exam, P is bright, alert, and responsive. He is febrile at 104.4. His abdomen is non painful. I discussed with the owner that the clinical signs could be a result of inflammation, infection, or obstruction. I recommend baseline blood work and abdominal radiographs to help determine a cause. ', 'questions': 'See above', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'excluded', 'source': 'rules'}], 'consult': [{'id': 248, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Gastroenteritis, concern for 2 pops', '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': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 545, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 2184, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'id': 2352, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lab-work-pending'}, {'id': 2468, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'BAR - Bright Alert Responsive'}, {'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': 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': [], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', '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': -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': -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': 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': -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': 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': 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': 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': -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': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', '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': 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}], 'report_conclusions': 'Conclusions:\nGastroenteritis is considered the most likely source of signs. No complete obstructive pattern is identified although an obstruction cannot be completely excluded radiographically.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider abdominal ultrasound better to rule out an intestinal foreign body.'}

{'bday': '2023-04-27', 'name': 'Eisenstein^LOUIE', 'breed': 'Golden Retriever', 'owner': 'Eisenstein^Alycia', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

P presented today for V/D. Started with several bouts of diarrhea and then to vomit today. Unsure if he could have gotten a foreign body like a sock. On exam, P is bright, alert, and responsive. He is febrile at 104.4. His abdomen is non painful. I discussed with the owner that the clinical signs could be a result of inflammation, infection, or obstruction. I recommend baseline blood work and abdominal radiographs to help determine a cause.

See above

expert

['Gi signs - Systemic vs general']

['Diarrhea', 'Vomiting', 'Fever/pyrexia', 'Suspected foreign body ingestion', 'Lab work pending', 'Bright Alert Responsive (BAR)', 'Canine Medium/Large Breed']

[]

[76, 256, 545, 2184, 2352, 2468, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-02-19', 'name': 'Merz^Erik^^^', 'breed': 'Shih Tzu', 'owner': 'Erik Merz', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Emily Moren'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented with acute lethargy and anorexia. Bloodwork shoes immune mediated hemolytic anemia.', 'questions': 'Screen for masses.', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1006, 'state': 'empty', 'source': 'rules'}, {'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'inprogress', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'inprogress', 'source': 'rules'}, {'id': 1044, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'normal', 'source': 'rules'}], 'consult': [{'id': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/anorexia/ lethargy', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with biochemistry profile, CBC, urinalysis and abdominal ultrasound to further investigate the reported non-specific signs. Re-evaluation of radiographs in time may also be indicated to further investigate the reported non-specific signs.', 'recommendation_custom_fields': None}, {'id': 302, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 7.383, 'consult_name': 'Resp Trachea - no cough, redundant tracheal membrane', 'diagnosis_custom_text': 'The increased soft tissue opacity dorsally within the cervical region of the trachea may be attributed to invagination of the dorsal tracheal membrane and can be an early stage of collapsing trachea. Alternatively, it may be an artefactual finding due to superimposed esophagus or Longus coli muscle. If the patient is not showing clinical signs such as coughing this is likely to be an incidental finding.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1057, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Negative - Met check, no abd masses', 'diagnosis_custom_text': 'No apparent masses noted.', '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': 606, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Anorexia'}, {'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': 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': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['cervical']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 698, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Anaemia - haemolytic, immune-mediated (IMHA) - secondary'}], 'questions': [{'id': 2671, 'source': 'labelling', 'signal_name': 'neoplasia-abdomen'}, {'id': 2672, 'source': 'labelling', 'signal_name': 'neoplasia-thorax'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nThere is increased soft tissue opacity within the cervical 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': -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': 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': -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': 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': -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': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 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': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'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': 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': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', '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': 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': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', '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': 2664, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nNo apparent masses were noted. The cause of the patient's described clinical signs is not identified in the radiographs provided. The increased soft tissue opacity dorsally within the cervical region of the trachea may be attributed to invagination of the dorsal tracheal membrane and can be an early stage of collapsing trachea. Alternatively, it may be an artefactual finding due to superimposed esophagus or Longus coli muscle. If the patient is not showing clinical signs such as coughing, this is likely to be an incidental finding.\n\nRecommendations:\nCorrelate with biochemistry profile, CBC, urinalysis, and abdominal ultrasound to further investigate the reported non-specific signs. Re-evaluation of radiographs in time may also be indicated to further investigate the reported non-specific signs."}

{'bday': '2017-02-19', 'name': 'Merz^Erik^^^', 'breed': 'Shih Tzu', 'owner': 'Erik Merz', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Presented with acute lethargy and anorexia. Bloodwork shoes immune mediated hemolytic anemia.

Screen for masses.

expert

['neoplasia-abdomen', 'neoplasia-thorax']

['Lethargic/tired', 'Anorexia', 'Canine Small Breed']

[]

[131, 606, 2654]

[]

['Anemia - hemolytic, immune-mediated (IMHA) - secondary']

[]

[698]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-12-07', 'name': 'Farris^Brigid', 'breed': 'Domestic Shorthair', 'owner': 'Morgan Farris', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Acadia Veterinary Hospital ', 'email': '[email protected]', 'clinician': 'Acadia Vet'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'history of having a mammary tumour removed a few times,,, last was in Aug 2023 \r\npresented today for lack of breath, not eating much, and less energy - seems like it has been going on for about 1-2 weeks', 'questions': 'owner concerned with loss of appetite, and wt loss ', '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', 'Tracheal Foreign Body']}, 'groups': [{'id': 1006, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1021, 'state': 'ready', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'empty', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', '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': 223, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Peritoneal - Thin LAD', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Loss of detail in the abdomen most consistent with lack of intra-abdominal fat. A scant amount of peritoneal effusion cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 312, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Resp Neoplasia - Multiple masses', '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': 5, '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': 480, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Colon - Fecal retention', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 664, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Resp Pleural - pleural effusion with concurrent CVP/CDP/DPP/TMS( lung pattern noted separately)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 131, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 140, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 607, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 660, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Mass/swelling - mammary'}, {'id': 2327, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 6, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': 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': 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': 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': 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 fluid. ', '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': 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_': ['mild']}, '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 well-demarcated, soft tissue mass noted in the left caudal thorax. There is an increased opacity in the left caudal lung that is suspicious for an additional nodule.', 'signal_name': 'lung-thoracic-mass', 'custom_fields': {'___s1_': ['well demarcated', 'soft tissue']}, '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_': ['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': 2279, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['severe'], '___s2_': ['left'], '___s3_': ['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': 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': 2488, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': {'___s1_': ['moderate']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is ___s1_ distension of the colon with stool. '}, {'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': 2683, 'source': 'labelling', 'attention': False, 'signal_name': 'screening-thorax'}, {'id': 2684, 'source': 'labelling', 'attention': False, 'signal_name': 'screening-abdomen'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is a severe increased opacity in the left cranioventral lung field, characterized as a alveolar . There is a well-demarcated, soft tissue mass noted in the left caudal thorax. There is an increased opacity in the left caudal lung that is suspicious for an additional nodule. There is evidence of a severe amount of fluid in the pleural space. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of fluid. There is moderate distension of the colon with stool. There is mild loss of serosal detail in the abdomen. 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': 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': -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': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, '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': 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': -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': 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': 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': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'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': 2, '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': -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': 2229, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 2, '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': 2257, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', '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': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'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': 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': 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': 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': 2487, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'colon-distension', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2501, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'focal-loss-detail', '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': 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': 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': 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': 2664, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, '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:\nMultiple pulmonary masses. Differentials may include primary neoplasia, metastatic neoplasia, infectious causes, or granulomas.\nIn addition to the pulmonary pathology identified, there is presence of pleural fluid, a specific cause for which is not determined during this evaluation. Rule out neoplastic exudate, pyothorax, chylothorax or other causes.\nLoss of detail in the abdomen most consistent with lack of intra-abdominal fat. A scant amount of peritoneal effusion cannot be ruled out.\nMild fecal retention. Rule out constipation.\nDegenerative joint disease of the hips.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nConsider CT scan and additional diagnostics for a more definitive diagnosis for the described pulmonary masses.\nConsider therapeutic thoracocentesis and obtaining a sample for fluid analysis and cytology to further investigate changes in the lungs.\nAn AFAST +/- abdominal ultrasound is recommended for free fluid if clinically warranted.\nConsider rectal exam to rule out constipation.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the hips.'}

{'bday': '2014-12-07', 'name': 'Farris^Brigid', 'breed': 'Domestic Shorthair', 'owner': 'Morgan Farris', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

history of having a mammary tumour removed a few times,,, last was in Aug 2023 presented today for lack of breath, not eating much, and less energy - seems like it has been going on for about 1-2 weeks

owner concerned with loss of appetite, and wt loss

standard

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

['Dyspnoea', 'Lethargic/tired', 'Losing weight', 'Hyporexia', 'Mass/swelling - mammary', 'Feline']

[]

[50, 131, 140, 607, 660, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-12-31', 'name': 'Milo', 'breed': 'Scottish Terrier', 'owner': 'Vargas', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'My Pet Hospital on Pinecrest', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'My Pet Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presents today for persistent vomiting after eating for the last 3 weeks. US was done, showing hepatomegaly. ', 'questions': 'Megaesophagus vs FB vs neoplasia vs other', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1024, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1037, 'state': 'abnormal', 'source': 'rules'}], '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': 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': 255, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Esoph - No regurg, ESD, moderate, aerophagia', 'diagnosis_custom_text': 'The distension noted in the esophagus may be secondary to aerophagia. Megaesophagus cannot be ruled out. No foreign body noted in the esophagus, however radiolucent foreign bodies cannot be ruled out completely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with clinical signs and exam to further investigate the distension noted in the esophagus. If concerned about esophageal foreign body, consider contrast study.\xa0', 'recommendation_custom_fields': None}, {'id': 319, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 18.273, 'consult_name': 'Resp Parenchymal - vomiting/retching, CVP(right middle), aspiration pneumonia', 'diagnosis_custom_text': 'Given the history of vomiting, the mixed interstitial to alveolar pattern in the cranioventral region is most consistent with aspiration pneumonia.No thoracic mass noted in this study', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, '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': 1278, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Small intestines - SIO, SFB small probably not the cause of the obstruction', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2182, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Chronic Vomiting'}, {'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']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-diffuse-parenchymal', 'custom_fields': {'___s1_': ['mixed interstitial to alveolar pattern']}}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is small, soft tissue foreign material located within the small intestine, noted over the urinary bladder silhouette in image 2.', 'elapsedTime': 12.449, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['small', 'soft tissue']}}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 799, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'esophagus-distension', 'custom_fields': {'___s1_': ['partial'], '___s2_': ['caudal thoracic']}}, {'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': 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': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [{'id': 1154, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'abdominal-ultrasound'}], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. There are degenerative changes noted in the left and right shoulder. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is small, soft tissue foreign material located within the small intestine, noted over the urinary bladder silhouette on the right lateral. The rest of the observed abdomen is within normal limits.\n\nThorax\nThere is partial distention of the caudal thoracic esophagus. 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': 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': 2, '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': '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': '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': 'labelling', 'history': False, 'confidence': 2, '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': 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': 'labelling', 'history': False, 'confidence': 2, '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': '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': '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': -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': 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': 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': 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': 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': 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': 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': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', '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': 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 distension noted in the esophagus may be secondary to aerophagia, and megaesophagus cannot be ruled out. No foreign body noted in the esophagus, however radiolucent foreign bodies cannot be ruled out completely. \nThe mixed interstitial to alveolar pattern in the cranioventral region is most consistent with aspiration pneumonia, given the history of vomiting. No thoracic mass noted in this study. \nHepatomegaly is consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia), and infiltrative neoplasia or acute hepatitis cannot be ruled out. \nSpondylosis deformans and degenerative changes in the shoulder are noted, likely incidental. \nTwo populations of intestines and some foreign material as noted, which is likely incidental and may or may not pass on its own.\n\nRecommendations:\nCorrelate with clinical signs and exam to further investigate the significance of the distension noted in the esophagus. \nConsider respiratory lavage for cytological exam and culture and sensitivity to further investigate the alveolar pattern in the cranioventral region.\nConsider abdominal ultrasound to further investigate the hepatomegaly. FNA sampling or biopsy will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\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.\nRecommend abdominal ultrasound for further investigation of the distended small intestines and confirmation of a possible intestinal obstruction prior to abdominal exploratory surgery. Consider medical management with follow-up radiographs if closely monitored for any change in status.'}

{'bday': '2016-12-31', 'name': 'Milo', 'breed': 'Scottish Terrier', 'owner': 'Vargas', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'My Pet Hospital on Pinecrest', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'My Pet Hospital '}

P presents today for persistent vomiting after eating for the last 3 weeks. US was done, showing hepatomegaly.

Megaesophagus vs FB vs neoplasia vs other

expert

['Gi signs - Systemic vs general']

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

[]

[256, 2182, 2654]

[]

[]

[]

[]

[]

['Abdominal ultrasound']

[]

[1154]

[]

{'patient': {'bday': '2019-05-20', 'name': 'Sykora^Penny', 'breed': 'American Pit Bull Terrier', 'owner': 'Sykora^Monica', 'gender': 'F', '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': 'Penny presented today for Diarrhea and vomiting. The diarrhea started last night and was bloody and very watery. today it is soft with no blood. No the vomiting started around 2 pm with several bouts. Nothing the dog could have gotten into.\r\n\r\n\r\n\r\nOn exam, Penny is bright, alert, and responsive. The abdomen palpates very gaseous. See the exam report for complete details.', 'questions': 'I discussed with the owner that the clinical signs could be a result of inflammation, infection, or obstruction. I recommend baseline blood work and abdominal radiographs to help determine a cause\r\n', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'excluded', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 245, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Gastroenteritis, foreign material', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, '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': 1135, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - SPN, VAN, incidental', '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': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['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': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is small, soft tissue foreign material located within the small intestine, noted in image 2.', 'elapsedTime': 10.777, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['small', 'soft tissue']}}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T13']}}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the lumbosacral spine. Vertebral anomaly is noted at T13. There is evidence of hip incongruity of the left and right hip. There is degenerative changes affecting the left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere is small, soft tissue foreign material located within the small intestine, noted on the left lateral. 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': 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': 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': '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': -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': -3, 'signal_name': 'peritoneal-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': -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': 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': 2229, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hip-dysplasia', 'is_locked_out': False}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': 3, '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': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', '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': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', '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': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nForeign material noted in the GI tract suggests dietary indiscretion as a primary consideration, with no obstructive pattern observed. Gastroenteritis, pancreatitis, or a systemic illness causing secondary GI signs cannot be completely ruled out. Additionally, osteoarthritis of the hips secondary to hip dysplasia, spondylosis deformans, and a vertebral anomaly were noted, 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 an abdominal ultrasound to further investigate the identified intestinal foreign material.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis secondary to hip dysplasia.\nCorrelate this finding with physical exam for clinical significance.'}

{'bday': '2019-05-20', 'name': 'Sykora^Penny', 'breed': 'American Pit Bull Terrier', 'owner': 'Sykora^Monica', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Penny presented today for Diarrhea and vomiting. The diarrhea started last night and was bloody and very watery. today it is soft with no blood. No the vomiting started around 2 pm with several bouts. Nothing the dog could have gotten into. On exam, Penny is bright, alert, and responsive. The abdomen palpates very gaseous. See the exam report for complete details.

I discussed with the owner that the clinical signs could be a result of inflammation, infection, or obstruction. I recommend baseline blood work and abdominal radiographs to help determine a cause

standard

['Gi signs - Systemic vs general']

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

[]

[76, 256, 2475, 2656]

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[]

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{'patient': {'bday': '2020-11-04', 'name': 'Soto^Uma', 'breed': 'Shorthair, Domestic', 'owner': 'Soto^Michelle', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'PetVets Animal Hospital', 'email': '[email protected]', 'clinician': 'PetVets Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'left forepaw multiple nailbed/digit swelling past several days. no response to convenia ', 'questions': 'severe paronychia/digital swelling- multiple digits on left forepaw ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1016, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 406, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 8.515, 'consult_name': 'Subcut - Swelling, non specific, no trauma', 'diagnosis_custom_text': 'Soft tissue swelling as described. No pathology observed in the associated bony structures. Differentials include cellulitis, edema, dermatitis, or less likely neoplastic disease.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1070, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 11.561, 'consult_name': 'M/S general - Osteopenia, disuse', 'diagnosis_custom_text': 'Osteopenia as described; likely indicative of disuse. Emerging lysis secondary to infectious or neoplastic etiologies cannot be completely ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 568, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Paronychia'}, {'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': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the left', 'distal', 'front paw']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2446, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'P3 of digits II-IV appear more lucent than the surrounding bony structures.', 'elapsedTime': 197.875, 'signal_name': 'Bone Lucency', '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': 'labelling', 'signal_name': 'neoplasia-musculoskeletal'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nP3 of digits II-IV appear more lucent than the surrounding bony structures. There is soft tissue swelling involving the left, distal and front paw. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', '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': -3, 'signal_name': 'bone-lesions-of-the-third-phalanx', 'is_locked_out': False}, {'id': 723, 'source': 'labelling', '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': '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': 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': -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': 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': 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': 2310, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-fracture', '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': 2403, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'sternal-deformity', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', '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': -2, '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': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', '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': 0, 'signal_name': 'Sternal-subluxation', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', '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': 0, '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': 0, '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}, {'id': 2667, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}, {'id': 2668, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ruin-lesion', 'is_locked_out': False}, {'id': 2690, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSoft tissue swelling as described. No pathology observed in the associated bony structures. Differentials include cellulitis, edema, dermatitis, or less likely neoplastic disease.\nOsteopenia as described; likely indicative of disuse. Emerging lysis secondary to infectious or neoplastic etiologies cannot be completely ruled out.\n\nRecommendations:\nRecommend medical management for soft tissue injury and tissue sampling if warranted. Focal ultrasound with FNA sampling could also be considered.\nAbdominal ultrasound and thoracic radiographs to look for primary neoplastic disease that can cause paraneoplastic digit issues or metastasis is indicated.\nCorrelate with orthopedic exam and consider follow up radiographs to monitor for progression.'}

{'bday': '2020-11-04', 'name': 'Soto^Uma', 'breed': 'Shorthair, Domestic', 'owner': 'Soto^Michelle', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

left forepaw multiple nailbed/digit swelling past several days. no response to convenia

severe paronychia/digital swelling- multiple digits on left forepaw

expert

['neoplasia-musculoskeletal']

['Paronychia', 'Feline']

[]

[568, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-02-28', 'name': 'DAX', 'breed': 'French Bulldog', 'owner': 'JOHNSON, RACHEL', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Union City Veterinary Medical Center & Emergency Clinic', 'email': '[email protected]', 'clinician': 'Union City Veterinary Medical Center'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'The patient fell in the pool this morning and was under water. The owner took to urgent care who suggested oxygen therapy. The patient is alert but labored breathing. Auscultated congested lung sounds', 'questions': 'General thoracic exam', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1020, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'empty', 'source': 'labelling'}, {'id': 1034, 'state': 'excluded', 'source': 'labelling'}], 'consult': [{'id': 239, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Small FB', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 319, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Parenchymal - vomiting/retching, CVP(right middle), aspiration pneumonia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2179, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2536, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-crackles-sounds'}, {'id': 2649, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Drowning/near drowning'}, {'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': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['mixed interstitial to alveolar']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'gastric-fb', 'custom_fields': {'___s1_': ['mineralized'], '___s2_': ['with rounded margins']}}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], 'recommendations': [{'id': 995, 'state': 'abnormal', 'source': 'ai', 'recommendation_name': 'oxygen-therapy'}], 'report_findings': 'Thorax\nThere is increased opacity throughout the lung fields, characterized as a mixed interstitial pattern. The cardiac silhouette is within normal limits. There are no other abnormalities noted in the rest of the observed thorax.\n\nAbdomen\nThere is distention of the stomach and it contains a mineralized opacity with rounded margins. There are no other abnormalities noted in the rest of the observed abdomen.\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': 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': 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': 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': 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': 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': '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': 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': 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': 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': 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': 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': 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}], 'report_conclusions': 'Conclusions:\nGiven the history, the pattern in the caudodorsal region is most consistent with noncardiogenic pulmonary edema.\nGastric foreign body as described which may or may not pass on its own.\n\nRecommendations:\nTherapy for noncardiogenic pulmonary edema typically centers around supportive oxygen therapy as needed. The use of diuretics as a preload reducer is debatable, and not recommended chronically, but may be useful in the acute setting. Consider respiratory lavage for cytological exam and culture and sensitivity to further investigate the pulmonary pattern if the patient does not respond to supportive therapy. \nRecommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign body.'}

{'bday': '2024-02-28', 'name': 'DAX', 'breed': 'French Bulldog', 'owner': 'JOHNSON, RACHEL', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Union City Veterinary Medical Center & Emergency Clinic', 'email': '[email protected]', 'clinician': 'Union City Veterinary Medical Center'}

The patient fell in the pool this morning and was under water. The owner took to urgent care who suggested oxygen therapy. The patient is alert but labored breathing. Auscultated congested lung sounds

General thoracic exam

expert

['Resp signs - general']

['Respiratory distress', 'Lung crackles/lung sounds', 'Drowning/near drowning', 'Canine Small Breed', 'Brachycephalic']

[]

[2179, 2536, 2649, 2654, 2657]

[]

[]

[]

[]

[]

['Oxygen therapy']

[]

[995]

[]

{'patient': {'bday': '2012-07-09', 'name': 'Currie^Crash', 'breed': 'Domestic Mediumhair', 'owner': 'Currie', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Durham Region', 'email': '[email protected]', 'clinician': 'AEC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'owners did encourage him to eat, but has vomited 2x today \r\nsleeping with owners, which he normally only does when he is nauseous \r\nhad not vomited since July 12th after Maropitant injection \r\n\r\nBlood work was run on July 12th and was completly normal\r\nSince going home has not been very interested in eating food\r\n\r\nPE\r\nVitals are stable\r\n5% dehydrated\r\nFirm structure palpable in caudal abdomen (possibly stool)', 'questions': 'Cause for vomiting?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 195, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Spleen feline - Visible', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Hindlimb Hip - hip OA, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, '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': 1242, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Colon Feline - Constipation suspected', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2482, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'dehydration'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 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': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'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': 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}], 'diagnosis': [], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [{'id': 1099, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'cbc-chemistry-profile'}], 'report_findings': 'Abdomen\nThe spleen is visualized in the cranioventral abdomen. There is an accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is degenerative changes affecting the left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic 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': -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': 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': -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': -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': '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': -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': 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': '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': 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': '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': 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': 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': 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': 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': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': 0, '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}], 'report_conclusions': 'Conclusions:\nClinical signs may be consistent with gastroenteritis, although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, systemic illness, and dietary indiscretion should be considered. \nVisualization of the spleen may be normal variation or due to infiltrative disease such as lymphosarcoma, mast cell neoplasia, or other. \nEvidence of fecal retention is noted in the colon. \nDegenerative joint disease of the hips is also noted.\n\nRecommendations:\nSummary:\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 to further investigate clinical significance of the visualized spleen and if enlargement is confirmed an FNA sample is recommended.\nCorrelate with clinical history and abdominal palpation to rule out constipation. Consider intravenous fluids, enemas, oral stool softeners, or other treatments as indicated if constipation is confirmed clinically.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the hips.'}

{'bday': '2012-07-09', 'name': 'Currie^Crash', 'breed': 'Domestic Mediumhair', 'owner': 'Currie', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

owners did encourage him to eat, but has vomited 2x today sleeping with owners, which he normally only does when he is nauseous had not vomited since July 12th after Maropitant injection Blood work was run on July 12th and was completly normal Since going home has not been very interested in eating food PE Vitals are stable 5% dehydrated Firm structure palpable in caudal abdomen (possibly stool)

Cause for vomiting?

standard

['Gi signs - Systemic vs general']

['Vomiting', 'Hyporexia', 'Feline', 'Dehydration']

[]

[256, 607, 2327, 2482]

[]

[]

[]

[]

[]

['CBC/chemistry profile - normal']

[]

[1099]

[]

{'patient': {'bday': '2013-07-20', 'name': 'Terry^Bohdi', 'breed': 'Border Collie', 'owner': 'Terry^Larry', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'attacked by pit bull ', 'questions': 'trauma scan ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1016, 'state': 'excluded', 'source': 'labelling'}, {'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'excluded', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'excluded', 'source': 'labelling'}, {'id': 1030, 'state': 'excluded', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'excluded', 'source': 'labelling'}, {'id': 1037, 'state': 'empty', 'source': 'labelling'}, {'id': 1040, 'state': 'empty', 'source': 'labelling'}, {'id': 1041, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1043, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 239, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 8, 'consult_name': 'Gastric - Small FB', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 251, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'elapsedTime': 5.488, 'consult_name': 'Colon - Foreign body', 'diagnosis_custom_text': 'Possible colonic foreign body as described. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 358, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Hindlimb Stifle - stifle arthritis, not primary problem', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, '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': 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': 483, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Parenchymal - trauma, no contusions', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 497, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 70.65599999999999, 'consult_name': 'Subcut - Gas, trauma', 'diagnosis_custom_text': 'Extensive subcutaneous gas present secondary to the reported trauma. The study is negative for fractures, luxation or subluxation.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider medical management of the wounds and clinical signs based on additional clinical input. ', 'recommendation_custom_fields': None}, {'id': 893, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 58.721, 'consult_name': 'Peritoneal - No penetrating wounds, abdomen', 'diagnosis_custom_text': 'The wet hair artefct present is limiting thorough evaluation of the abdomen. There is no obvious evidence of penetrating wound in the abdomen. Serosal detail appears adquate and there is no definitive evidence of any free peritoneal gas. However, penetrating wounds cannot always be completely ruled out radiographically. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider further assessment of the wound and abdominal ultrasound to rule out penetration into the abdomen.', 'recommendation_custom_fields': None}], 'signals': [{'id': 37, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Bitten'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['cervical, thoracic and lumbar']}}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-foreign-material', 'custom_fields': {'___s1_': ['mineralized'], '___s2_': ['with a gravel/sand like appearance']}}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a suspect mineral opacity foreign material located within the colon. ', 'elapsedTime': 12.489999999999998, 'signal_name': 'colon-foreign-material', 'custom_fields': None}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is gas noted in the soft tissue of the dorsal thorax, dorsal and lateral abdomen and in both hindlimbs. ', 'elapsedTime': 22.713, 'signal_name': 'subcutaneous-gas', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left']}}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left']}}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-mineralization', 'custom_fields': {'___s1_': ['the gallbladder']}}, {'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': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['C6-C7', 'T11-T12']}}, {'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': 2675, 'source': 'labelling', 'signal_name': 'trauma-general'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nA mineral opacity is noted over the liver in the region of the gallbladder. The stomach contains a mineralized opacity with a gravel/sand like appearance. There is a suspect mineral opacity foreign material located within the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at C6-C7 and T11-T12. There is spondylosis deformans noted in the cervical, thoracic and lumbar spine. There is evidence of hip incongruity of the left hip. There are degenerative changes affecting the left coxofemoral joint. There are degenerative changes noted in the left and right stifle. There is gas noted in the soft tissue of the dorsal thorax, dorsal and lateral abdomen and in both hindlimbs. 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': -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': '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': -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': -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': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'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': 740, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 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': 'labelling', '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': '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': 'labelling', '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': 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': 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': 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': 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': 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': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', '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': 2403, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-deformity', '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': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2421, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-degeneration', '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': -3, 'signal_name': 'hyperinflation-lungs', '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': 2483, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 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': 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': 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': 2570, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', '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': 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': 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': 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': -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:\nSubcutaneous gas secondary to the reported trauma. The study is negative for fractures, luxation or subluxation.\nNo pulmonary pathology observed at the time of study.\nThe wet hair artifact is limiting thorough evaluation of the abdomen. There is no obvious evidence of penetrating wound in the abdomen. Serosal detail appears adequate and there is no definitive evidence of any free peritoneal gas. However, penetrating wounds cannot always be completely ruled out radiographically.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\nOsteoarthritis of the hips secondary to hip dysplasia and of both stifles.\nPossible colonic foreign body as described.\nGastric foreign body as described which may or may not pass on its own.\n\nRecommendations:\nConsider medical management of the wounds and clinical signs based on additional clinical input.\nRecommend follow up thoracic radiographs to monitor for ensuing pulmonary contusion.\nConsider further assessment of the wound and abdominal ultrasound to help rule out penetration into the abdomen.\nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis secondary to hip dysplasia and the stifles.\nMonitor for passage of described colonic foreign body in the stool.\nRecommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign body.'}

{'bday': '2013-07-20', 'name': 'Terry^Bohdi', 'breed': 'Border Collie', 'owner': 'Terry^Larry', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

attacked by pit bull

trauma scan

standard

['trauma-general']

['Bitten/attacked by other animal', 'Canine Medium/Large Breed']

[]

[37, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-07-01', 'name': 'Malumphy^Comet', 'breed': 'Domestic Short Hair', 'owner': 'Malumphy^Kim', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Heart + Paw - Park Lane', 'email': '[email protected]', 'address': 'United States - New Milford', 'clinician': 'Lee Dinwiddie'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'July 2, 2024 indoor/outdoor cat presented at hospital with wounds of unknown origin. Metatarsal bone fracture and abscessed were diagnosed and LHL was splinted. Currently the wound is still non-healing. ', 'questions': 'Please if possible review rads taken 7/2, 7/23, and today. Doctor would like input on next step being amputation', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1016, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'inprogress', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1293, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 902, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 9.215, 'consult_name': 'M/S Limb Fracture - Nonunion Fractures', 'diagnosis_custom_text': 'The visible fracture appears to be a nonunion with no evidence of the formation of a callus, which is not a typical appearance for 30+ days post stabilization.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend rigid stabilization/proper alignment and compression if possible of the nonunion fracture(s). +/- orthopedic consultation.', 'recommendation_custom_fields': None}], 'signals': [{'id': 298, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Wound infected'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2584, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Articular Fracture'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are complete displaced spiral fractures of the second, third, fourth, and fifth metatarsals of the left hindlimb.', 'elapsedTime': 81.20700000000001, 'signal_name': 'fracture-limb-fracture', 'custom_fields': {'___s1_': ['displaced', 'complete', 'spiral']}, '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': 879, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is gas noted in the soft tissue of the left rear paw. ', 'elapsedTime': 3.993, 'signal_name': 'subcutaneous-gas', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'Subcutaneous gas', 'finding_abnormal_text': 'There is gas noted in the soft tissue of the ___s1_. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the left', 'rear paw']}, '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, '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': 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': [{'id': 820, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Metatarsal fistulae of GSD'}, {'id': 2324, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Wound'}], 'questions': [{'id': 2673, 'source': 'ai', 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2674, 'source': 'labelling', 'signal_name': 'trauma-fractures'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere are complete displaced spiral fractures of the second, third, fourth, and fifth metatarsals of the left hindlimb. There is soft tissue swelling involving the left rear paw. There is gas noted in the soft tissue of the left rear paw. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', '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': 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': -3, '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': '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': 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': 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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 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': 2374, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'tail', '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': 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': 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': 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': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', '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': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, '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': -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}, {'id': 2690, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe visible fracture appears to be nonunion with no evidence of the formation of a callus, which is atypical for 30+ days post-stabilization.\n\nRecommendations:\nRigid stabilization and proper alignment with compression, if possible, are recommended for the nonunion fracture(s). Consider orthopedic consultation as needed.'}

{'bday': '2012-07-01', 'name': 'Malumphy^Comet', 'breed': 'Domestic Short Hair', 'owner': 'Malumphy^Kim', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Heart + Paw - Park Lane', 'email': '[email protected]', 'address': 'United States - New Milford', 'clinician': 'Lee Dinwiddie'}

July 2, 2024 indoor/outdoor cat presented at hospital with wounds of unknown origin. Metatarsal bone fracture and abscessed were diagnosed and LHL was splinted. Currently the wound is still non-healing.

Please if possible review rads taken 7/2, 7/23, and today. Doctor would like input on next step being amputation

standard

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

['Wound infected/inflamed/seeping', 'Feline', 'Articular Fracture']

[]

[298, 2327, 2584]

[]

['Metatarsal fistulae of GSD', 'Wound']

[]

[820, 2324]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-02-03', 'name': 'Yuasa^Haru', 'breed': 'Mixed - Medium', 'owner': 'Allyson', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Cactus Pet Hospital 6439', 'email': '[email protected]', 'address': 'United States - Las Vegas', 'clinician': 'Cactus Pet'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Recheck x-ray after tibial avulsion found 4 weeks ago, been on rest with splints/ bandages for 4 weeks. ', 'questions': 'Tibial Avulsion', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1293, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 773, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 16.027, 'consult_name': 'M/S Limb Fracture - Follow-up fracture, callus +12 days', 'diagnosis_custom_text': 'There is evidence of the formation of a callus and evidence of remodeling. Normal appearance for 12-30 days post stabilization. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2589, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Deformity/Healing Fracture'}, {'id': 2656, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 10, 'group': 'musculoskeletal', 'source': 'rules', 'history': 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': 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': 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 are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'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': 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': 2598, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is evidence of healing of the fracture, which was noted as callus formation. ', 'elapsedTime': 77.21699999999998, 'signal_name': 'Fracture Healing, callus', 'custom_fields': None, 'finding_normal_text': 'Fracture Healing, callus', 'finding_abnormal_text': 'There is evidence of healing of the fracture noted as obscured fracture lines and callus formation. '}], 'diagnosis': [], 'questions': [], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is evidence of healing of the fracture, which was noted as callus formation. 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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'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': 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': 703, 'source': 'ray', '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': 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': 740, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'colon-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': 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': 0, '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': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'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': 2401, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', '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': 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': 2598, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Distal 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}], 'report_conclusions': 'Conclusions:\nThere is evidence of the formation of a callus and evidence of remodeling, which is a normal appearance for 12-30 days post stabilization.\n\nRecommendations:\nRecommend palpation of the region of interest for stability to help determine the appropriate timeline for splinting or bandaging.'}

{'bday': '2024-02-03', 'name': 'Yuasa^Haru', 'breed': 'Mixed - Medium', 'owner': 'Allyson', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Cactus Pet Hospital 6439', 'email': '[email protected]', 'address': 'United States - Las Vegas', 'clinician': 'Cactus Pet'}

Recheck x-ray after tibial avulsion found 4 weeks ago, been on rest with splints/ bandages for 4 weeks.

Tibial Avulsion

standard

[]

['Healing fracture', 'Canine Medium/Large Breed']

[]

[2589, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-03-29', 'name': 'Craft^Lulubelle', 'breed': 'Domestic Shorthair', 'owner': 'Craft^David', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'PetCheck Urgent Care - Deptford', 'email': '[email protected]', 'clinician': 'Erin Paul'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for vomiting and not eating in the last 24 hours. Vomited food in am and bile later. not eating but is drinking some water. presented with a 103.5 F fever. Pure mucous discharge rectally on abdominal palpation (egg white consistency). ', 'questions': 'Thickened stomach? Enlarged spleen? Material in colon? ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1022, 'state': 'inprogress', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1026, 'state': 'partial', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'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}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2327, 'source': 'labelling', '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_': ['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': 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': 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': 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'}, {'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': 2671, 'source': 'labelling', 'attention': False, 'signal_name': 'neoplasia-abdomen'}], '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 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': 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': -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': -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': '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': -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': -2, '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': 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': 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': -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': 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': 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': 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': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', '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': 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': 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': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSpondylosis deformans. Likely incidental.'}

{'bday': '2023-03-29', 'name': 'Craft^Lulubelle', 'breed': 'Domestic Shorthair', 'owner': 'Craft^David', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'PetCheck Urgent Care - Deptford', 'email': '[email protected]', 'clinician': 'Erin Paul'}

Patient presented for vomiting and not eating in the last 24 hours. Vomited food in am and bile later. not eating but is drinking some water. presented with a 103.5 F fever. Pure mucous discharge rectally on abdominal palpation (egg white consistency).

Thickened stomach? Enlarged spleen? Material in colon?

standard

['neoplasia-abdomen']

['Vomiting', 'Hyporexia', 'Feline']

[]

[256, 607, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-04-01', 'name': 'Sulyo^Santi', 'breed': 'Goldendoodle', 'owner': 'Sulyo', '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': 'Santi presented for vomiting and diarrhea started today about 3-4 times, on 08/31 was presented as got into trash and meat was treated with apomorphine bomited out meat products and received cerenia, after that was on bland diet as today started vomiting and diarrhea. P is known to eat everything.', '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': 1013, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', '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': 248, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Intestines - Gastroenteritis (dietary indiscretion), concern for 2 pops/obstruction, symptomatic, no FB', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 424, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, '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}], 'signals': [{'id': 76, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 92, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 256, 'source': 'labelling', 'history': True, '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': 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': 1635, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, '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': 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': 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': 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\nThe prostate is prominent. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, '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': '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': 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': -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': 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': 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': 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': 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': 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': -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': 0, 'signal_name': 'redundant-tracheal-membrane', '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': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', '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}], '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 a gastroenteritis secondary to dietary indiscretion.\nIncreased size of the prostate gland is likely secondary to benign hypertrophy being an intact male.\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 further investigate emesis and diarrhea and to rule out an intestinal foreign body.\nCorrelate with rectal exam and clinical signs for clinical significance of the enlarged prostate.'}

{'bday': '2023-04-01', 'name': 'Sulyo^Santi', 'breed': 'Goldendoodle', 'owner': 'Sulyo', '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'}

Santi presented for vomiting and diarrhea started today about 3-4 times, on 08/31 was presented as got into trash and meat was treated with apomorphine bomited out meat products and received cerenia, after that was on bland diet as today started vomiting and diarrhea. P is known to eat everything.

vomiting/diarrhea

standard

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

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

[]

[76, 92, 256, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-05-06', 'name': 'Serna^Baby', 'breed': 'Pug', 'owner': 'Serna^Kendall', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Insight Veterinary Wellness Center - 24/7', 'email': '[email protected]', 'clinician': 'Dr. Aguilar '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presented due to eating chicken bones tonight. ', 'questions': 'Bone ingestion this evening, rule out obstruction', 'specialty_area': ''}}

{'tags': {'userTags': ['partial_unacceptable', 'standard', 'findings_completed', 'acceptable', 'five'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['right-heart-enlargement', 'microcardia', 'caudal-vena-cana-sm', 'pulmonary-vessel-congestion', 'Tortuous vessels']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1024, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 255, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Esoph - No regurg, ESD, moderate, aerophagia', 'isAddressingConcern': False, 'diagnosis_custom_text': 'The distension noted in the esophagus may be secondary to aerophagia.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 939, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': ' Intestines - Enteritis with Partial Obstruction', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Mildly distended small intestinal segments noted, no evidence of intestinal foreign body. Consider enteritis, infiltrate or foreign material with possible secondary partial obstruction.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1231, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Gastric - bones in the stomach', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Evidence of bone shards, with gastric distension is noted in the study. Bone fragments in the stomach can often fully dissolve, however, an outflow obstruction cannot be ruled out completely. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': " A conservative approach with supportive care is recommended. Repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and monitor for potential obstruction in the intestines is advised, assuming the patient's clinical status remains stable or improves. Endoscopy may be attempted, but its success may be limited due to multiple fragments. Inducing emesis may be an option, but complications could arise.", 'recommendation_custom_fields': None}], 'signals': [{'id': 92, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 251, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}, {'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': 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': 799, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'esophagus-distension', 'custom_fields': {'___s1_': ['focal'], '___s2_': ['caudal thoracic']}, 'finding_normal_text': 'Esophageal Distension', 'finding_abnormal_text': 'There is ___s1_ distention of the ___s2_ esophagus.\r\n\r\n'}, {'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': 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': 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': 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': 2483, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is moderate distention of the stomach and it contains gas and mineral opaque material that has the appearance of bone shards.', 'signal_name': 'gastric-fb', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['mineralized'], '___s3_': ['that has the appearance of bone shards']}, 'finding_abnormal_text': 'There is ___s1_ distention of the stomach and it contains a ___s2_ opacity ___s3_.'}, {'id': 2669, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a portion of the small intestine that is mildly distended with gas in the right abdomen on the VD view or caudal abdomen on the laterals.', 'signal_name': 'Mild small intestinal distention', 'custom_fields': {'___s1_': ['mildly'], '___s2_': ['gas']}, 'finding_normal_text': ' Mild/moderate (dropdown) gas/fluid (dropdown) distension of a portion of small intestine.', 'finding_abnormal_text': 'There is a portion of the small intestine that is ___s1_ distended with ___s2_.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}], 'internal_notes': '', 'recommendations': [], 'report_findings': 'Thorax\nThere is focal distention of the caudal thoracic esophagus. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is moderate distention of the stomach and it contains gas and mineral opaque material that has the appearance of bone shards. There is a portion of the small intestine that is mildly distended with gas in the right abdomen on the VD view or caudal abdomen on the laterals. 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': -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': 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': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, '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': 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': 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': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'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': -2, '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': 2283, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'feeding-tube', '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': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-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': 2572, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Hiatal hernia', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nEvidence of bone shards, with gastric distension is noted in the study. Bone fragments in the stomach can often fully dissolve, however, an outflow obstruction cannot be ruled out completely.\nMildly distended small intestinal segments noted, no evidence of intestinal foreign body. Consider enteritis, infiltrate or foreign material with possible secondary partial obstruction.\nThe distension noted in the esophagus may be secondary to aerophagia.\n\nRecommendations:\nA conservative approach with supportive care is recommended. Repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and monitor for potential obstruction in the intestines is advised, assuming the patient's clinical status remains stable or improves. Endoscopy may be attempted, but its success may be limited due to multiple fragments. Inducing emesis may be an option, but complications could arise.\nConsider follow-up radiographs in 12-24 hours or potential abdominal ultrasound if clinical signs persist for further investigation of the changes noted in the intestines.\nCorrelate with clinical signs and exam to further investigate the distension noted in the esophagus."}

{'bday': '2022-05-06', 'name': 'Serna^Baby', 'breed': 'Pug', 'owner': 'Serna^Kendall', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

P presented due to eating chicken bones tonight.

Bone ingestion this evening, rule out obstruction

expert

['Vomiting-FB/obstruction']

['Dietary indiscretion', 'Foreign body ingestion', 'Canine Small Breed']

[]

[92, 251, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-07-12', 'name': 'Razanor^Kat', 'breed': 'Blue Heeler', 'owner': 'Razanor^Jason', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient hurt front left leg yesterday and has been limping on it ever since. Owner was hoping that the leg would get better. Patient does run the fence and play with housemates. No other concerns per Owner. ', 'questions': 'r/o fractures', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1037, 'state': 'empty', 'source': 'rules'}, {'id': 1038, 'state': 'empty', 'source': 'rules'}, {'id': 1039, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 406, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 62.09100000000001, 'consult_name': 'Subcut - Swelling, non specific, no trauma', 'diagnosis_custom_text': 'Soft tissue swelling as described. No pathology observed in the associated bony structures. Differentials include trauma, cellulitis, edema, dermatitis, or less likely neoplastic disease.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical examination. Recommend medical management for soft tissue injury and tissue sampling if warranted. Focal ultrasound with FNA sampling could also be considered. Consider additional focused radiographs of the left front paw for a more thorough evaluation of this region.', 'recommendation_custom_fields': None}], 'signals': [{'id': 2185, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2346, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lameness-forelimb'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There appears to be is soft tissue swelling involving the left front paw. ', 'elapsedTime': 14.474, '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}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2446, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2677, 'source': 'labelling', 'signal_name': 'lameness-frontLimb'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere appears to be is soft tissue swelling involving the left front paw. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', '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': -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': 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': 'labelling', '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': 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': 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': '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': 'ray', 'history': False, 'confidence': 2, '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': 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': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', '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': 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': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': -2, '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': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', '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': -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': 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}, {'id': 2690, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSoft tissue swelling is present with no pathology observed in the associated bony structures. Differentials include trauma, cellulitis, edema, dermatitis, or less likely neoplastic disease.\n\nRecommendations:\nCorrelate with physical examination to determine the clinical significance of the soft tissue injury. Medical management is recommended, and tissue sampling should be considered if warranted. Focal ultrasound with FNA sampling could also be considered. Additionally, consider additional focused radiographs of the left front paw for a more thorough evaluation of this region.'}

{'bday': '2018-07-12', 'name': 'Razanor^Kat', 'breed': 'Blue Heeler', 'owner': 'Razanor^Jason', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Patient hurt front left leg yesterday and has been limping on it ever since. Owner was hoping that the leg would get better. Patient does run the fence and play with housemates. No other concerns per Owner.

r/o fractures

expert

['lameness-frontLimb']

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

[]

[2185, 2346, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-12-28', 'name': 'Cortes^Auggie', 'breed': 'Labrador Retriever', 'owner': 'Cortes', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'clinician': 'CPA TECHS'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for evaluation of vomiting and not eating . Dog got into a trash and ate corncob . Owner staed pet vomited piece of corn cob last night.', 'questions': 'Corncob ingestion', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 242, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - 2 pops(confident), with FB', 'diagnosis_custom_text': "Small intestinal obstruction which maybe secondary to the noted material however it must be noted that the material is not consistent with a corncob and given this material's location particularly on the VD it cannot be ruled out that this material is fecal material in the descending colon. A concurrent stricture or intestinal lesion cannot be ruled out.", 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend abdominal ultrasound for confirmation of intestinal obstruction and investigation of suspicious intestinal material prior to exploratory surgery.', 'recommendation_custom_fields': None}], 'signals': [{'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': 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': 'There is radiopaque foreign material noted within an intestinal loop, on the left lateral this appears to be one of the most dorsal loops inline with L5 and on the VD this appears to be within a loop in the left abdomen under some of the more distended loops however this material does not appear consistent with a corncob cannot be definitively differentiated from fecal material in the descending colon.', 'elapsedTime': 166.00799999999998, 'signal_name': 'intestines-small-fm-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': 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}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is radiopaque foreign material noted within an intestinal loop, on the left lateral this appears to be one of the most dorsal loops inline with L5 and on the VD this appears to be within a loop in the left abdomen under some of the more distended loops however this material does not appear consistent with a corncob cannot be definitively differentiated from fecal material in the descending colon. There is presence of distension of a portion of small intestine and a population of non-distended intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\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': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'labelling', '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': 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': -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': 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': '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': 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': 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': -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': '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': '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': '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': 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': 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': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': 0, '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:\nSmall intestinal obstruction which maybe secondary to the noted material however it must be noted that the material is not consistent with a corncob and given this material's location particularly on the VD it cannot be ruled out that this material is fecal material in the descending colon. A concurrent stricture or intestinal lesion cannot be ruled out.\n\nRecommendations:\nRecommend abdominal ultrasound for confirmation of intestinal obstruction and investigation of suspicious intestinal material prior to exploratory surgery."}

{'bday': '2020-12-28', 'name': 'Cortes^Auggie', 'breed': 'Labrador Retriever', 'owner': 'Cortes', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Presented for evaluation of vomiting and not eating . Dog got into a trash and ate corncob . Owner staed pet vomited piece of corn cob last night.

Corncob ingestion

standard

['Vomiting-FB/obstruction']

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

[]

[92, 256, 607, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-08-16', 'name': 'Brooklyn Shepherd^Bonnie', 'breed': 'MIX BREED', 'owner': 'Brooklyn Shepherd^Unknown', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'East Metro Animal Emergency Clinic', 'email': '[email protected]', 'address': 'United States - Covington', 'clinician': 'East Metro Animal Emergency '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presented for vomiting.\r\nP went to rDVM earlier today and was treated for cough (Clavamox Drops and Cough Tabs). \r\nO reports vomiting started around 6PM tonight, but now O is wondering if P was trying to vomit earlier, and it was confused for a cough. O saw a worm in the vomitus. \r\n\r\nCBC:Leukocytosis @23.58 (5.05 - 16.76). Neutrophilia @15.37 (2.95 - 11.64), and monocytosis @3.64 (0.16 - 1.12)\r\nCHEM: BUN @4 (7-29), Chloride @104 (105 - 119)\r\nParvo test: Negative\r\nFecal test: Pending\r\nPulse Ox: pending', 'questions': 'Is there segmental dilation of the SI?', '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': 'partial', 'source': 'rules'}, {'id': 1020, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'partial', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'ready', 'source': 'rules'}, {'id': 1095, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 292, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Bronchial - bronchopneumonia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 23.032, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': 'Given the normal appearance of the GI tract and clinical history provided, clinical signs 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. The reported parasitaemia may contribute to nausea. ', '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': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2634, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Neutrophilia'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2656, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-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': 702, 'group': 'abdomen', 'source': 'rules', 'history': 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': 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': 1605, 'group': 'abdomen', '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']}, '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, '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, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['moderate']}, '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, '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': 2280, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['left'], '___s2_': ['patchy alveolar pattern']}, 'finding_normal_text': 'Lung Fields Opacity', 'finding_abnormal_text': 'There is increased opacity throughout the ___s1_ lung field, characterized as a ___s2_ . '}, {'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': 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': 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': 2500, 'group': 'abdomen', 'source': 'rules', 'history': 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, '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': 119, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Gastrointestinal disorder, parasitic'}, {'id': 1017, 'state': 'normal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Canine parvovirus infection'}], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [{'id': 961, 'state': 'abnormal', 'source': 'ai', 'recommendation_name': 'Antibiotic'}], 'report_findings': 'Thorax\nA bronchial pattern is present. There is increased opacity throughout the left lung field, characterized as a patchy alveolar pattern. The rest of the observed thorax 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. 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': -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': -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': 0, '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': 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': 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': 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': 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': 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': 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': 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': 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': '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': 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': 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': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', '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': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', '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 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. The reported parasitaemia may contribute to nausea. \nBronchial pattern with parenchymal pattern most consistent with bronchopneumonia noted. Aspiration pneumonia can not be ruled out. \nGastric material noted may represent food however foreign material cannot be entirely ruled out.\n\nRecommendations:\nSummary:\nConsider medical management of the reported clinical signs 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 a tracheal wash for cytology and culture for further investigation. Medical management for pneumonia and follow up radiographs are indicated.\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nConsider deworming when patient is able to tak oral medications."}

{'bday': '2024-08-16', 'name': 'Brooklyn Shepherd^Bonnie', 'breed': 'MIX BREED', 'owner': 'Brooklyn Shepherd^Unknown', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'East Metro Animal Emergency Clinic', 'email': '[email protected]', 'address': 'United States - Covington', 'clinician': 'East Metro Animal Emergency '}

P presented for vomiting. P went to rDVM earlier today and was treated for cough (Clavamox Drops and Cough Tabs). O reports vomiting started around 6PM tonight, but now O is wondering if P was trying to vomit earlier, and it was confused for a cough. O saw a worm in the vomitus. CBC:Leukocytosis @23.58 (5.05 - 16.76). Neutrophilia @15.37 (2.95 - 11.64), and monocytosis @3.64 (0.16 - 1.12) CHEM: BUN @4 (7-29), Chloride @104 (105 - 119) Parvo test: Negative Fecal test: Pending Pulse Ox: pending

Is there segmental dilation of the SI?

standard

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

['Coughing', 'Vomiting', 'Neutrophilia', 'Canine Small Breed', 'Canine Medium/Large Breed']

[]

[69, 256, 2634, 2654, 2656]

[]

['Gastrointestinal disorder, parasitic']

['Canine parvovirus infection']

[119]

[1017]

['Antibiotic']

[]

[961]

[]

{'patient': {'bday': '2012-01-31', 'name': 'Mireles^Sophie', 'breed': 'SCHNAUZER', 'owner': 'Mireles^Victoria', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Canyon Lake Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Michael Yousef'}, 'accept_tos': 'true', 'consult_info': {'case_info': ' 4/6 left systolic heart murmur\r\n', 'questions': ' 4/6 left systolic heart murmur\r\n', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'labelling'}, {'id': 1034, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': 'Spondylosis deformans in the lumbosacral junction. Likely incidental.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 230, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Subcut - Lipoma', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 239, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Gastric - Small FB', 'diagnosis_custom_text': 'Gastric foreign material as described which may or may not pass on its own.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 265, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly - Asymptomatic, with LAE', 'diagnosis_custom_text': 'Left sided cardiomegaly. This is most consistent with mitral valve disease. There is no evidence of congestive heart failure noted at this time. ', '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}, {'id': 500, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Intestines - FB small (incidental)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2175, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is spondylosis deformans noted in the cervical and lumbosacral spine. ', 'elapsedTime': 4.367, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': None}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is small, mineral foreign material located within the small intestine.', 'elapsedTime': 1.736, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': None}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The stomach contains small, mineralized opacities with gravel/sand/bone-like appearance admixed with ingesta. ', 'elapsedTime': 73.304, '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': 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': 2268, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a mass of soft tissue opacity associated with the subcutaneous tissue of the left caudal thorax and cranial abdomen. ', 'elapsedTime': 26.12, 'signal_name': 'subcutaneous-mass', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is intervertebral disc space narrowing at C5-C7. ', 'elapsedTime': 3.533, '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': 424, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Systolic dysfunction'}], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is evidence of left atrial enlargement. The heart measures above the normal range. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The stomach contains small, mineralized opacities with gravel/sand/bone-like appearance admixed with ingesta. 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 intervertebral disc space narrowing at C5-C7. There is spondylosis deformans noted in the cervical and lumbosacral spine. There is a mass of soft tissue opacity associated with the subcutaneous tissue of the left caudal thorax and cranial abdomen. 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': -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': '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': 'labelling', 'history': False, 'confidence': 3, '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': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'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': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'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': -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': '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': 'labelling', 'history': False, 'confidence': -3, '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': 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': 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': 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': False}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia', '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': 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': 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': 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': 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': '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': 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': 2469, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'narrowed-mainstem-bronchi', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 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': 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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', '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}, {'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:\nLeft sided cardiomegaly. This is most consistent with mitral valve disease. There is no evidence of congestive heart failure noted at this time.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nGastric foreign material as described which may or may not pass on its own.\nFat opaque mass consistent with lipoma.\nSmall intestinal foreign material as described likely to pass on its own. No evidence of obstruction noted. Likely incidental.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\nSpondylosis deformans in the lumbosacral junction. Likely incidental.\n\nRecommendations:\nAn echocardiogram with blood pressure measurement and/or radiographic monitoring every 9 to 12 months could be considered for further evaluation. Consultation with a cardiologist could be considered for medication recommendations.\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nRecommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign body.\nCorrelate with physical exam for clinical significance of the lipoma as described.\nConsider follow up radiographs to ensure passage of the described intestinal foreign material. Monitor for development of clinical signs.\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 to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2012-01-31', 'name': 'Mireles^Sophie', 'breed': 'SCHNAUZER', 'owner': 'Mireles^Victoria', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

4/6 left systolic heart murmur

4/6 left systolic heart murmur

standard

['Resp signs - heart/lungs']

['Heart Murmur']

['Canine Medium/Large Breed']

[2175]

[2656]

['Systolic dysfunction']

[]

[424]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-12-31', 'name': 'Carew^Toby', 'breed': 'Domestic Longhair', 'owner': 'Carew^Sarah', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'West Niagara Animal Hospital', 'email': '[email protected]', 'address': 'Canada - Vineland', 'clinician': 'Jada Chiasson'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'First visit - annual examination - Hx rapid resting resp rate (O reports > 20-30) and wheezing since ~ 1 years old. Not as energetic as typical young cat. Will tire more quickly playing. Radiographs taken January 2023 - no report or findings mentioned in previous hx and not attached. Trialed theophylline at that time - O unsure if it made difference but was not home often. Echocardiogram done Nov 2023 - NSF. No smoking or diffusers indoors. ', 'questions': 'Concerns for bronchoalveolar pattern on radiographs - lungs do not looks as dark as they should normally. Significant increase. in resp. sounds in clinic (very stressed)', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1021, 'state': 'partial', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1274, 'state': 'abnormal', 'source': 'rules'}], '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': 331, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Pleural - small fissure line', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 666, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Bronchial - Feline asthma, end stage/fibrotic, BPP, hyperinflation', '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': 257, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Exercise intolerance'}, {'id': 666, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2327, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2456, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Wheezing'}], 'findings': [{'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_': ['unstructured interstitial 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 the ___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': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': 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': 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': 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': 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': 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': 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': 2449, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'pleural-fissure', 'custom_fields': {'___s1_': ['cranioventral']}, 'finding_normal_text': 'Pleural Fissure', 'finding_abnormal_text': 'A pleural fissure line is noted in the ___s1_ thorax.'}], 'diagnosis': [], 'questions': [], 'recommendations': [{'id': 1059, 'state': 'abnormal', 'source': 'ai', 'recommendation_name': 'theophylline'}], 'report_findings': 'Thorax\nA bronchial pattern is present. A pleural fissure line is noted in the cranioventral thorax. There is increased opacity throughout the entire lung field, characterized as a unstructured interstitial pattern . The rest of the observed thorax 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\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': 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': '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': 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': 'labelling', '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': 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': 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': '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': 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': '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': 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': 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': 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': 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:\nGastric material noted is consistent with food/recent meal. \nBronchial pattern with an overall increased opacity throughout the lungs and retraction of pleural margins maybe representative of fibrotic changes. Inflammatory airway disease such as feline asthma is considered. The pleural fissure line noted may represent a small amount of pleural fluid, and thickening of the pleura/pleuritis or artifactual appearance cannot be ruled out.\n\nRecommendations:\nMedical management for lower airway disease/asthma should be modified based on the response to therapy. Consider a combination of steroids, antibiotics, and bronchodilators. Consider an airay wash for cytology and culture.\nCorrelate with the patient's history to determine the clinical significance of the noted pleural fissure line."}

{'bday': '2021-12-31', 'name': 'Carew^Toby', 'breed': 'Domestic Longhair', 'owner': 'Carew^Sarah', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'West Niagara Animal Hospital', 'email': '[email protected]', 'address': 'Canada - Vineland', 'clinician': 'Jada Chiasson'}

First visit - annual examination - Hx rapid resting resp rate (O reports > 20-30) and wheezing since ~ 1 years old. Not as energetic as typical young cat. Will tire more quickly playing. Radiographs taken January 2023 - no report or findings mentioned in previous hx and not attached. Trialed theophylline at that time - O unsure if it made difference but was not home often. Echocardiogram done Nov 2023 - NSF. No smoking or diffusers indoors.

Concerns for bronchoalveolar pattern on radiographs - lungs do not looks as dark as they should normally. Significant increase. in resp. sounds in clinic (very stressed)

standard

[]

['Lethargic/tired', 'Exercise intolerance ', 'Tachypnoea', 'Feline', 'Wheezing']

[]

[131, 257, 666, 2327, 2456]

[]

[]

[]

[]

[]

['Theophylline']

[]

[1059]

[]

{'patient': {'bday': '2015-07-05', 'name': 'Wilson^Lucy Wilson', 'breed': 'Schnauzer, Miniature', 'owner': 'Wilson^Shannon', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Viking Veterinary Hospital ', 'email': '[email protected]', 'clinician': 'Viking Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'patient has been declining over the last few months. Patient presents for vomiting and lethargy today.\r\nCBC: ReticHGB 18.0 (L), WBC 28.16 (H), Lymph *14.12 (H), Mono *6.97 (H), Eos 0.05 (L)\r\n\r\nChem17/Lytes: Crea 2.7 (H), Phos 9.5 (H), K 3.3 (L), Cl 106 (L), TP 9.6 (H), Glob 6.4 (H), GGT 71 (H), Tbili 1.8 (H), Chol 456 (H) ALT & ALP did not run, suspect too high to run\r\n\r\ncPl: Normal', 'questions': 'would like opinion on possibility of GI FB', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1038, 'state': 'partial', 'source': 'rules'}], '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': 219, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Peritoneal - LAD, no trauma', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 244, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 29.052, 'consult_name': 'Intestines - 2 pops, poss(less confident), no obvious FB', 'diagnosis_custom_text': 'The changes noted in the small intestines is suspicious for a two populations of small intestine. This most commonly represents a mechanical obstruction though severe enteritis cannot always be ruled out. No obvious foreign body is noted however due to the decreased serosal detail in the abdomen, thorough evaluation of the GI tract for foreign bodies is diminished.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of GI signs with follow-up radiographs may be a consideration if the patient is closely monitored for any change in status otherwise, 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': 385, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - TID/CID, asymptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2542, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'pancreatic-lipase'}, {'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': 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': 762, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are degenerative changes noted in the visible elbow on the right thoracic lateral view. ', 'elapsedTime': 16.097, '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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['moderate']}}, {'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': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L4-L5']}}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2316, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intestine-fm', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [], 'recommendations': [], 'report_findings': 'Abdomen\nThe liver appears enlarged. There is presence of distension of a portion of small intestine and a population of non-distended intestine. There is moderate loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at L4-L5. There are degenerative changes noted in the visible elbow on the right thoracic lateral view. 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': 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': -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': 'labelling', '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': -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': -2, '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': 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': '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': -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': 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': 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': 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': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', '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': 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': 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': 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': 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}, {'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}, {'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:\nThere appears to be free fluid in the abdomen. Rule out low oncotic pressure, portal hypertension, a neoplastic effusion, abdominal hemorrhage, septic or non septic peritonitis or other potential sources of the free fluid identified in the abdomen.\nThe changes noted in the small intestines is suspicious for a two populations of small intestine. This most commonly represents a mechanical obstruction though severe enteritis cannot always be ruled out. No obvious foreign body is noted however due to the decreased serosal detail in the abdomen, thorough evaluation of the GI tract for foreign bodies is diminished.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nEvidence of disc space narrowing as indicated.\n\nRecommendations:\nFor further assessment, advise abdominocentesis analysis and cytology of the free fluid in the abdomen and abdominal ultrasound.\nMedical management of GI signs with follow-up radiographs may be a consideration if the patient is closely monitored for any change in status otherwise, recommend abdominal ultrasound for further investigation of distended small intestines and confirmation of a possible intestinal obstruction prior to abdominal exploratory surgery.\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.\nFor further evaluation of the disc space narrowing, correlate with a physical exam for clinical significance.\nConsider flow cytometry to evaluate the lymphocytosis. Consider protein elictrophoresis to evaluate the hyperglobulinemia. '}

{'bday': '2015-07-05', 'name': 'Wilson^Lucy Wilson', 'breed': 'Schnauzer, Miniature', 'owner': 'Wilson^Shannon', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

patient has been declining over the last few months. Patient presents for vomiting and lethargy today. CBC: ReticHGB 18.0 (L), WBC 28.16 (H), Lymph *14.12 (H), Mono *6.97 (H), Eos 0.05 (L) Chem17/Lytes: Crea 2.7 (H), Phos 9.5 (H), K 3.3 (L), Cl 106 (L), TP 9.6 (H), Glob 6.4 (H), GGT 71 (H), Tbili 1.8 (H), Chol 456 (H) ALT & ALP did not run, suspect too high to run cPl: Normal

would like opinion on possibility of GI FB

expert

[]

['Vomiting', 'Canine Small Breed']

['Pancreatic Lipase tests/ cPLI/fPLI positive']

[256, 2654]

[2542]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-04-30', 'name': 'Lofgren^Winnie', 'breed': 'Retriever, Golden', 'owner': 'Lofgren^Lynn', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', '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': "The patient has had a mild hack for 2 days like she is trying to clear her throat. No vomiting. CBC unremarkable. Doesn't seem to have trouble breathing.", 'questions': 'Any cause for the hacking noted?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'empty', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1024, 'state': 'ready', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1033, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1271, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 275, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Cardiomegaly Right - asymptomatic', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 300, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Negative Thorax - Normal lungs, large breed', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 745, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Resp Upper - gagging/dysphagia, normal larynx, normal thorax', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 256, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 521, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'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': 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_': [], '___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': 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': 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': 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': 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': 2321, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cardiac-silhouette', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There is evidence of right heart enlargement. '}, {'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 C5. Placement prevents accurate assessment for tracheal narrowing. ', 'elapsedTime': 5.032, 'signal_name': 'endotracheal-tube', 'custom_fields': {'___s1_': []}, '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': 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': 2696, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'splenomegaly-false-positive', 'custom_fields': None, 'finding_abnormal_text': 'The spleen appears prominent. '}], 'diagnosis': [], 'questions': [{'id': 2670, 'source': 'labelling', 'attention': False, 'signal_name': 'resp signs - upper vs lower'}], 'recommendations': [{'id': 1099, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'recommendation_name': 'cbc-chemistry-profile'}], 'report_findings': 'Thorax\nThere is evidence of right heart enlargement. There is an endotracheal tube in place, terminating at the level of C5. Placement prevents accurate assessment for tracheal narrowing. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe spleen appears prominent. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 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': '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': -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': -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': 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': 'labelling', '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': 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': 'labelling', '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': 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': 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': 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': -2, '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': 0, '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': 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': 2314, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-displacement', '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': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', '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': 2557, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', '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': 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': 0, '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': -3, 'signal_name': 'Pharynx Narrowing', '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': 2696, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'splenomegaly-false-positive', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe larynx and associated soft tissue appears within normal limits. Consider gastroesophageal reflux or esophagitis as possible causes. \nRight-sided heart enlargement with no evidence of failure or pulmonary involvement. Consider pulmonary hypertension or heartworm disease. Pulmonic stenosis cannot be ruled out.\nThe lungs are clear with no evidence of pathology. A normal radiograph does not rule out bronchitis completely.\n\nRecommendations:\nFor further characterization, the described signs may require a functional study i.e. a contrast fluoroscopic exam to evaluate the swallow function, lightly sedated laryngeal exam to assess arytenoid function and laryngeal saccules.\nConsider an echocardiogram to further investigate the cardiac changes. A blood pressure measurement is suggested. Heartworm testing may be recommended if clinical history warrants.\nRecommend symptomatic treatment. If the patient does not respond to treatment, endoscopic evaluation, lower airway sampling, and respiratory PCR should be considered.'}

{'bday': '2021-04-30', 'name': 'Lofgren^Winnie', 'breed': 'Retriever, Golden', 'owner': 'Lofgren^Lynn', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

The patient has had a mild hack for 2 days like she is trying to clear her throat. No vomiting. CBC unremarkable. Doesn't seem to have trouble breathing.

Any cause for the hacking noted?

standard

['resp signs - upper vs lower']

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

['Vomiting']

[69, 521, 2656]

[256]

[]

[]

[]

[]

['CBC/chemistry profile - normal']

[]

[1099]

[]

{'patient': {'bday': '2015-09-09', 'name': 'Marti^Titan^^^', 'breed': 'Poodle', 'owner': 'Marti^Mariangel', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Doctor Pet Emergency Hospital (PR)', 'email': '[email protected]', 'clinician': 'Doctor Pet Emergency Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P has hx of eating things. 5emesis episodes in the last 2 days. Lethargic and inapetent. Tremors. \r\nThe Bladder Calculi is known to owner for a while. \r\nTook 2 views of abdomen yesterday night 7/13, other two rads are from today 7/14 morning fasted. ', 'questions': 'Distended Pylorus. Foreign Body? ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level', 'unacceptable', 'expert', 'acceptable', 'five'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['right-heart-enlargement', 'caudal-vena-cana-sm', 'summation-structures', 'splenic-nodule', 'splenic-mass', 'liver-mass', 'pulmonary-vessel-congestion', 'Tortuous vessels', 'lung-diffuse-parenchymal']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'ready', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 250, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Intestines - Linear FB', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Presence of plication of the small intestine is indicative of a linear foreign body. Complete or partial linear foreign body obstruction considered likely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend abdominal ultrasound for confirmation of a linear foreign body prior to abdominal exploratory surgery. Medical management with follow-up radiographs may be a consideration, if the patient is closely monitored for any change in status.', 'recommendation_custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Gastric - Aerophagia', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': '', 'recommendation_custom_fields': None}, {'id': 434, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Bladder - Urolithiasis (UBC+RMN), no URC , no obstruction', 'isAddressingConcern': False, 'diagnosis_custom_text': None, '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': 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': 620, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 2356, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Fasted'}, {'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': 14, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-foreign-body', 'custom_fields': None, 'finding_normal_text': 'Small Intestinal Plication', 'finding_abnormal_text': 'There is plication of the small 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': 699, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-mineralization', 'custom_fields': None, 'finding_normal_text': 'Renal Mineralization', 'finding_abnormal_text': 'There is increased opacity noted over the silhouette of the ___s1_ kidney. '}, {'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': 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': 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': 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. '}, {'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': 2316, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intestine-fm', 'custom_fields': None, 'finding_normal_text': 'No foreign material is apparent in the intestine. ', 'finding_abnormal_text': 'There is ___s1_ opacity foreign material located within 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': [{'id': 2191, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Urolithiasis - urinary bladder'}], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}], 'internal_notes': 'Suspect plication cranioventral abdomen (suspicious on VD of first study)', 'recommendations': [], 'report_findings': 'Abdomen\nThere is mild distension of the stomach with gas noted in the earlier images (13 July). There is possible plication of the small intestine in the cranioventral abdomen. Increased opacity is noted over the silhouette of the urinary bladder. There is increased opacity noted over the silhouette of the left and right kidney. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\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, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 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': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': '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': 'labelling', 'history': False, 'attention': False, 'confidence': 3, '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': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': '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': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 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': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', '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': 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': 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': 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': '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:\nPresence of plication of the small intestine is indicative of a linear foreign body. Complete or partial linear foreign body obstruction considered likely.\nThe gas distension observed in the GI tract is most consistent with aerophagia.\nCystic calculi (non-obstructive) and nephrolithiasis (likely chronic renal disease).\n\nRecommendations:\nRecommend abdominal ultrasound for confirmation of a linear foreign body prior to abdominal exploratory surgery. Medical management with follow-up radiographs may be a consideration, if the patient is closely monitored for any change in status.\nCorrelate with clinical signs and exam for clinical significance of gastric gas distension.\nConsider dissolution diet or cystotomy/nephrolithotomy based on additional clinical input. Correlate with biochemistry, urinalysis and abdominal ultrasound to investigate kidney function.'}

{'bday': '2015-09-09', 'name': 'Marti^Titan^^^', 'breed': 'Poodle', 'owner': 'Marti^Mariangel', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

P has hx of eating things. 5emesis episodes in the last 2 days. Lethargic and inapetent. Tremors. The Bladder Calculi is known to owner for a while. Took 2 views of abdomen yesterday night 7/13, other two rads are from today 7/14 morning fasted.

Distended Pylorus. Foreign Body?

standard

['Vomiting-FB/obstruction']

['Lethargic/tired', 'Vomiting', 'Anorexia', 'Tremors/shaking/trembling', 'Fasted', 'Canine Medium/Large Breed']

[]

[131, 256, 606, 620, 2356, 2656]

[]

['Urolithiasis - urinary bladder']

[]

[2191]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-11-20', 'name': 'Garrett^Buddy', 'breed': 'Miniature Schnauzer', 'owner': 'lYNN', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Creekside Animal Clinic', 'email': '[email protected]', 'address': 'United States - Mebane', 'clinician': 'Creekside Animal Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented on 8/24/24 for vomiting. Patient had bloodwork performed with only mild snap pancreatitis abnormal. Treated symptomatically over the weekend and patient continued to vomit and did not want to keep down medications. Patient was given Chicken this morning and immediately vomited it back up. Patient returned for recheck. Patient bloodwork still looks good and abdominal radiographs where taken today. Patient now having diarrhea.', 'questions': 'Small amount of material in the stomach opinion if there is obstructive process present. ', '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': 'inprogress', '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': 1103, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 17.396, 'consult_name': 'Intestines - Pancreatitis, normal GIT, pancreatitis test pos', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Confirm with abdominal ultrasound. Recommend hospitalisation for supportive medical management for pancreatitis and close monitoring of patient."', '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': 2542, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'pancreatic-lipase'}, {'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': 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': 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': 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': 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': 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': [{'id': 149, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}], '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': [{'id': 1099, 'state': 'normal', 'source': 'labelling', 'attention': False, 'recommendation_name': 'cbc-chemistry-profile'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe intestine appears to be turgid. \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': -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': -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': -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': 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': -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': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', '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': -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': 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': 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:\nGiven the normal appearance of the GI tract and the clinical history provided, clinical signs are most consistent with pancreatitis. No evidence of intestinal foreign body or intestinal obstruction is noted. Other differentials include gastroenteritis due to inflammatory, dietary indiscretion, toxin, infectious or parasitic causes.\n\nRecommendations:\nConfirm with abdominal ultrasound. Recommend hospitalization for supportive medical management of pancreatitis and close patient monitoring.'}

{'bday': '2021-11-20', 'name': 'Garrett^Buddy', 'breed': 'Miniature Schnauzer', 'owner': 'lYNN', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Creekside Animal Clinic', 'email': '[email protected]', 'address': 'United States - Mebane', 'clinician': 'Creekside Animal Clinic'}

Patient presented on 8/24/24 for vomiting. Patient had bloodwork performed with only mild snap pancreatitis abnormal. Treated symptomatically over the weekend and patient continued to vomit and did not want to keep down medications. Patient was given Chicken this morning and immediately vomited it back up. Patient returned for recheck. Patient bloodwork still looks good and abdominal radiographs where taken today. Patient now having diarrhea.

Small amount of material in the stomach opinion if there is obstructive process present.

standard

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

['Diarrhea', 'Vomiting', 'Pancreatic Lipase tests/ cPLI/fPLI positive', 'Canine Small Breed']

[]

[76, 256, 2542, 2654]

[]

['Pancreatitis']

[]

[149]

[]

[]

['CBC/chemistry profile - normal']

[]

[1099]

{'patient': {'bday': '2012-09-05', 'name': 'Johnson^Robben', 'breed': 'Chihuahua Mix', 'owner': 'Johnson^Dennis', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Paws Veterinary Urgent Care', 'email': '[email protected]', 'address': 'United States - Columbus', 'clinician': 'Rob Harney'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Vomiting bile/foam 3 times today. Vomited once in hospital. Bloodwork revealed mild ALT and ALP elevations, but CBC and chemistry were otherwise unremarkable. ', 'questions': 'Enteritis? ', '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': 1023, 'state': 'partial', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'elapsedTime': 13.03, 'consult_name': 'Hepatomegaly- benign', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Hepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out. The spleen appears prominent. Consider folded spleen or abnormal position of the spleen though splenic congestion or mass cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider abdominal ultrasound to further investigate the enlarged liver and changes noted in the spleen, +/- FNA sampling or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.', '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': 878, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Gastric - acute vomiting, GAD, fluid-filled', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'isAddressingConcern': True, '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 and/or abdominal ultrasound to further assess gastrointestinal pattern and lab testing for pancreatitis.', 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2404, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-enzymes-elevated'}], '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': 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_': ['severely'], '___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': 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': 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_': ['mild'], '___s2_': ['fluid']}, 'finding_normal_text': 'stomach-gas', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with ___s2_. '}, {'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': 2696, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'splenomegaly-false-positive', 'custom_fields': None, 'finding_abnormal_text': 'The spleen appears prominent. '}], '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': 'Abdomen\nThe liver appears enlarged. The spleen appears severely enlarged. There is mild distension of the stomach with fluid. The spleen appears prominent. 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': 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': 'labelling', 'history': False, 'attention': False, 'confidence': 0, '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': -2, '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': 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': 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': -2, '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': -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': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, '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': 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': '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': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', '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': 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': 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': 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': 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': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', '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': 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': 2696, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'splenomegaly-false-positive', '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 normal appearance of the GI tract and clinical history provided, clinical signs may be consistent with a gastroenteritis. No obstructive pattern or foreign body 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. Pancreatitis is also a ddx.\nModerate to severe distension of the stomach with fluid is observed. Consider severe gastritis, atony or outflow obstruction. No evidence of an intestinal mechanical obstruction is observed.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out. The 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.\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 and lab testing for pancreatitis.\nConsider repeating fasting abdominal radiographs in 12-24 hours to assess gastric emptying. Depending on clinical signs, abdominal ultrasound or endoscopy may be considered.\nConsider abdominal ultrasound to further investigate the enlarged liver and changes noted in the spleen, +/- FNA sampling or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.'}

{'bday': '2012-09-05', 'name': 'Johnson^Robben', 'breed': 'Chihuahua Mix', 'owner': 'Johnson^Dennis', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Paws Veterinary Urgent Care', 'email': '[email protected]', 'address': 'United States - Columbus', 'clinician': 'Rob Harney'}

Vomiting bile/foam 3 times today. Vomited once in hospital. Bloodwork revealed mild ALT and ALP elevations, but CBC and chemistry were otherwise unremarkable.

Enteritis?

standard

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

['Vomiting', 'Elevated liver enzymes']

[]

[256, 2404]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-04-14', 'name': 'Niznik^Apollo', 'breed': 'Mixed - Large', 'owner': 'Niznik', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Shores Animal Hospital (FL)', 'email': '[email protected]', 'address': 'United States - St. Augustine', 'clinician': 'Shores Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': "P started eating grass last night which is not normal then came in from outside ate dinner at 6:00 pm and threw it up at 8:30 pm acting down and lethargic. Vomit 2-3 times this morning bile didn't want to eat today but still drinking. O is known to get into things and eat things he shouldn't. Has not eaten anything besides one small treat since 6:00 pm last night.", 'questions': 'Gastritis Vs. Obstruction.', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 242, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 27.860999999999997, 'consult_name': 'Intestines - 2 pops(confident), with FB', 'diagnosis_custom_text': 'Small intestinal obstruction likely secondary to foreign material. A concurrent stricture or intestinal lesion cannot be ruled out. Gastroenteritis, pancreatitis or a systemic illness causing secondary GI signs can not be ruled out completely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend abdominal ultrasound or barium study 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 be a consideration if the patient is closely monitored for any change in status.', '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': 92, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'hyporexia'}, {'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_': ['cloth/material like']}}, {'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': 2290, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-foreign-body', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}], 'diagnosis': [{'id': 138, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Gastritis'}], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], '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 cloth/material like foreign material located within the small intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 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': -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': 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': -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': 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': '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': 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': -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': 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': 2290, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-foreign-body', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'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': 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': 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': 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 in the stomach; however, foreign material cannot be entirely ruled out. Small intestinal obstruction is likely secondary to foreign material, and a concurrent stricture or intestinal lesion cannot be ruled out. Gastroenteritis, pancreatitis, or a systemic illness causing secondary GI signs cannot be ruled out completely.\n\nRecommendations:\nSummary:\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.\nRecommend abdominal ultrasound or barium study for further investigation of distended small intestines and confirmation of a possible intestinal obstruction prior to abdominal exploratory surgery. Consider medical management with follow-up radiographs if the patient is closely monitored for any change in status."}

{'bday': '2018-04-14', 'name': 'Niznik^Apollo', 'breed': 'Mixed - Large', 'owner': 'Niznik', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Shores Animal Hospital (FL)', 'email': '[email protected]', 'address': 'United States - St. Augustine', 'clinician': 'Shores Animal Hospital'}

P started eating grass last night which is not normal then came in from outside ate dinner at 6:00 pm and threw it up at 8:30 pm acting down and lethargic. Vomit 2-3 times this morning bile didn't want to eat today but still drinking. O is known to get into things and eat things he shouldn't. Has not eaten anything besides one small treat since 6:00 pm last night.

Gastritis Vs. Obstruction.

standard

['Vomiting-FB/obstruction']

['Dietary indiscretion', 'Lethargic/tired', 'Vomiting', 'Hyporexia', 'Canine Medium/Large Breed']

[]

[92, 131, 256, 607, 2656]

[]

['Gastritis']

[]

[138]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-07-10', 'name': 'Lopez^Gio Lopez', 'breed': 'Yorkshire Terrier', 'owner': 'Lopez^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt was bit mid limb on left front limb by much larger housemate. Pt is non-weight bearing.', 'questions': 'Any obvious fracture?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1016, 'state': 'inprogress', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 496, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Subcut - Puncture wounds thorax, not penetrating', 'diagnosis_custom_text': 'The subcutaneous gas noted is consistent with external puncture wounds. No evidence of penetration through the body wall. The medial aspect of the scapula is not well appreciated on either views and therefore cannot completely rule out a fracture of this bone, although trauma does appear localized to this region. Branchial plexus injury or soft tissue injury are other likely differentials of reported non-weight bearing lameness.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend additional views of scapula to better assess for a fracture in this region. Medical management of soft tissue injury is indicated upon ruling out fractures.', 'recommendation_custom_fields': None}], 'signals': [{'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': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'subcutaneous-gas', 'custom_fields': {'___s1_': ['left', 'proximal', 'thoracic limb']}}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the left', 'proximal', 'front limb']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2446, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}, {'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': [{'id': 2327, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Bite injury'}], 'questions': [{'id': 2674, 'source': 'labelling', 'signal_name': 'trauma-fractures'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is soft tissue swelling involving the left proximal front limb. There is gas noted in the soft tissue of the left proximal thoracic limb. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', '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': -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': 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': -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': 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': 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': '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': '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': -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': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2403, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-deformity', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', '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': -2, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': True}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', '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': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', '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': 0, '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': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 2690, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe subcutaneous gas noted is consistent with external puncture wounds, with no evidence of penetration through the body wall. The medial aspect of the scapula is not well appreciated on either views, and therefore a fracture of this bone cannot be completely ruled out, although trauma does appear localized to this region. Branchial plexus injury or soft tissue injury are other likely differentials of reported non-weight bearing lameness.\n\nRecommendations:\nAdditional views of the scapula are recommended to better assess for a fracture in this region. Medical management of soft tissue injury is indicated upon ruling out fractures.'}

{'bday': '2018-07-10', 'name': 'Lopez^Gio Lopez', 'breed': 'Yorkshire Terrier', 'owner': 'Lopez^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Pt was bit mid limb on left front limb by much larger housemate. Pt is non-weight bearing.

Any obvious fracture?

standard

['trauma-fractures']

['Non-weight bearing lameness', 'Canine Small Breed']

[]

[2545, 2654]

[]

['Bite injury']

[]

[2327]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-11-04', 'name': 'Proano^Emmanuel', 'breed': 'Mixed', 'owner': 'Proano^Stephanie', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', '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': 'Patient hit by car', 'questions': 'fractures ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1014, 'state': 'abnormal', 'source': 'rules'}, {'id': 1016, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1040, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 370, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 34.575, 'consult_name': 'Pelvis - trauma, pelvic fracture', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Analgesics and cage confinement is recommended for pelvic frcture. Orthopedic consultation to discuss surgical vs. non-surgical treatment options should be considered', 'recommendation_custom_fields': None}, {'id': 483, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, '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': 500, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'elapsedTime': 76.677, 'consult_name': 'Intestines - FB small (incidental)', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Small intestinal foreign material as described likely to pass on its own. No evidence of obstruction was noted. Likely incidental. The small intestinal foreign body looks similar to aa rib, however there appears to be no r that is missing a fragment.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '.', 'recommendation_custom_fields': None}, {'id': 710, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Peritoneal - LAD, with trauma', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 780, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Bladder - No evidence of bladder rupture', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Urinary bladder silhoutte appears normal.\xa0', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 889, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Skull - Skull Fracture', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1344, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 7, 'elapsedTime': 28.435, 'consult_name': 'Gastric - Food vs foreign, no GAD, asymptomatic(not clear kibble)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material and to ensure passage of the described intestinal foreign material, if warranted. Monitor for development of clinical signs.', 'recommendation_custom_fields': None}], 'signals': [{'id': 30, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Been run over/hit by car/Motor vehicle accident '}, {'id': 259, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 16, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a hairline fracture of the left, wing of the ilium. ', 'elapsedTime': 7.808, 'signal_name': 'fracture-pelvis-fracture', 'custom_fields': {'___s1_': ['left', 'wing of the ilium']}, 'finding_normal_text': 'Pelvic Fracture', 'finding_abnormal_text': 'There is a fracture of the ___s1_. '}, {'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': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['suspicious boney']}, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'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': 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': 'labelling', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': {'___s1_': ['an acute'], '___s2_': ['left', ',12th']}, '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': 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': 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': 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': 2310, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a fracture noted in the right zygomatic process of the frontal bone of the skull. ', 'elapsedTime': 26.057, 'signal_name': 'skull-fracture', 'custom_fields': {'___s1_': ['zygomatic']}, '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': 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': 2500, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': {'___s1_': ['liver'], '___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.'}, {'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': 2674, 'source': 'labelling', 'attention': False, 'signal_name': 'trauma-fractures'}], '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 suspicious boney foreign material located within the small intestine. There is a wispy soft tissue opacity noted over the liver in the cranioventral abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is a hairline fracture of the left wing of the ilium. There is a fracture noted in the right zygomatic process of the frontal 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': -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': -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': 'labelling', 'history': False, 'attention': False, 'confidence': 2, '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': -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': -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': 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': 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': -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': 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': 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': 'labelling', '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': -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': -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': 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': 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': -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': 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': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 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': 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': 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': 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': 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': -3, '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': 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': 2508, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pelvic-fracture-fp', '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': 2569, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', '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': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', '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': 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': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', '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 a fracture noted in the skull as described.\nEvidence of pelvic fractures as described.\nThere appears to be free fluid in the abdomen. Differentials include hemorrhage or ruptured organ.\nNo pulmonary pathology observed at the time of this study.\nUrinary bladder silhoutte appears normal.\nSmall intestinal foreign material as described likely to pass on its own. No evidence of obstruction was noted. Likely incidental. The small intestinal foreign body looks similar to aa rib, however there appears to be no r that is missing a fragment.\nGastric material. This is most consistent with digested food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\n\nRecommendations:\nComplete neurologic exam should be performed to examine for evidence of traumatic brain injury. Consider CT or MRI, +/- orthopedic consultation to explore best surgical and/or non-surgical options for flat bone fracture repair.\nAnalgesics and cage confinement is recommended for pelvic frcture. Orthopedic consultation to discuss surgical vs. non-surgical treatment options should be considered.\nFor further assessment, advise abdominocentesis for analysis and cytology. An abdominal ultrasound may provide additional information if there is concern for organ rupture.\nRecommend follow up thoracic radiographs to assess for ensuing pulmonary contusion.\nConsider a contrast cystogram if there is concern for possible bladder rupture.\n.\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material and to ensure passage of the described intestinal foreign material, if warranted. Monitor for development of clinical signs.'}

{'bday': '2023-11-04', 'name': 'Proano^Emmanuel', 'breed': 'Mixed', 'owner': 'Proano^Stephanie', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Patient hit by car

fractures

standard

['trauma-fractures']

['Hit by car', 'Traumatic injury', 'Canine Medium/Large Breed']

[]

[30, 259, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-12-12', 'name': 'Somers^Miracle', 'breed': 'Shetland Sheepdog', 'owner': 'Somers^Unknown', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Lamoille Valley Veterinary Services', 'email': '[email protected]', 'address': 'United States - Hyde Park', 'clinician': 'Lamoille Veterinary Services'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Was seen at the end of July because she appears to be panting (lives in a cool home). This appears to happen more when she is lying down. HR&R normal, SSPs and not murmurs detected today. No coughing. No abnormal lung sounds (challenging to listen to right thorax due to mass but found a window by pushing it out of the way.', 'questions': 'The laryngeal area looks odd (mass in distal trachea?)', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1007, 'state': 'partial', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1033, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1038, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'normal', 'source': 'rules'}], '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': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 8, 'consult_name': 'Gastric - Post prandial ', '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': 273, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Cardiomegaly - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 374, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Forelimb Elbow - arthritis, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 667, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Subcut - Subcutaneous mass', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 734, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 46.705, 'consult_name': 'Resp Upper - Pharyngeal/Laryngeal abnormality', 'diagnosis_custom_text': 'Increased opacity of the soft tissues in the region of the pharynx/larynx is suspected to be superimposition of normal structures. Primary neoplasia, cyst, polyp, granuloma, or severe laryngitis cannot be completely ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider a sedated laryngeal exam and tissue sampling, if warranted, for further investigation of the larynx, if clinically indicated.\xa0', 'recommendation_custom_fields': None}, {'id': 1059, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Negative - No cause for pain/ panting/ heavy breathing', 'diagnosis_custom_text': 'Consider discomfort as a possible differential for the described panting. Sources of discomfort could include pressure on the thorax from the large subcutaneous mass, partial vertebral disc herniation, abdominal or other soft tissue origins.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 177, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-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': 20, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The liver is enlarged. ', 'elapsedTime': 3.245, '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, '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': 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': 762, 'group': 'musculoskeletal', 'source': 'labelling', 'history': 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': 787, 'group': 'thorax', 'source': 'rules', 'history': 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': 'rules', 'history': 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.'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': 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': 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': 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 is a ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2158, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'Vertebral anomaly is noted at T13. ', 'elapsedTime': 1.803, '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': 2166, 'group': 'thorax', 'source': 'rules', 'history': 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, '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': 2268, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'subcutaneous-mass', 'custom_fields': {'___s1_': ['soft tissue'], '___s2_': ['subcutaneous tissue', 'on the right', 'thorax']}, 'finding_normal_text': 'No evidence of dermal or subcutaneous masses observed. ', 'finding_abnormal_text': 'There is a mass of ___s1_ opacity associated with the ___s2_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': 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, '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, '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, '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': 2306, 'group': 'musculoskeletal', 'source': 'rules', 'history': 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': 2494, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There appears to be increased opacity in the region of the larynx on the right lateral view, but this is not evident on the left lateral view. ', 'elapsedTime': 24.087, 'signal_name': 'laryngeal-opacity', 'custom_fields': None, 'finding_normal_text': 'Laryngeal opacity', 'finding_abnormal_text': 'There is increased opacity in the region of the larynx. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': 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': 890, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Mass lesion - skin (cutaneous)'}], 'questions': [{'id': 2670, 'source': 'labelling', 'signal_name': 'resp signs - upper vs lower'}], '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 is enlarged. There is radiopaque material within the stomach which has the appearance of kibble/food. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nVertebral anomaly is noted at T13. There are degenerative changes noted in the left and right elbow. There is a mass of soft tissue opacity associated with the subcutaneous tissue on the right thorax. There appears to be increased opacity in the region of the larynx on the right lateral view, but this is not evident on the left lateral view. 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': -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': -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': 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': -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': -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': 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': 880, 'source': 'ray', 'history': False, 'confidence': -2, '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': 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': 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': 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': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', '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': 0, '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': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', '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': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', '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': 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': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 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': 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': 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:\nIncreased opacity of the soft tissues in the region of the pharynx/larynx is suspected to be superimposition of normal structures. Primary neoplasia, cyst, polyp, granuloma, or severe laryngitis cannot be completely ruled out. \nConsider discomfort as a possible differential for the described panting, sources of discomfort could include pressure on the thorax from the large subcutaneous mass, partial vertebral disc herniation, and abdominal or other soft tissue origins. \nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out. \nThe VHS is calculated above the normal range, however, the cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy. \nSubcutaneous mass as described. \nDegenerative changes in the elbow. \nVertebral anomaly noted, likely incidental. \nGastric material noted is consistent with food/recent meal.\n\nRecommendations:\nSummary:\nConsider a sedated laryngeal exam and tissue sampling, if warranted, for further investigation of the larynx, if clinically indicated.\nRecommend supportive care for the reported clinical signs and re-evaluate as clinically indicated to further investigate the possible sources of discomfort.\nConsider abdominal ultrasound to further investigate the hepatomegaly, and a FNA sampling or biopsy for a definitive diagnosis, correlating with blood work for clinical significance.\nConsider an echocardiogram and blood pressure measurement to rule out underlying cardiac disease.\nCorrelate with physical exam and consider tissue sampling of the described subcutaneous/cutaneous mass to determine etiology.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow.\nCorrelate with physical exam for clinical significance of the vertebral anomaly.'}

{'bday': '2011-12-12', 'name': 'Somers^Miracle', 'breed': 'Shetland Sheepdog', 'owner': 'Somers^Unknown', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Lamoille Valley Veterinary Services', 'email': '[email protected]', 'address': 'United States - Hyde Park', 'clinician': 'Lamoille Veterinary Services'}

Was seen at the end of July because she appears to be panting (lives in a cool home). This appears to happen more when she is lying down. HR&R normal, SSPs and not murmurs detected today. No coughing. No abnormal lung sounds (challenging to listen to right thorax due to mass but found a window by pushing it out of the way.

The laryngeal area looks odd (mass in distal trachea?)

standard

['resp signs - upper vs lower']

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

[]

[177, 2656]

[]

['Mass lesion - skin (cutaneous)']

[]

[890]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-07-23', 'name': 'Wolfhart^Kira', 'breed': 'German Shepherd', 'owner': 'Wolfhart^Matthew', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Cactus Pet Hospital 6439', 'email': '[email protected]', 'address': 'United States - Las Vegas', 'clinician': 'Cactus Pet'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented several days ago for lethargy and slow mobility.\r\nAnemia, neuthrophilia, monocytosis, thrombocytopenia', 'questions': 'Assess for splenic mass', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'partial', 'source': 'rules'}, {'id': 1036, 'state': 'partial', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 199, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Splenomegaly - Splenic mass with fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, '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': 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': 879, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Hepatomegaly - Mild(likely incidental)', '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': 2634, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Neutrophilia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}}, {'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': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L5-L6', 'L6-L7']}}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': {'___s1_': ['spleen'], '___s2_': ['cranioventral']}}, {'id': 2562, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'splenic-mass', 'custom_fields': None}], 'diagnosis': [{'id': 659, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Anaemia'}, {'id': 691, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Thrombocytopenia'}], 'questions': [{'id': 2671, 'source': 'labelling', 'signal_name': 'neoplasia-abdomen'}, {'id': 2680, 'source': 'labelling', 'signal_name': 'non-specific-ADR'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. There is evidence of hip incongruity of the left and right hip. There is degenerative changes affecting the left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There appears to be a mass associated with the spleen. The spleen appears prominent. There is radiopaque material within the stomach which has the appearance of kibble/food. 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': 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': 701, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'labelling', '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': 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': -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': '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': 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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'labelling', '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': 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': 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': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', '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': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', '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': 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': 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': 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': 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': 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': 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': 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}, {'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:\nSuspected splenic mass. Both benign (hemangioma, abscess, other) and malignant (hemangiosarcoma, lymphoma, other) etiologies are possible. \nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\nOsteoarthritis of the hips secondary to hip dysplasia.\nAbdominal effusion cannot be ruled out. \n\nRecommendations:\nConsider an AFAST scan for fluid +/- complete abdominal ultrasound with fluid analysis and cytology and/or exploratory laparotomy to rule out a bleeding splenic mass.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis secondary to hip dysplasia.\nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of spondylosis, especially at L7-S1.'}

{'bday': '2015-07-23', 'name': 'Wolfhart^Kira', 'breed': 'German Shepherd', 'owner': 'Wolfhart^Matthew', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Cactus Pet Hospital 6439', 'email': '[email protected]', 'address': 'United States - Las Vegas', 'clinician': 'Cactus Pet'}

Presented several days ago for lethargy and slow mobility. Anemia, neuthrophilia, monocytosis, thrombocytopenia

Assess for splenic mass

expert

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

['Lethargic/tired', 'Neutrophilia', 'Canine Medium/Large Breed']

[]

[131, 2634, 2656]

[]

['Anemia', 'Thrombocytopenia']

[]

[659, 691]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-08-27', 'name': 'White^Prissy', 'breed': 'Yorkshire Terrier', 'owner': 'Cy White', '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: laterally recumbant \r\nSigns and symptoms: pt vomited this morning undigested food. laying lateral on bed, did not seem to be responding \r\nEvents leading up to problem: o is not sure pt has been acting normal \r\nAllergies: NKA\r\nMedications: o gave housemates seizure medication - unknown \r\nLast oral intake food/water: this morning, vomited after\r\nPertinent past history: hx pancreatitis ', 'questions': 'R/O Masses vs Heart Disease ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1026, 'state': 'partial', 'source': 'rules'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'ready', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}, {'id': 1272, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 213, 'state': 'normal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Negative Thorax - No thoracic masses', 'diagnosis_custom_text': 'No evidence of masses.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'attention': False, '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': 431, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Renal - RMN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1100, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Cardiomegaly Left - possible pattern, coughing/panting/dyspnea/syncope', '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': 604, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Recumbency'}, {'id': 2654, 'source': 'ai', '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_': ['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': 699, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-mineralization', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'Renal Mineralization', 'finding_abnormal_text': 'There is increased opacity noted over the silhouette of the ___s1_ kidney. '}, {'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': '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': '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': 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': 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': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L1-L2']}, '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': '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': [{'id': 149, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}], 'questions': [{'id': 2671, 'source': 'ai', 'attention': False, 'signal_name': 'neoplasia-abdomen'}, {'id': 2679, 'source': 'ai', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}], '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 liver appears enlarged. There is increased opacity noted over the silhouette of the left and right kidney. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. There is intervertebral disc space narrowing at L1-L2. 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': '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': 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': -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': 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': 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': 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': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'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': -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': 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': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp', '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': 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': -3, 'signal_name': 'globoid-heart', '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': 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': 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': 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': 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': 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}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe cardiac silhouette appears enlarged making cardiac diseasea potential cause of the clinical signs. No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded. Vessels are small arguing more for hypovolemia. \nNo evidence of masses.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\nThe opacity overlying the renal silhouette is representative of renal mineralization and likely chronic renal disease.\n\nRecommendations:\nComplete blood work and a UA are needed to work this patient up. Consider sepsis, Addisons, etc. \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 an echocardiogram and blood pressure measurement. Repeat thoracic radiographs can also be considered. \nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for renal disease.'}

{'bday': '2013-08-27', 'name': 'White^Prissy', 'breed': 'Yorkshire Terrier', 'owner': 'Cy White', '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: laterally recumbant Signs and symptoms: pt vomited this morning undigested food. laying lateral on bed, did not seem to be responding Events leading up to problem: o is not sure pt has been acting normal Allergies: NKA Medications: o gave housemates seizure medication - unknown Last oral intake food/water: this morning, vomited after Pertinent past history: hx pancreatitis

R/O Masses vs Heart Disease

expert

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

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

[]

[256, 604, 2654]

[]

['Pancreatitis']

[]

[149]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-11-05', 'name': 'Alvarez^Buddy', 'breed': 'MALTESE', 'owner': 'Alvarez Jr.^Martin', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'address': 'United States - Pasadena', 'clinician': 'Kristie Villicana'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'hx of hyporexia, soft stool for few days. Exam: pcv 13%, pet getting blood transfusion soon. pet has tense abdomen on exam. \r\ncpli is normal. ', 'questions': 'r/o anything of concern ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'inprogress', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1026, 'state': 'inprogress', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'inprogress', 'source': 'rules'}, {'id': 1044, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, '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 clinical signs is not identified in the radiographs provided. Given the low PCV conditions such as tick borne diseases, coagulopathies toxin ingestion should be considered.", 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider further work up including biochemistry profile, CBC, urinalysis, parasite checks and abdominal ultrasound to further investigate the reported non-specific signs. Re-evaluation of radiographs in time may also be indicated to further investigate the reported non-specific signs.', 'recommendation_custom_fields': None}, {'id': 253, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 13.419, 'consult_name': 'Colon - hematochezia/diarrhea, normal gut', 'diagnosis_custom_text': 'A cause for the described clinical signs is not determined from the radiographs. Given the history, colitis due to dietary indiscretion, stress, parasite, gastroenteritis or other cause should be considered. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 365, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb Hip - hip subluxation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 847, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Bladder - Urine retention, no obstruction, dog', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1081, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Subcut - Umbilical hernia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 280, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Very sick'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 622, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2542, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'pancreatic-lipase'}, {'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': 2230, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left']}}, {'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': 2268, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'subcutaneous-mass', 'custom_fields': {'___s1_': ['soft tissue'], '___s2_': ['subcutaneous tissue', 'on the ventral', 'abdomen']}}, {'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': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 659, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Anaemia'}], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2680, 'source': 'labelling', 'signal_name': 'non-specific-ADR'}], 'recommendations': [{'id': 1369, 'state': 'abnormal', 'source': 'ai', 'recommendation_name': 'blood-transfusion'}], 'report_findings': 'Musculoskeletal\nThere is evidence of hip incongruity of the left hip. There is a mass of soft tissue opacity associated with the subcutaneous tissue on the ventral abdomen. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere is distension of the urinary bladder. 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': 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': -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': -2, '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': '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': -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': 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': 'labelling', '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': -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': 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': 2, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 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': 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': 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': 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': 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': 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:\nThe cause of the patient's described clinical signs is not identified in the radiographs provided. Given the low PCV, conditions such as autoimmune disease, tick borne diseases, parasitic infections, coagulopathies, toxin ingestion should be considered.\nA cause for the described clinical signs is not determined from the radiographs. Given the history, colitis due to dietary indiscretion, stress, parasite, gastroenteritis or other cause should be considered.\nEvidence of hip subluxation/joint laxity.\nThe urinary bladder is distended. Suspected to be urinary retention secondary to anxiety or lack of access to urinate outside.\nChanges described are consistent with an umbilical hernia.\n\nRecommendations:\nConsider further work up including biochemistry profile, CBC, urinalysis, parasite screening and abdominal ultrasound to further investigate the reported non-specific signs. Re-evaluation of radiographs in time may also be indicated to further investigate the reported non-specific signs.\nCorrelate with orthopedic examination for further evaluation of hip subluxation/joint laxity.\nBiochemistry profile and urinalysis may be considered if there is concern for calculi.\nCorrelate with physical exam and consider abdominal ultrasound for further investigation. Depending on the size of the umbilical hernia, conservative versus surgical approaches may be considered."}

{'bday': '2023-11-05', 'name': 'Alvarez^Buddy', 'breed': 'MALTESE', 'owner': 'Alvarez Jr.^Martin', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

hx of hyporexia, soft stool for few days. Exam: pcv 13%, pet getting blood transfusion soon. pet has tense abdomen on exam. cpli is normal.

r/o anything of concern

standard

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

['Diarrhea', 'Very sick', 'Hyporexia', 'Pain - abdominal', 'Canine Small Breed']

['Pancreatic Lipase tests/ cPLI/fPLI positive']

[76, 280, 607, 622, 2654]

[2542]

['Anemia']

[]

[659]

[]

['Blood transfusion']

[]

[1369]

[]

{'patient': {'bday': '2021-08-30', 'name': 'Closs^Hennessey', 'breed': 'Rhodesian Ridgeback Mix', 'owner': 'Closs^Adrian', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', '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': 'presented today for being very tense in the hind end, abdominal area, does not want to go up stairs, symptoms began this morning', 'questions': 'spine, hips, stifles', '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': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'inprogress', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1032, 'state': 'empty', 'source': 'labelling'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1096, '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': 357, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'elapsedTime': 55.193, 'consult_name': 'Hindlimb Stifle - fp stifle effusion(questionable), rotation', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider cranial drawer assessment or orthopedic consultation to rule out cruciate injury.', 'recommendation_custom_fields': None}, {'id': 1211, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 24.034, 'consult_name': 'Negative Abd - No cause for abdominal pain. ', 'isAddressingConcern': False, 'diagnosis_custom_text': 'No radiographic evidence for clinical signs described. Consider discomfort as a possible differential. Sources of abdominal discomfort could include but not limited to pancreatitis, liver disease, neoplasia, cystitis, pyometra, IBD and constipation. Referred spinal pain is also a consideration.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1266, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 39.847, 'consult_name': 'Negative M/S - No evidence of IVDD', 'isAddressingConcern': True, 'diagnosis_custom_text': 'No radiographic evidence for IVDD is noted on the current images. Partial disc herniation, thoracolumbar myelopathy or fibrocartilaginous infarct cannot be entirely ruled out. Both hips are unremarkable with adequate acetabular coverage and congruency. No evidence of degenerative joint disease or mineralization is observed.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider further testing with MRI/CT scan or myelogram if clinically indicated.\xa0Conservative management of thoracolumbar myelopathy and back pain will center around strict cage rest, muscle relaxant medications, anti inflammatory medications and analgesics.', 'recommendation_custom_fields': None}], 'signals': [{'id': 204, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Reluctant to walk'}, {'id': 622, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 629, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - musculoskeletal'}, {'id': 631, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - spinal'}, {'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': 10, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': 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, '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': 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': 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': 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': 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'}], 'diagnosis': [], 'questions': [{'id': 2673, 'source': 'ai', 'attention': False, 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2679, 'source': 'labelling', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}, {'id': 2684, 'source': 'labelling', 'attention': False, 'signal_name': 'screening-abdomen'}], '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. The rest of the observed abdomen is within normal limits.\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, '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': 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': -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': -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': 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': 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': -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': 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': 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': -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': -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': 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': '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': 0, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'craniomandibular-osteopathy', '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': 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': 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': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, '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': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', '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': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo radiographic evidence for clinical signs described. Consider discomfort as a possible differential. Sources of abdominal discomfort could include but not limited to pancreatitis, liver disease, neoplasia, cystitis, pyometra, IBD and constipation. Referred spinal pain is also a consideration.\nNo radiographic evidence for IVDD is noted on the current images. Partial disc herniation, thoracolumbar myelopathy or fibrocartilaginous infarct cannot be entirely ruled out. Both hips are unremarkable with adequate acetabular coverage and congruency. No evidence of degenerative joint disease or mineralization is observed.\nIncreased opacity noted within the stifle joint is likely a normal variant and less likely pathologic effusion.\n\nRecommendations:\nConsider further testing with MRI/CT scan or myelogram if clinically indicated.\xa0Conservative management of thoracolumbar myelopathy and back pain will center around strict cage rest, muscle relaxant medications, anti inflammatory medications and analgesics.\nRecommend abdominal u/s, full cbc with pancreatitis testing , pre and post prandial bile acids and full urinalysis. Consider a neurologic exam.\nConsider cranial drawer assessment or orthopedic consultation to rule out cruciate injury.'}

{'bday': '2021-08-30', 'name': 'Closs^Hennessey', 'breed': 'Rhodesian Ridgeback Mix', 'owner': 'Closs^Adrian', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

presented today for being very tense in the hind end, abdominal area, does not want to go up stairs, symptoms began this morning

spine, hips, stifles

standard

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

['Reluctant to move/walk', 'Pain - abdominal', 'Pain - musculoskeletal', 'Pain - spinal', 'Pain', 'Canine Medium/Large Breed']

[]

[204, 622, 629, 631, 2186, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-08-05', 'name': 'LEWIS^BANDIT', 'breed': 'Jack Russell Terrier', 'owner': 'LEWIS^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Vetcheck Pet Urgent Care Center - Bloomington', 'email': '[email protected]', 'address': 'United States - Bloomington', 'clinician': 'Caitlyn'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for not eating much for 10 days and occasional vomiting after eating small meals, panting and full body shaking. Had bouts of diarrhea that started about 10 days prior when P began not wanting to eat. P is urinating without issue at this time. P is two months behind on FT/HW preventatives. P is UTD on all vaccinations.\r\nPE: QAR, panting, mild dehydration, Grade I-II/VI systolic heart murmur. \r\nCBC: mild neutrophilia; Serum CHEM: mild ALT elevation. ', 'questions': 'Heart disease/ Congestive heart failure/ pyloric foreign material or gastric or hepatic mass/ others?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'excluded', 'source': 'rules'}, {'id': 1031, 'state': 'excluded', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'excluded', 'source': 'rules'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 45.02, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': 'Hepatomegaly is consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out. No hepatic mass was identified, however, smaller masses/nodules may not be evident radiographically. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 231, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Peritoneal - Wire FB', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 233, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'elapsedTime': 37.265, 'consult_name': 'Negative M/S - Pain causing non-specific signs, normal rads, suspect neuro', 'diagnosis_custom_text': 'No radiographic evidence for shaking/panting clinical signs described. Consider discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation, and abdominal or other soft tissue origins. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Re-evaluate as clinically indicated to further investigate the possible sources of discomfort. Neurologic evaluation with potential myelogram +/- MRI, spinal tap may be necessary for a definitive diagnosis if empiric therapy and conservative management are not successful.', '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': 1212, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 38.76, 'consult_name': 'Intestines - Chronic vomiting/diarroea, normal gut, no TSI', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend supportive care and abdominal ultrasound for further investigation. Consider urinalysis and a gastrointestinal panel. Intestinal biopsies might be indicated depending on the severity and chronicity of the clinical signs. Lab testing for pancreatitis is also a consideration.', 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 177, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 620, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 2175, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2182, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Chronic Vomiting'}, {'id': 2404, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'liver-enzymes-elevated'}, {'id': 2482, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'dehydration'}, {'id': 2634, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Neutrophilia'}, {'id': 2648, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Chronic diarrea'}, {'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': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 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': 2292, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'wire-foreign-body', 'custom_fields': {'___s1_': ['right', 'cranioventral']}}, {'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': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe liver appears enlarged. There is a thin wire-like foreign body in the right 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.\n\nThorax\nThe heart measures above the normal range. 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': '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': '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': 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': 707, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'prostate-mineralization', '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': 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': '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': -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': 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': 1635, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'prostate-visible', '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': -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': 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': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', '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': 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': 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': 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': 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': 2451, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Prostate-fp', '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': 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': 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': 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}, {'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}], 'report_conclusions': 'Conclusions:\nThe cardiac silhouette appears enlarged, with no evidence of left atrial enlargement and no evidence of decompensation. \nClinical signs are most consistent with a possible underlying enteropathy, differentials include chronic enteritis, IBD, or neoplastic etiology. \nHepatomegaly is consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia), infiltrative neoplasia or acute hepatitis cannot be ruled out. Incidental finding of a metallic wire in the abdomen, unable to localize or determine if related to reported clinical signs. \nNo radiographic evidence for shaking/panting clinical signs described, consider discomfort as a possible differential, sources of discomfort could include partial vertebral disc herniation, and abdominal or other soft tissue origins.\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.\nRecommend supportive care and abdominal ultrasound for further investigation. Consider urinalysis and a gastrointestinal panel. Intestinal biopsies might be indicated depending on the severity and chronicity of the clinical signs. Lab testing for pancreatitis is also a consideration.\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.\nMonitor for progression of clinical signs. Consider follow up radiographs and/or abdominal ultrasound to determine location of the metallic wire identified.\nRe-evaluate as clinically indicated to further investigate the possible sources of discomfort. Neurologic evaluation with potential myelogram +/- MRI, spinal tap may be necessary for a definitive diagnosis if empiric therapy and conservative management are not successful.'}

{'bday': '2010-08-05', 'name': 'LEWIS^BANDIT', 'breed': 'Jack Russell Terrier', 'owner': 'LEWIS^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Vetcheck Pet Urgent Care Center - Bloomington', 'email': '[email protected]', 'address': 'United States - Bloomington', 'clinician': 'Caitlyn'}

Presented for not eating much for 10 days and occasional vomiting after eating small meals, panting and full body shaking. Had bouts of diarrhea that started about 10 days prior when P began not wanting to eat. P is urinating without issue at this time. P is two months behind on FT/HW preventatives. P is UTD on all vaccinations. PE: QAR, panting, mild dehydration, Grade I-II/VI systolic heart murmur. CBC: mild neutrophilia; Serum CHEM: mild ALT elevation.

Heart disease/ Congestive heart failure/ pyloric foreign material or gastric or hepatic mass/ others?

standard

['Gi signs - Systemic vs general', 'Resp signs - heart/lungs']

['Diarrhea', 'Panting', 'Vomiting', 'Hyporexia', 'Tremors/shaking/trembling', 'Heart Murmur', 'Chronic vomiting', 'Elevated liver enzymes', 'Dehydration', 'Neutrophilia', 'Chronic diarrea', 'Canine Small Breed']

[]

[76, 177, 256, 607, 620, 2175, 2182, 2404, 2482, 2634, 2648, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-07-06', 'name': 'MARKY^BENNY', 'breed': 'Maltese', 'owner': 'MARKY^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', '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': '13 yo NM yorkie/maltese mix, Hx of pneumonia, O noticed wheezing, coughing, heavy breathing within the last couple of days. e/d/u/d wnl', 'questions': '13 yo NM yorkie/maltese mix, Hx of pneumonia, O noticed wheezing, coughing, heavy breathing within the last couple of days. e/d/u/d wnl', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'excluded', 'source': 'labelling'}, {'id': 1007, 'state': 'excluded', 'source': 'labelling'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'excluded', 'source': 'labelling'}, {'id': 1021, 'state': 'excluded', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'excluded', 'source': 'labelling'}, {'id': 1095, 'state': 'excluded', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 230, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Subcut - Lipoma', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 369, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 1.3, 'consult_name': 'Hindlimb Hip - hip luxation, secondary to dysplasia', 'diagnosis_custom_text': 'Luxation of the hip secondary to hip dysplasia causing a shallow acetabulum.\xa0Osteoarthritis of the hips secondary to hip dysplasia.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 428, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 8.829, 'consult_name': 'Renal - RMG', 'diagnosis_custom_text': 'The kidney are at the upper limits of normal which may represent an acute kidney injury. Other differentials include pyelonephritis, neoplasia, and hydronephrosis.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation of the enlarged kidney.', 'recommendation_custom_fields': None}, {'id': 433, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Bladder - UBC, no URC, no obstruction', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1264, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 29.704, 'consult_name': 'Negative thorax - No cause for resp distress', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Stabilization of the patient and supportive care with IV fluids and supplemental oxygen may be considered. Correlate with blood work (including proBNP and blood gas analysis).', 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2456, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Wheezing'}, {'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': 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': 790, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-luxation', 'custom_fields': {'___s1_': ['right']}}, {'id': 797, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-renomegaly', 'custom_fields': {'___s1_': ['left']}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 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': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['right']}}, {'id': 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': None, 'signal_name': 'subcutaneous-mass', 'custom_fields': {'___s1_': ['fat'], '___s2_': ['on the right', 'thorax']}}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 2056, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pneumonia'}], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is luxation of the right coxofemoral joint. There is evidence of hip incongruity of the left and right hip. There is degenerative changes affecting the right coxofemoral joint. There is a mass of fat opacity associated with the on the right thorax. 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. Increased opacity is noted over the silhouette of the urinary bladder. The left kidney measures above 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': 'ray', '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': 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': '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': 'labelling', 'history': False, 'confidence': -3, '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': 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': 'labelling', 'history': False, 'confidence': -3, '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': 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': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 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': 'labelling', 'history': False, 'confidence': -3, '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': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia', 'is_locked_out': False}, {'id': 2230, 'source': 'labelling', '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': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'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': 2268, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, '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': 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': 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': 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': 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': 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': 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': 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}], 'report_conclusions': 'Conclusions:\nNo cardiac abnormalities noted radiographically. Lungs are clear of pathology with no evidence of free fluid or gas in the pleural space. Pulmonary thromboemboli, asthma, allergic reaction, or dynamic airway collapse cannot be ruled out. \nCystic calculi identified with no obstruction noted. \nThe kidneys are at the upper limits of normal, possibly representing acute kidney injury. Other differentials include pyelonephritis, neoplasia, and hydronephrosis. \nLuxation of the hip secondary to hip dysplasia causing a shallow acetabulum. Osteoarthritis of the hips secondary to hip dysplasia. \nFat opaque mass consistent with lipoma. \nGastric material noted is consistent with food/recent meal.\n\nRecommendations:\nSummary:\nStabilization of the patient and supportive care with IV fluids and supplemental oxygen may be considered, as indicated. Correlate with blood work (including proBNP and blood gas analysis).\nConsider dissolution diet or cystotomy based on additional clinical input. Abdominal ultrasound may also yield more information. Complete urinalysis and culture is recommended.\nCorrelate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation of the enlarged kidney.\nCorrelate with orthopedic examination to determine clinical significance.\nCorrelate with physical exam for clinical significance of the described lipoma.'}

{'bday': '2011-07-06', 'name': 'MARKY^BENNY', 'breed': 'Maltese', 'owner': 'MARKY^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

13 yo NM yorkie/maltese mix, Hx of pneumonia, O noticed wheezing, coughing, heavy breathing within the last couple of days. e/d/u/d wnl

13 yo NM yorkie/maltese mix, Hx of pneumonia, O noticed wheezing, coughing, heavy breathing within the last couple of days. e/d/u/d wnl

expert

['Resp signs - heart/lungs']

['Dyspnoea', 'Coughing', 'Wheezing', 'Canine Small Breed']

[]

[50, 69, 2456, 2654]

[]

['Pneumonia']

[]

[2056]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-07-17', 'name': 'STIREWALT^NOVA', 'breed': 'Mixed - Large', 'owner': 'Zachary', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Walnut Street Animal Hospital', 'email': '[email protected]', 'address': 'United States - Cary', 'clinician': 'Walnut Street Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': "\r\nPresents for limping, injury happened around 4-5pm. Px was running and now she can't bear any weight on the hind right paw. Px drank after the injury, O gave Px a steak earlier. ", 'questions': 'No cranial drawer upon sedation. ', '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': 1029, 'state': 'partial', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1042, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 352, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Hindlimb Stifle - Chronic cruciate, lameness', 'isAddressingConcern': True, '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': 1, 'consult_name': 'Hindlimb Hip - chronic hip dysplasia, HOA and HIC', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 382, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'elapsedTime': 29.491, 'consult_name': 'Hindlimb Tarsus - arthritis, lameness', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Degenerative changes in the tarsus and distal phalanx as previously described. Soft tissue injury cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1251, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, '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': 259, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 2185, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2345, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2545, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}, {'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_': ['lumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 10, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['moderate'], '___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, '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': 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': 764, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There is no evidence of degenerative changes within the stifle. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ stifle. '}, {'id': 870, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': {'___s1_': ['right', 'left']}, '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': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left and right']}, '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': 2267, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'distal-extremity-arthritis', 'custom_fields': {'___s1_': ['right'], '___s2_': ['distal phalanx']}, 'finding_normal_text': 'Distal Extremity Arthritis', 'finding_abnormal_text': 'There is degenerative joint disease affecting the ___s1_ ___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': 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': 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': 2678, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-hindLimb'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is degenerative joint disease affecting the right distal phalanx. There is spondylosis deformans noted in the lumbar spine. There is evidence of hip incongruity of the left and right hip. There are degenerative changes affecting the left and right coxofemoral joint. There is a moderate increased soft tissue opacity in the stifle joint noted in the left and right stifle. There are degenerative changes noted in the left and right stifle. There is degenerative joint disease affecting the right and left tarsus. 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': 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': 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': 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': 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': 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': -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': 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': -2, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'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': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'distal-extremity-arthritis', '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': 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': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'craniomandibular-osteopathy', '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': 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': 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': 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': 2489, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 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': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', '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': 'labelling', 'history': False, 'attention': False, 'confidence': 2, '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': 2653, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fragmented-fabella', '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 radiographic findings indicate osteoarthritis of the specified stifle, accompanied by increased soft tissue opacity, which is most consistent with chronic stifle instability and intra-articular injury. These findings are commonly associated with cranial cruciate ligament injury or rupture. Additionally, there is evidence of osteoarthritis of the hips, secondary to hip dysplasia. Degenerative changes are also noted in the tarsus and distal phalanx, as previously described. The possibility of soft tissue injury cannot be excluded.\nBridging spondylosis is observed, likely representing an incidental finding.\n\nRecommendations:\nRecommend correlating findings with an orthopedic examination to evaluate for the presence of a cranial drawer sign in the stifle. Further orthopedic assessment is advised to evaluate the extent of osteoarthritis potentially secondary to hip dysplasia. Additionally, consider correlating with orthopedic consultation to discuss the initiation of analgesic treatment and exercise restrictions to assess the response in the management of the reported lameness.\nCorrelation with physical examination findings is advised to ascertain the clinical relevance of the noted bridging spondylosis.'}

{'bday': '2017-07-17', 'name': 'STIREWALT^NOVA', 'breed': 'Mixed - Large', 'owner': 'Zachary', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Walnut Street Animal Hospital', 'email': '[email protected]', 'address': 'United States - Cary', 'clinician': 'Walnut Street Animal Hospital'}

Presents for limping, injury happened around 4-5pm. Px was running and now she can't bear any weight on the hind right paw. Px drank after the injury, O gave Px a steak earlier.

No cranial drawer upon sedation.

standard

['lameness-hindLimb']

['Traumatic injury', 'Lameness', 'Hindlimb lameness', 'Non-weight bearing lameness', 'Canine Medium/Large Breed']

[]

[259, 2185, 2345, 2545, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-04-06', 'name': 'Lopez^Firulais^^^', 'breed': 'Goldendoodle', 'owner': 'Carlos', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Hialeah Animal Clinic', 'email': '[email protected]', 'address': 'United States - Hialeah', 'clinician': 'Hialeah Animal Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': "it's been coughing for a couple of days , the owner refers that he maybe spent too long in the rain, chew on a couple of toys or maybe playing with other dogs.", 'questions': 'coughing for maybe 4 days to a week', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 320, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Resp Parenchymal - resp signs, alveolar pattern, pneumonia', 'isAddressingConcern': True, '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': 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': 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': 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_': ['severe'], '___s2_': ['right'], '___s3_': ['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': 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': 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': 2663, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - general'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is a severe increased opacity in the right cranioventral lung fields, characterized as a alveolar pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 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': -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': 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': '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': -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': -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': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'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': 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': 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}], '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). Soft tissue overlapping 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.'}

{'bday': '2023-04-06', 'name': 'Lopez^Firulais^^^', 'breed': 'Goldendoodle', 'owner': 'Carlos', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

it's been coughing for a couple of days , the owner refers that he maybe spent too long in the rain, chew on a couple of toys or maybe playing with other dogs.

coughing for maybe 4 days to a week

standard

['Resp signs - general']

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

[]

[69, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-10-03', 'name': 'Berardelli^Pugsley', 'breed': 'Pug', 'owner': 'joanna', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', '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': 'patient presented for repeat radiographs after throwing up string yesterday. patient has been doing well since being discharged and has had no more vomiting. ', 'questions': 'r/o fb v.s. other', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 228, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Spine - incidental VAN', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 939, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 16.293, 'consult_name': ' Intestines - Enteritis with Partial Obstruction', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Compared to the previous study, mildly distended small intestinal segments are noted. Consider enteritis, infiltrate, or foreign material with possible secondary partial obstruction.', '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': 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'}, {'id': 2657, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'brachycephalic'}, {'id': 2704, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Follow-up/re-examination M/S'}], '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': 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': 2158, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There are only 6 lumbar vertebrae noted.', 'elapsedTime': 15.972, 'signal_name': 'vert-anomaly-class', 'custom_fields': None, 'finding_normal_text': 'Vertebral Anomaly', 'finding_abnormal_text': 'Vertebral anomaly is noted at ___s1_. '}, {'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': 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': 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': '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': 2669, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Mild small intestinal distention', 'custom_fields': {'___s1_': ['mildly'], '___s2_': ['gas']}, 'finding_normal_text': ' Mild/moderate (dropdown) gas/fluid (dropdown) distension of a portion of small intestine.', 'finding_abnormal_text': 'There is a portion of the small intestine that is ___s1_ distended with ___s2_.'}], '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 a portion of the small intestine that is mildly distended with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are only 6 lumbar vertebrae noted. There is incongruity and degenerative changes of the hips. 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': 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': -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': 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': 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': 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': -3, 'signal_name': 'bronchiectasis', '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': 'labelling', 'history': False, 'attention': False, 'confidence': 2, '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': 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': -2, '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': 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': 0, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2274, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'growth-plate-abnormalities', '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': 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': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'craniomandibular-osteopathy', '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': 0, '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': 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': 0, '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': 2459, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spina-bifida', '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': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, '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': 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': 2, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Case conclusions:\nMild distension of small intestinal segments is observed when compared to the prior imaging study. This may suggest enteritis, the presence of an infiltrative process, or foreign material, potentially leading to secondary partial obstruction.\nAdditional conclusions:\nCoxofemoral degenerative joint disease.\nIncidental vertebral anomaly noted.\n\n\nAdditional recommendations:\nRecommend follow-up radiographs in 12-24 hours or consider an abdominal ultrasound if clinical symptoms continue, to further evaluate the intestinal changes observed. Correlation with physical examination findings is advised to assess the clinical relevance of the vertebral anomaly.\nCorrelate with physical exam to determine clinical significance of the hip changes identified.'}

{'bday': '2023-10-03', 'name': 'Berardelli^Pugsley', 'breed': 'Pug', 'owner': 'joanna', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

patient presented for repeat radiographs after throwing up string yesterday. patient has been doing well since being discharged and has had no more vomiting.

r/o fb v.s. other

standard

['Vomiting-FB/obstruction']

['Vomiting', 'Suspected foreign body ingestion', 'Canine Small Breed', 'Brachycephalic', 'Follow-up/re-examination M/S']

[]

[256, 2184, 2654, 2657, 2704]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-06-25', 'name': '^Baby^^^', 'breed': 'Rottweiler', 'owner': 'Thompson', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Salem Veterinary Emergency Clinic', 'email': '[email protected]', 'clinician': 'Don Judson'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for collapsing and losing control of bladder several times today.', 'questions': 'cardiomyopathy. Syncope episodes at home', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'excluded', 'source': 'labelling'}, {'id': 1006, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'excluded', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'excluded', 'source': 'rules'}, {'id': 1031, 'state': 'excluded', 'source': 'labelling'}, {'id': 1034, 'state': 'excluded', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'excluded', 'source': 'labelling'}, {'id': 1095, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 337, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Neoplasia - Fat in the mediastinum', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 719, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiac - Syncope', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 879, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly - Mild(likely incidental)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1251, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, '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': 65, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Collapsed'}, {'id': 99, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Fainting episodes'}, {'id': 124, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Urinary incontinence'}, {'id': 177, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'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': 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': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', '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': 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': 2367, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'mediastinal-fat', 'custom_fields': None}], 'diagnosis': [{'id': 2153, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Urinary incontinence'}], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [], 'report_findings': 'Thorax\nSymmetrical widening of the mediastinum is most consistent with fatty deposition. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is radiopaque material within the stomach. There are no other abnormalities noted in the rest of the observed abdomen.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', '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': 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': 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': 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': -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': 'labelling', 'history': False, 'confidence': -3, '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': -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': 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': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', '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': 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': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2372, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs-na', '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': 2436, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', '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': 0, 'signal_name': 'urinary-bladder-gas', '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': 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': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', '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': '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': 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': 2664, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo cause for the reported syncope has been determined from this radiographic study. The cardiovascular structures are unremarkable. The lungs are clear with no evidence of pathology.\nSymmetrical widening of the mediastinum is most consistent with fatty deposition.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\nGastric material is consistent with food/recent meal.\nBridging spondylosis is noted. Likely incidental.\n\nRecommendations:\nRecommend additional diagnostics such as a neurological exam and an echocardiogram/ECG and a consultation with a cardiologist to further investigate cardiogenic causes of the reported syncope. If available, consider point of care ultrasound to evaluate for cavitary effusions. \nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.\nCorrelate with physical exam findings to determine the clinical significance of this bridging spondylosis.'}

{'bday': '2016-06-25', 'name': '^Baby^^^', 'breed': 'Rottweiler', 'owner': 'Thompson', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Salem Veterinary Emergency Clinic', 'email': '[email protected]', 'clinician': 'Don Judson'}

Patient presented for collapsing and losing control of bladder several times today.

cardiomyopathy. Syncope episodes at home

expert

['Resp signs - heart/lungs']

['Collapsed', 'Syncopal/fainting episodes', 'Urination abnormal - incontinence', 'Panting', 'Canine Medium/Large Breed']

[]

[65, 99, 124, 177, 2656]

[]

['Urinary incontinence']

[]

[2153]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-04-20', 'name': 'hawthorne^ZEUS^^^', 'breed': 'Catahoula Leopard Dog', 'owner': 'Demarcus Hawthorne', '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': 'Pet came in with back left leg injury from saturday, got leg stuck on trampoline spring. pet is still eating drinking fine', 'questions': 'back leg leg/hip', 'specialty_area': ''}}

{'tags': {'userTags': [], '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': 1029, 'state': 'partial', 'source': 'rules'}, {'id': 1030, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'inprogress', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 207, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'elapsedTime': 3.831, 'consult_name': 'M/S Gen - Normal M/S, screening', 'diagnosis_custom_text': 'Hindlimb preaxial polydactyly noted, incidental.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 368, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Hindlimb Hip - trauma, hip luxation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 774, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 36.735, 'consult_name': 'Subcut - Swelling, tendon', 'diagnosis_custom_text': 'Swelling associated with the (calcaneal) tendon, as described, may be associated with strain or tendonitis secondary to trauma, subcutaneous gas consistent with the reported soft tissue trauma.\xa0 Narrowing and slight malalignment of intertarsal joint spaces maybe due to patient positioning however subluxation cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'An ultrasound or cross sectional imaging may be a consideration for further investigation of the soft tissue swelling. Correlate with palpation of the region of interest, consider assessment of the affected joint for instability as well as cross-section imaging.', 'recommendation_custom_fields': None}], 'signals': [{'id': 259, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 2185, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 2, 'signal_name': 'Lameness'}, {'id': 2345, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 2, 'signal_name': 'lameness-hind-limb'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], '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': 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': 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': 790, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-luxation', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'Hip Luxation', 'finding_abnormal_text': 'There is luxation of the ___s1_ coxofemoral joint. '}, {'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': 879, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There are gas opacities noted in the soft tissue of the left hindlimb within the soft tissue proximal to the calcaneus. ', 'elapsedTime': 59.155, 'signal_name': 'subcutaneous-gas', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'Subcutaneous gas', 'finding_abnormal_text': 'There is gas noted in the soft tissue of the ___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': 2271, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': 'Some of the intertarsal joint spaces of the left hindlimb appear narrowed and slightly malaligned in comparison to the right.', 'elapsedTime': 98.824, 'signal_name': 'joint-luxation', 'custom_fields': None, 'finding_normal_text': 'Joint Luxation', 'finding_abnormal_text': 'There is luxation of the ___s1_ joint. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is soft tissue swelling involving the left rear paw noted primarily over the region of the tarsal joint and calcaneus.', 'elapsedTime': 43.648, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the left', 'rear paw']}, '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, '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': 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': 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': 2566, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'Hindlimb preaxial polydactyly noted.', 'elapsedTime': 22.163, 'signal_name': 'Subcutaneous foreign body', 'custom_fields': None, 'finding_normal_text': 'Subcutaneous foreign body', 'finding_abnormal_text': 'There is a ___s1_ opacity foreign body noted on the ___s2_.'}, {'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': 2674, 'source': 'labelling', 'attention': False, 'signal_name': 'trauma-fractures'}, {'id': 2678, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-hindLimb'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nSoft tissue swelling involving the left rear paw is noted primarily over the region of the tarsal joint and calcaneus. There is luxation of the left coxofemoral joint. Gas opacities are noted in the soft tissue of the left hindlimb within the soft tissue proximal to the calcaneus. Some of the intertarsal joint spaces of the left hindlimb appear narrowed and slightly malaligned in comparison to the right. Hindlimb preaxial polydactyly noted. 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': -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': 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': 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': -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': 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': 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': 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': -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': 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': 879, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, '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': 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': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', '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': -2, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'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': 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': 2, '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': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', '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': 2374, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tail', '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': 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': -3, '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': -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': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 2573, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tibia Displacement', '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': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nLuxation of the hip is likely secondary to trauma.\nSwelling associated with the (calcaneal) tendon, as described, may be associated with strain or tendonitis secondary to trauma, subcutaneous gas consistent with the reported soft tissue trauma. Narrowing and slight malalignment of intertarsal joint spaces may be due to patient positioning; however, subluxation cannot be ruled out.\nHindlimb preaxial polydactyly noted, incidental.\n\nRecommendations:\nBased on history and other factors, consider options for closed reduction or surgical repair of the luxated hip.\nAn ultrasound or cross-sectional imaging may be considered for further investigation of the soft tissue swelling. Correlate with palpation of the region of interest, and consider assessment of the affected joint for instability as well as cross-section imaging.'}

{'bday': '2023-04-20', 'name': 'hawthorne^ZEUS^^^', 'breed': 'Catahoula Leopard Dog', 'owner': 'Demarcus Hawthorne', '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'}

Pet came in with back left leg injury from saturday, got leg stuck on trampoline spring. pet is still eating drinking fine

back leg leg/hip

standard

['trauma-fractures', 'lameness-hindLimb']

['Traumatic injury', 'Lameness', 'Hindlimb lameness', 'Canine Medium/Large Breed']

[]

[259, 2185, 2345, 2656]

[]

[]

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{'patient': {'bday': '2015-11-25', 'name': 'navarro^oso^^^', 'breed': 'Chihuahua', 'owner': 'JOSH', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Katy'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'vomiting 4x today and diarrhea cant stop falling over ', 'questions': 'Weak on rear leg no obvious pain on palpation cp on left hinde right hinde ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1015, 'state': 'partial', 'source': 'labelling'}, {'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'partial', 'source': 'labelling'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1032, 'state': 'inprogress', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}, {'id': 1096, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - incidental VAN', 'diagnosis_custom_text': 'Vertebral anomaly. Likely incidental.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 246, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Intestines - Gastroenterocolitis(vom+/diarrhea)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 302, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Resp Trachea - no cough, redundant tracheal membrane', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 360, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Hindlimb Stifle - medial patella luxation', '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': 591, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Weakness'}, {'id': 2186, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pain'}, {'id': 2345, 'source': 'labelling', 'history': True, 'confidence': 2, 'signal_name': 'lameness-hind-limb'}, {'id': 2526, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'decreased-concious-proprioception'}, {'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': 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': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': ['L1']}}, {'id': 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': 2252, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': {'___s1_': ['medial'], '___s2_': ['left and right']}}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is increased soft tissue opacity within the cervical, thoracic inlet and intra thoracic regions of the trachea. ', 'elapsedTime': 5.801, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['cervical', 'thoracic inlet', 'intra thoracic']}}, {'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': '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': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2678, 'source': 'labelling', 'signal_name': 'lameness-hindLimb'}, {'id': 2679, 'source': 'ai', 'signal_name': 'spine-neurological-ivdd-pain'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nVertebral anomaly is noted at L1. There is medial patellar luxation noted in the left and right knee. The rest of the observed musculoskeletal system is within normal limits.\n\nThorax\nThere is increased soft tissue opacity within the cervical, thoracic inlet and intra thoracic regions 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': -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': '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': 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': 'labelling', 'history': False, 'confidence': -3, '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': 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': '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': -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': 2229, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'hip-dysplasia', 'is_locked_out': False}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'patellar-luxation', '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': 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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', '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': 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': 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': 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': 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': 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': 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': 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': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', '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': 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:\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.\nMedial patellar luxation.\nThe trachealis redundancy can be an early stage of collapsing trachea. If the patient is not coughing this is likely an incidental finding.\nVertebral anomaly. 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 assess gastrointestinal pattern.\nCorrelate with palpation of stifles for patellar luxation and joint laxity. Consider an orthopedic consult to discuss surgical options for medial patellar luxation, if clinically indicated.\nCorrelate with physical exam for clinical significance of the vertebral anomaly.'}

{'bday': '2015-11-25', 'name': 'navarro^oso^^^', 'breed': 'Chihuahua', 'owner': 'JOSH', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

vomiting 4x today and diarrhea cant stop falling over

Weak on rear leg no obvious pain on palpation cp on left hinde right hinde

expert

['Vomiting-FB/obstruction', 'lameness-hindLimb', 'spine-neurological-ivdd-pain']

['Diarrhea', 'Vomiting', 'Weakness', 'Hindlimb lameness', 'Canine Small Breed']

['Pain', 'Decreased conscious proprioception', 'Chondrodysplastic']

[76, 256, 591, 2345, 2654]

[2186, 2526, 2658]

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[]

{'patient': {'bday': '2015-07-24', 'name': 'Gostkowski, Lynx', 'breed': 'Domestic Mediumhair', 'owner': 'Gostkowski, Pauline ', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Huronia Veterinary Emergency Clinic (ON, Canada)', 'email': '[email protected]', 'address': 'Canada - Barrie', 'clinician': 'HVEC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Lyxn was diagnosed with Stage III Kidney disease July 5, 2024. Lynx went to rDVM today to get SQ fluid. O reported Lyxn started to stumble tonight. O also noticed increased respiratory rate tonight. Lynx has a known heart murmur and asthma.\r\n\r\nPE: Grade III HM, no arrhythmia noted, increased respiratory rate, no obvious crackles/wheezes auscultated', 'questions': 'Concerned with asthma, cardiac disease, others ', 'specialty_area': ''}}

{'tags': {'userTags': ['five'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['peritoneal-mass', 'splenic-nodule', 'splenic-mass', 'liver-mass']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1021, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1033, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'labelling'}, {'id': 1038, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1274, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 349, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 7, 'consult_name': 'Gastric - Aerophagia', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 374, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, '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': 480, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Colon - Fecal retention', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 495, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': 'Subcut - Gas, fluids given', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 775, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Bladder - Concern for urinary obstruction, no calculi', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1215, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Cardiac feline - Normal heart, heart murmur, feline', 'isAddressingConcern': False, 'diagnosis_custom_text': 'The cardiovascular structures appear normal. Feline cardiac disease may be subtle without obvious changes to the cardiac silhouette, a\xa0cardiomypathy cannot be ruled out completely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1285, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Neg Thorax - Tachypnea, no abnormalities', 'isAddressingConcern': False, 'diagnosis_custom_text': 'No radiographic evidence for the clinical signs described. Bronchitis, asthma or anaphylactic reaction cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 666, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2175, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2177, 'source': 'ai', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Arrhythmia'}, {'id': 2327, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], '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': 744, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None, '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': 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': 879, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'subcutaneous-gas', 'custom_fields': None, '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': 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': 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': 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': 'labelling', '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': 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': 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': 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': 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': 389, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Heart (cardiac) disease'}, {'id': 2177, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Renal (kidney) disorder'}, {'id': 2451, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'cranial-cruciate-ligament-injury'}, {'id': 4759, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Feline asthma'}], 'questions': [{'id': 2662, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2670, 'source': 'labelling', 'attention': False, 'signal_name': 'resp signs - upper vs lower'}], 'internal_notes': '', 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is moderate distension of the stomach with gas and fluid. There is an accumulation of fecal material in the colon. There is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are degenerative changes noted in the left and right elbow. There is gas noted in the soft tissue of the dorsal thoracic 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': 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': 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': -2, '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': 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': 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': 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': 2, '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': 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': -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': 2, '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': 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': -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': 2283, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'feeding-tube', 'is_locked_out': False}, {'id': 2291, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', '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': -3, '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': 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': -3, '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': 2375, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', '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': 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': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'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': 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': 2557, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', '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': 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': 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': 2690, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo radiographic evidence for the clinical signs described. Bronchitis, asthma or anaphylactic reaction cannot be ruled out.\nThe cardiovascular structures appear normal. Feline cardiac disease may be subtle without obvious changes to the cardiac silhouette, a\xa0cardiomypathy cannot be ruled out completely.\nDistended urinary bladder with no apparent calculi observed.\nMild fecal retention. Rule out constipation.\nDegenerative changes in the elbow.\nThe soft tissue opacity and subcutaneous gas noted in the region of the scapula is consistent with prior administration of subcutaneous fluids.\nThe gas distension observed in the GI tract is most consistent with aerophagia.\n\nRecommendations:\nCorrelate with physical examination and blood work (possibly testing for hyperthyroidism if clinically relevant). With the tachypnea reported, assuming no other cause (such as pain, anxiety, etc.) can be identified, consideration can be given to treatment of potential lower airway disease. This may consist of bronchodilators, cough suppressants, antibiotics, or short courses of anti-inflammatory steroids. Bronchoscopy or transtracheal wash can be considered for further evaluation.\nConsider echocardiogram and blood pressure measurement to investigate the reported heart murmur.\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.\nCorrelate with clinical history to rule out constipation.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow.\nCorrelate with clinical history.\nCorrelate with clinical signs and exam for clinical significance of gastric gas distension.'}

{'bday': '2015-07-24', 'name': 'Gostkowski, Lynx', 'breed': 'Domestic Mediumhair', 'owner': 'Gostkowski, Pauline ', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Lyxn was diagnosed with Stage III Kidney disease July 5, 2024. Lynx went to rDVM today to get SQ fluid. O reported Lyxn started to stumble tonight. O also noticed increased respiratory rate tonight. Lynx has a known heart murmur and asthma. PE: Grade III HM, no arrhythmia noted, increased respiratory rate, no obvious crackles/wheezes auscultated

Concerned with asthma, cardiac disease, others

standard

['Resp signs - heart/lungs', 'resp signs - upper vs lower']

['Tachypnoea', 'Heart Murmur', 'Feline']

['Arrhythmia']

[666, 2175, 2327]

[2177]

['Heart (cardiac) disease', 'Renal (kidney) disorder', 'Cranial cruciate ligament injury', 'Feline asthma']

[]

[389, 2177, 2451, 4759]

[]

[]

[]

[]

[]

{'patient': {'bday': '2008-10-30', 'name': 'Dodson^Stinky', 'breed': 'PERSIAN', 'owner': 'Dodson^Sarah', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'El Paseo Animal Hospital', 'email': '[email protected]', 'clinician': 'ElPaseo'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'O brought p in for exam as she felt p was losing weight despite having a good appetite. O reports p has not had any vomiting or diarrhea. O reports p has a large bowel movement every other day. On exam, a firm, rounded, lobulated structure is palpable in the mid abdomen. Radiographs were taken and a large amount of fecal matter was present in the transverse and descending colon, obscuring the area of interest. Repeat fasted rads today after large BM overnight. Firm structure still palpable. ', 'questions': 'Primary concern is for an abdominal mass. ', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1023, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'ready', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'partial', 'source': 'labelling'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 358, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Hindlimb Stifle - stifle arthritis, not primary problem', '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': 'Presence of disc space narrowing and lumbosacral degeneration\xa0associated with ventral spondylosis is suggestive of disc degeneration.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 723, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Gastric - follow up, empty', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 797, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Peritoneal - Mineralization, unknown', 'diagnosis_custom_text': 'Abdominal mass of unclear origin. Given the location, origination from a specific organ cannot be definitively determined however, splenic or hepatic origin cannot be ruled out at this point.\xa0Mineral opacities noted in the abdomen may be associated with pathology as described. Atherosclerosis cannot be ruled out completely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '\xa0Consider abdominal ultrasound +/- CT scan and FNA sampling with cytology to further investigate the suspected abdominal mass and\xa0to identify structures associated with noted mineralization.', 'recommendation_custom_fields': None}, {'id': 848, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, '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': 1242, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 125.25, 'consult_name': 'Colon Feline - Constipation suspected', 'diagnosis_custom_text': 'Evidence of fecal retention is noted in the colon. Comparing with previous study there is a reduction in amount of material in colon.', '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': 140, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 141, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lump/swelling'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 508, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Abdominal distension'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2356, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Fasted'}, {'id': 2703, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Follow-up/re-examination Abdomen'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbosacral']}}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-mass', 'custom_fields': {'___s1_': ['round'], '___s2_': ['cranioventral']}}, {'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 and right']}}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 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': 2265, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 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_': ['L6-L7', 'L7-S1']}}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2418, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lumbosacral-degeneration', 'custom_fields': None}, {'id': 2488, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': {'___s1_': ['moderate']}}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Abdominal mineralization', 'custom_fields': {'___s1_': ['cranial'], '___s2_': ['an unknown structure']}}], 'diagnosis': [], 'questions': [{'id': 2682, 'source': 'labelling', 'signal_name': 'follow-up-abdomen'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the lumbosacral spine. There is intervertebral disc space narrowing at L6-L7, L7-S1. There are degenerative changes noted at the lumbosacral junction. There are degenerative changes noted in the left and right stifle. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is an accumulation of fecal material in the colon. There is moderate distension of the colon with stool. There is a round opacity mass visualized in the cranioventral abdomen. There is distension of the urinary bladder. There is mineral opacity noted in the cranial abdomen associated with an unknown structure. 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': -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': -2, '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': 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': 2, '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': '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': 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': 'labelling', 'history': False, 'confidence': 3, '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': 'labelling', 'history': False, 'confidence': -3, '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': 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': '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': -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': -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': 'labelling', 'history': False, 'confidence': -3, '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': 'labelling', 'history': False, 'confidence': -3, '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': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'urinary-bladder-distension', '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': 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': 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': 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': 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': 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': 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': 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': 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': 2487, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'colon-distension', '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': 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': 2, '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': 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': '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': 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}, {'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:\nAbdominal mass of unclear origin. Given the location, origination from a specific organ cannot be definitively determined however, splenic or hepatic origin cannot be ruled out at this point.\xa0Mineral opacities noted in the abdomen may be associated with pathology as described. Atherosclerosis cannot be ruled out completely.\nComparing to previous images, the material noted in the stomach appears to have passed.\nEvidence of fecal retention is noted in the colon. Comparing with previous study there is a reduction in amount of material in colon.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nOsteoarthritis of the stifles.\nPresence of disc space narrowing and lumbosacral degeneration\xa0associated with ventral spondylosis is suggestive of disc degeneration.\nThe urinary bladder is distended. Suspected to be urinary retention secondary to anxiety or lack of access to a litter box.\n\nRecommendations:\nConsider abdominal ultrasound +/- CT scan and FNA sampling with cytology to further investigate the suspected abdominal mass and\xa0to identify structures associated with noted mineralization.\nMedical management of the reported gastrointestinal signs is indicated at this time.\nCorrelate with clinical history and abdominal palpation to rule out constipation. Consider intravenous fluids, enemas, oral stool softeners, or other treatments as indicated if constipation is confirmed clinically.\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis of the stifles.\nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.\nBiochemistry profile and urinalysis may be considered if there is concern for calculi.'}

{'bday': '2008-10-30', 'name': 'Dodson^Stinky', 'breed': 'PERSIAN', 'owner': 'Dodson^Sarah', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'El Paseo Animal Hospital', 'email': '[email protected]', 'clinician': 'ElPaseo'}

O brought p in for exam as she felt p was losing weight despite having a good appetite. O reports p has not had any vomiting or diarrhea. O reports p has a large bowel movement every other day. On exam, a firm, rounded, lobulated structure is palpable in the mid abdomen. Radiographs were taken and a large amount of fecal matter was present in the transverse and descending colon, obscuring the area of interest. Repeat fasted rads today after large BM overnight. Firm structure still palpable.

Primary concern is for an abdominal mass.

expert

['follow-up-abdomen']

['Losing weight', 'Mass/swelling - abdomen', 'Abdominal distension', 'Feline', 'Fasted', 'Follow-up/re-examination Abdomen']

['Diarrhea', 'Vomiting']

[140, 141, 508, 2327, 2356, 2703]

[76, 256]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-02-07', 'name': 'Andes', 'breed': 'Staffordshire Bull Terrier', 'owner': 'Watkin', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'clinician': 'Williams'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet presenting for 3 day duration of anorexia, lethargy, trembling/shaking. Pet has history of IBD and has many flare-ups. Has also been having diarrhea but also had some dietary indiscretion off of normal food. Has also had couple bouts of vomiting. On prednisone and probiotics for IBD. On PE palpated mass-like structure on throat. Abdomen comfortable upon palpation, soft stool on rectum. Trembling appreciated, no local pain identified. ', 'questions': 'Concern for mass on ventral neck, evidence of neoplasia vs. other cause?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'excluded', 'source': 'rules'}, {'id': 1030, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'excluded', 'source': 'rules'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 200, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Splenomegaly - Splenic mass', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 233, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 125.096, 'consult_name': 'Negative M/S - Pain causing non-specific signs, normal rads, suspect neuro', 'diagnosis_custom_text': 'No radiographic evidence for trembling signs. Consider dehydration, electrolyte imbalance or discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation, and abdominal or other soft tissue origins. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend blood work including CBC and chemistry. Supportive care for the reported clinical signs is indicated. Re-evaluate as clinically indicated to further investigate the possible sources of discomfort. Neurologic evaluation with potential myelogram +/- MRI, spinal tap may be necessary for a definitive diagnosis if empiric therapy and conservative management are not successful.', 'recommendation_custom_fields': None}, {'id': 246, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 50.545, 'consult_name': 'Intestines - Gastroenterocolitis(vom+/diarrhea)', 'diagnosis_custom_text': 'Given the normal appearance of the GI tract and the clinical history provided, clinical signs are most consistent with gastroenterocolitis (most likely related to reported IBD). No evidence of foreign body or intestinal obstruction was noted in the radiographs provided. Differentials include inflammatory, dietary indiscretion, toxin, infectious, or parasitic causes.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 358, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Hindlimb Stifle - stifle arthritis, not primary problem', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 667, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Subcut - Subcutaneous mass', 'diagnosis_custom_text': 'Mass is associated with the muscualture of the neck .', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical exam and consider tissue sampling of the described mass to determine etiology.', 'recommendation_custom_fields': None}, {'id': 1123, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'consult_name': 'M/S GEN - Surgical device, normal/incidental finding', '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': 92, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 131, 'source': 'labelling', 'history': True, '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': 620, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 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': 764, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 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': 2268, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a mass of soft tissue opacity associated with the musculature of the neck, noted dorsal to and overlapping the mid cervical trachea. ', 'elapsedTime': 39.764, 'signal_name': 'subcutaneous-mass', 'custom_fields': {'___s1_': ['soft tissue']}}, {'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': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'surgical-device', 'custom_fields': {'___s1_': ['TPLO']}}, {'id': 2560, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'splenic-nodule', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 145, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Inflammatory bowel disease (IBD)'}, {'id': 1248, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Mass lesion - neck (cervical)'}], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2673, 'source': 'labelling', 'signal_name': 'neoplasia-musculoskeletal'}], 'recommendations': [{'id': 976, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Corticosteroid'}], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. There are degenerative changes noted in the left and right stifle. There is a mass of soft tissue opacity associated with the musculature of the neck, noted dorsal to and overlapping the mid cervical trachea. There is a surgical device consistent with a previous surgical procedure: TPLO. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe spleen appears prominent. There appears to be a nodule associated with the silhouette of the splenic margin. 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': 'labelling', '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': -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': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'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': -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': -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': 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': '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': 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': 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': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, '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': 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': 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': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', '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': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', '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': 2560, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', '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': 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': -3, 'signal_name': 'Fracture Healing, callus', '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': 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': 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': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nMass associated with the musculature of the neck .\nGiven the normal appearance of the GI tract and the clinical history provided, clinical signs are most consistent with gastroenterocolitis (most likely related to reported IBD). No evidence of foreign body or intestinal obstruction was noted in the radiographs provided. Differentials include inflammatory, dietary indiscretion, toxin, infectious, or parasitic causes.\nNo radiographic evidence for trembling signs. Consider dehydration, electrolyte imbalance or discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation, and abdominal or other soft tissue origins.\nThe changes noted in the spleen are consistent with a splenic mass. Both benign and malignant etiologies are possible.\nOsteoarthritis of the stifles.\nSpondylosis deformans. Likely incidental.\nThe surgical device as noted is consistent with previous surgery. No abnormalities associated with surgical device.\n\nRecommendations:\nCorrelate with physical exam and consider tissue sampling of the described mass to determine etiology.\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.\nRecommend blood work including CBC and chemistry. Supportive care for the reported clinical signs is indicated. Re-evaluate as clinically indicated to further investigate the possible sources of discomfort. Neurologic evaluation with potential myelogram +/- MRI, spinal tap may be necessary for a definitive diagnosis if empiric therapy and conservative management are not successful.\nConsider abdominal ultrasound and/or exploratory laparotomy for further investigation to determine the nature of the splenic mass identified.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis of the stifles.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2015-02-07', 'name': 'Andes', 'breed': 'Staffordshire Bull Terrier', 'owner': 'Watkin', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Pet presenting for 3 day duration of anorexia, lethargy, trembling/shaking. Pet has history of IBD and has many flare-ups. Has also been having diarrhea but also had some dietary indiscretion off of normal food. Has also had couple bouts of vomiting. On prednisone and probiotics for IBD. On PE palpated mass-like structure on throat. Abdomen comfortable upon palpation, soft stool on rectum. Trembling appreciated, no local pain identified.

Concern for mass on ventral neck, evidence of neoplasia vs. other cause?

expert

['Gi signs - Systemic vs general', 'neoplasia-musculoskeletal']

['Diarrhea', 'Dietary indiscretion', 'Lethargic/tired', 'Vomiting', 'Anorexia', 'Tremors/shaking/trembling', 'Canine Small Breed']

[]

[76, 92, 131, 256, 606, 620, 2654]

[]

['Inflammatory bowel disease (IBD)', 'Mass lesion - neck (cervical)']

[]

[145, 1248]

[]

['Corticosteroid']

[]

[976]

[]

{'patient': {'bday': '2018-07-29', 'name': 'May^Brenna', 'breed': 'Other Breed', 'owner': 'May^Kelly', 'gender': 'F', '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': 'This patient is in hospital for heat stroke and secondary NCPE. She was becoming more dyspnoic so I wanted to repeat the rad however it looks similar as the one done 12h previously', 'questions': 'Do you feel her NCPE is similar to the previous rad?', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'rules'}, {'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'ready', 'source': 'rules'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 24.7, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'diagnosis_custom_text': 'Gastric material. This is most consistent with digested food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out. However, the distension observed in the GI tract is likely consistent with aerophagia.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 327, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 236.19100000000003, 'consult_name': 'Resp Parenchymal - follow up, pneumonia no improvement', 'diagnosis_custom_text': 'Persistent parenchymal pattern present, as described. Minimal improvement in radiographic evidence of lung lobe consolidation noted. Non Cardiogenic pulmonary edema is still a concern however, pneumonia/pneumonitis including bronchopneumonia (bacterial, viral, fungal) or aspiration pneumonia, parasitic infection (heartworm, lungworm, Toxo) cannon the ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Minimal improvement in radiographic evidence of pneumonia noted. As minimal clinical improvement is noted, consider altering therapy, ventilation support, fluid therapy to and consider antibiotic trail therapy. ', 'recommendation_custom_fields': None}, {'id': 438, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 61.538, 'consult_name': 'Resp Trachea - +/- resp signs, hypoplastic trachea', 'diagnosis_custom_text': 'The trachea measures under normal range which is consistent with a hypoplastic trachea. However, given that this breed appears to be brachycephalic, this may be considered normal.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'For further investigation of the narrowed trachea, a CT scan or tracheoscopy may be helpful for a definitive diagnosis. ', 'recommendation_custom_fields': None}, {'id': 847, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Bladder - Urine retention, no obstruction, dog', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 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}, {'id': 1252, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Spine - TID/CID, VAN+SPN, breed conformation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2702, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Follow-up/re-examination Thorax'}], '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': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The spleen appears prominent. ', 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': {'___s1_': ['diffuse', 'generalized'], '___s2_': ['noted']}}, {'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']}}, {'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': 2265, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is distension of the urinary bladder. ', 'signal_name': 'urinary-bladder-distension', 'custom_fields': None}, {'id': 2279, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['left'], '___s3_': ['interstitial to alveolar pattern']}}, {'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': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['multiple areas in the thoracic spine']}}, {'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': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 257, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Heat stroke'}, {'id': 2099, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pulmonary oedema'}], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}, {'id': 2681, 'source': 'labelling', 'signal_name': 'follow-up-thorax'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. Vertebral anomaly is noted at multiple thoracic vertebrae. There is intervertebral disc space narrowing at multiple areas in the thoracic spine. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe spleen appears prominent. There is moderate distension of the stomach with the presence of radiopaque material which has the appearance of kibble/food . There is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nThorax\nThere is a moderate increased opacity in the left cranioventral lung field, characterized as an interstitial to alveolar pattern. There is a diffuse and generalized narrowing of the trachea noted. 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': 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': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 2, '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': 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': 'labelling', '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': -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': 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': 'labelling', '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': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'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': 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': 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': 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': -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': 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': 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': 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': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', '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:\nPersistent parenchymal pattern present, with minimal improvement in lung lobe consolidation. Non-cardiogenic pulmonary edema is still a concern, along with pneumonia/pneumonitis including bronchopneumonia (bacterial, viral, fungal) or aspiration pneumonia, and parasitic infections (heartworm, lungworm, Toxo) cannot be ruled out.\nTrachea measures under normal range, consistent with a hypoplastic trachea, possibly normal for a brachycephalic breed.\nGastric material is consistent with digested food, but non-obstructive foreign material or foreign material admixed with food cannot be ruled out. GI tract distension is likely consistent with aerophagia.\nDistended urinary bladder suspected to be urinary retention secondary to anxiety or lack of access to urinate outside.\nMildly enlarged spleen, possibly secondary to congestion and/or sedation, but other benign etiologies (such as EMH and lymphoid hyperplasia), infiltrative disease (round cell neoplasia), and infectious etiologies (tick-borne diseases) cannot be ruled out.\nEvidence of disc space narrowing associated with vertebral anomalies and spondylosis is likely an incidental finding due to breed conformation.\n\nRecommendations:\nMinimal improvement in radiographic evidence of pneumonia was noted. Consider altering therapy, ventilation support, and fluid therapy, and consider antibiotic trial therapy for minimal clinical improvement.\nFor further investigation of the narrowed trachea, consider a CT scan or tracheoscopy for a definitive diagnosis.\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material.\nBiochemistry profile and urinalysis may be considered if there is concern for calculi.\nConsider abdominal ultrasound for further investigation of the mildly enlarged spleen to evaluate potential benign etiologies, infiltrative disease, and infectious etiologies.\nCorrelate with physical examination for clinical significance of spine abnormalities.'}

{'bday': '2018-07-29', 'name': 'May^Brenna', 'breed': 'Other Breed', 'owner': 'May^Kelly', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

This patient is in hospital for heat stroke and secondary NCPE. She was becoming more dyspnoic so I wanted to repeat the rad however it looks similar as the one done 12h previously

Do you feel her NCPE is similar to the previous rad?

expert

['Resp signs - general', 'follow-up-thorax']

['Dyspnoea', 'Canine Medium/Large Breed', 'Follow-up/re-examination Thorax']

[]

[50, 2656, 2702]

[]

['Heat stroke', 'PDx: Pulmonary edema']

[]

[257, 2099]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-04-23', 'name': 'Perez^Jalisco', 'breed': 'Other Breed', 'owner': 'Perez^Victoria', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', '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': 'patient bit by housemate 3-5 min prior to arrival. frontal sinus area very swollen, no overt fractures palpated, bilateral epistaxis, swollen right eye (too swollen to evaluate eye), BAR, remainder of exam WNL', 'questions': 'fractures?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1014, 'state': 'abnormal', 'source': 'rules'}, {'id': 1016, 'state': 'ready', 'source': 'rules'}, {'id': 1019, 'state': 'partial', 'source': 'rules'}, {'id': 1029, 'state': 'partial', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'partial', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 889, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Skull - Skull Fracture', 'diagnosis_custom_text': 'There is a fracture noted in the skull as described. Soft tissue swelling with subcutaneous gas as described above, consistent with the history of bite wound.\xa0Based on the clinical signs reported and the skull radiographs, fracture of the frontal bone and orbital bone, with soft tissue injury, is most likely the cause for the symptoms (epistaxis) described.\xa0', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Stabilization of the patient immediately followed by a coagulation profile, blood pressure, sedated nasal examination, rhinoscopy +/- CT scan will be useful in further investigation of the reported trauma and to assess the right eye. A complete neurologic exam should be performed to examine for evidence of traumatic brain injury. Consider CT or MRI, +/- orthopedic consultation to explore best surgical and/or non-surgical options for flat bone fracture repair. Medical management centered around the soft tissue injury and hemostasis.\xa0', 'recommendation_custom_fields': None}], 'signals': [{'id': 37, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Bitten'}, {'id': 41, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Bleeding from nose'}, {'id': 259, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 600, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Mass/swelling - skull/head'}, {'id': 651, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Mass/swelling - eye (ophthalmic)'}, {'id': 2468, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'BAR - Bright Alert Responsive'}, {'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': 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 skull. ', 'elapsedTime': 5.919, 'signal_name': 'subcutaneous-gas', 'custom_fields': None}, {'id': 2274, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'growth-plate-abnormalities', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the skull']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': {'___s1_': ['well defined'], '___s2_': ['left and right']}}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'nasal-cavity', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': {'___s1_': ['frontal', 'occipital']}}, {'id': 2312, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tmj-luxation-subluxation', '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'}, {'id': 2689, 'source': 'labelling', 'signal_name': 'Skull-question'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is soft tissue swelling involving the skull. There is an well defined increased opacity noted of the left and right frontal sinus. There is increased opacity noted of the left and right nasal cavity. There is a fracture noted in the frontal and occipital bone of the skull. There is gas noted in the soft tissue of the skull. 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': 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': 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': 709, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 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': 783, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -2, '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': 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': 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': 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': 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': 0, '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': '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': 2274, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'growth-plate-abnormalities', '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': 2292, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 2308, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 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': 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': 2410, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', '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': 2421, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-degeneration', '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': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'urinary-bladder-gas', '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': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', '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': 2556, 'source': 'labelling', 'history': False, 'confidence': 0, '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': 2569, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'False positive limited abdominal detail', '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': -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': 0, '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': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', '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:\nA fracture is noted in the skull, specifically in the frontal bone and orbital bone, with soft tissue swelling and subcutaneous gas, consistent with a history of bite wound. This is most likely the cause for the reported symptoms of epistaxis.\n\nRecommendations:\nStabilization of the patient is the immediate priority, followed by a coagulation profile, blood pressure assessment, sedated nasal examination, rhinoscopy, and possibly a CT scan to investigate the reported trauma and assess the right eye. A complete neurologic exam should be conducted to check for evidence of traumatic brain injury. Consider CT or MRI, and possibly consult with orthopedics to explore the best surgical and non-surgical options for flat bone fracture repair. Medical management should focus on soft tissue injury and hemostasis.'}

{'bday': '2024-04-23', 'name': 'Perez^Jalisco', 'breed': 'Other Breed', 'owner': 'Perez^Victoria', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

patient bit by housemate 3-5 min prior to arrival. frontal sinus area very swollen, no overt fractures palpated, bilateral epistaxis, swollen right eye (too swollen to evaluate eye), BAR, remainder of exam WNL

fractures?

standard

['trauma-fractures', 'Skull-question']

['Bitten/attacked by other animal', 'Bleeding - nasal', 'Traumatic injury', 'Mass/swelling - skull/head', 'Mass/swelling - eye (ophthalmic)', 'Canine Medium/Large Breed']

['Bright Alert Responsive (BAR)']

[37, 41, 259, 600, 651, 2656]

[2468]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-08-14', 'name': 'Jarvis^McFly', 'breed': 'Chihuahua', 'owner': 'Jarvis^Jocelynn', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Cross Creek Animal Medical Centre', 'email': '[email protected]', 'address': 'United States - Tampa', 'clinician': 'Cross Creek Animal Medical Centre'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'BNP levels at the upper end of normal. \r\nGrade 2/6 systolic heart murmur.\r\nPlanning for anesthesia and dental cleaning.\r\n\r\nImages taken due to concerns of heart issues and to determine if echo is needed. ', 'questions': 'Signs of heart disease. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 271, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 65.795, 'consult_name': 'Cardiomegaly - Pre-op, no LAE, asymptomatic', 'diagnosis_custom_text': 'The cardiovascular structures appear normal, with no evidence of decompensation. This does not rule out valvular disease.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'A cardiac murmur may be suggestive of impaired hemodynamics. If general anesthesia is necessary, then judicious use of IV fluid therapy to avoid volume overload and utilization of anesthetic agents that minimally affect the heart are common recommendations. A blood pressure measurement is recommended. Consultation with a cardiologist and an echocardiogram may also be of benefit.', 'recommendation_custom_fields': None}, {'id': 1160, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 5.769, 'consult_name': 'Gastric - Soft tissue FB vs. Rugal folds vs. fluid', 'diagnosis_custom_text': 'A 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': 2175, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2328, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'pre-op'}, {'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': 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': 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': 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': 2683, 'source': 'labelling', 'signal_name': 'screening-thorax'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal 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\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': 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': 0, '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': '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': 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': 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': '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': 'labelling', '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': 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': 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': 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': 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': 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': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}], 'report_conclusions': "Conclusions:\nThe cardiovascular structures appear normal, with no evidence of decompensation, but this does not rule out valvular disease. \nA soft-tissue opacity is noted within the stomach, which may represent food/fluid or rugal folds in the stomach, however, foreign material cannot be entirely ruled out.\n\nRecommendations:\n- A cardiac murmur may indicate impaired hemodynamics. If general anesthesia is necessary, use IV fluid therapy judiciously to avoid volume overload and choose anesthetic agents that minimally affect the heart. It is recommended to measure blood pressure and consider consultation with a cardiologist and an echocardiogram.\n- Correlate with the patient's last meal history 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': '2012-08-14', 'name': 'Jarvis^McFly', 'breed': 'Chihuahua', 'owner': 'Jarvis^Jocelynn', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Cross Creek Animal Medical Centre', 'email': '[email protected]', 'address': 'United States - Tampa', 'clinician': 'Cross Creek Animal Medical Centre'}

BNP levels at the upper end of normal. Grade 2/6 systolic heart murmur. Planning for anesthesia and dental cleaning. Images taken due to concerns of heart issues and to determine if echo is needed.

Signs of heart disease.

expert

['screening-thorax']

['Heart Murmur', 'Pre-op', 'Canine Small Breed']

[]

[2175, 2328, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-07-30', 'name': 'McCallum^Orange^^^', 'breed': 'Domestic Shorthair', 'owner': 'Orange', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', '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': '1 week hx reduced appetite, and lethargy. tachypnic, dyspnic. NSF CBC/chem. probnp pending. No murmur heard. Temp 102.5. abnormal fpli', 'questions': 'Pleural effusion - r/o CHF, neoplasia, other', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['Pulmonary Minerazliation', 'SI-bunching', 'Tracheal Foreign Body']}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1021, 'state': 'ready', 'source': 'rules'}, {'id': 1026, 'state': 'inprogress', 'source': 'rules'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'ready', 'source': 'rules'}, {'id': 1036, 'state': 'ready', 'source': 'rules'}, {'id': 1038, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1043, 'state': 'partial', 'source': 'rules'}, {'id': 1044, 'state': 'empty', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1274, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 374, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, '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': 387, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Spine - TID/CID with spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.', 'recommendation_custom_fields': None}, {'id': 431, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Renal - RMN', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1140, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Resp Pleural - Feline old, LAD, PEF, heart not visualized', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Visibility of the cardiac silhouette is limited due to border effacement preventing thorough evaluation. Given the history and the presence of fluid in the peritoneum and pleural space, congestive heart failure and feline infectious peritonitis should be considered as primary differentials. Low oncotic pressure, portal thrombosis/hypertension, a chylothorax, or a neoplastic effusion cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend supportive care and thoracocentesis. Consider echocardiogram, +/- thoracic ultrasound with CT investigation of the thorax providing additional information. Alternatively, thoracic radiographs post-therapeutic thoracocentesis may help evaluate for other pathology and to better assess the heart.', 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 131, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 545, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 607, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2175, 'source': 'ai', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Heart-Murmur'}, {'id': 2327, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2542, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'pancreatic-lipase'}], 'findings': [{'id': 6, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': 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, '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': 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': 699, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is increased opacity noted over the silhouette of the kidney. ', 'signal_name': 'kidney-mineralization', 'custom_fields': None, 'finding_normal_text': 'Renal Mineralization', 'finding_abnormal_text': 'There is increased opacity noted over the silhouette of the ___s1_ kidney. '}, {'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': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['cranially positioned']}, '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, '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': 2280, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is increased opacity throughout the entire lung field, due to the large volume of pleural effusion. ', 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['entire']}, 'finding_normal_text': 'Lung Fields Opacity', 'finding_abnormal_text': 'There is increased opacity throughout the ___s1_ lung field, characterized as a ___s2_ . '}, {'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': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['multiple areas in the cervical spine']}, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2372, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs-na', 'custom_fields': {'___s1_': ['border effacement of cardiac silhouette']}, 'finding_normal_text': 'Vertebral Heart Score na', 'finding_abnormal_text': 'The VHS cannot be calculated due to ___s1_.'}, {'id': 2500, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': {'___s1_': ['liver and spleen', 'intestines'], '___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': 6, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'lung-pleural-effusion'}, {'id': 395, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Heart (cardiac) failure, congestive'}, {'id': 517, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Pleural effusion'}, {'id': 2443, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'neoplasia'}], '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'}], 'recommendations': [{'id': 989, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'recommendation_name': 'pro-bnp'}, {'id': 1099, 'state': 'normal', 'source': 'labelling', 'attention': False, 'recommendation_name': 'cbc-chemistry-profile'}], 'report_findings': 'Thorax\nThe VHS cannot be calculated due to border effacement of cardiac silhouette. There is increased opacity throughout the entire lung field, due to the large volume of pleural effusion. There is evidence of a severe amount of fluid in the pleural space. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is increased opacity noted over the silhouette of the kidney. There is a wispy soft tissue opacity noted over the liver and spleen and intestines in the cranioventral abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the cervical spine. There is intervertebral disc space narrowing at multiple areas in the cervical spine. There are degenerative changes noted in the cranially positioned elbow. 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': 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': 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': 'labelling', 'history': False, 'attention': False, 'confidence': 3, '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': 'labelling', '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': 709, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, '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': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': 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': -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': 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': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, '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': -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': -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': 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': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'ununited-anconeal-process', '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': 2372, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'heart-vhs-na', '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': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, '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': 0, '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': 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': 2453, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'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': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, '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': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'Incomplete study/missing orthogonal view', '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': 2692, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-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}], 'report_conclusions': 'Conclusions:\nVisibility of the cardiac silhouette is limited due to border effacement preventing thorough evaluation. Given the history and the presence of fluid in the peritoneum and pleural space, congestive heart failure and feline infectious peritonitis should be considered as primary differentials. Low oncotic pressure, portal thrombosis/hypertension, a chylothorax, or a neoplastic effusion cannot be ruled out.\nThe opacity overlying the renal silhouette is representative of renal mineralization and likely chronic renal disease.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\nDegenerative changes in the elbow.\n\nRecommendations:\nRecommend supportive care and thoracocentesis. Consider echocardiogram, +/- thoracic ultrasound with CT investigation of the thorax providing additional information. Alternatively, thoracic radiographs post-therapeutic thoracocentesis may help evaluate for other pathology and to better assess the heart.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for renal disease.\nConsider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow.'}

{'bday': '2012-07-30', 'name': 'McCallum^Orange^^^', 'breed': 'Domestic Shorthair', 'owner': 'Orange', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

1 week hx reduced appetite, and lethargy. tachypnic, dyspnic. NSF CBC/chem. probnp pending. No murmur heard. Temp 102.5. abnormal fpli

Pleural effusion - r/o CHF, neoplasia, other

standard

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

['Dyspnoea', 'Lethargic/tired', 'Fever/pyrexia', 'Hyporexia', 'Tachypnoea', 'Feline', 'Pancreatic Lipase tests/ cPLI/fPLI positive']

['Heart Murmur']

[50, 131, 545, 607, 666, 2327, 2542]

[2175]

['Pleural Fluid', 'Heart (cardiac) failure, congestive', 'Pleural effusion', 'Neoplasia']

[]

[6, 395, 517, 2443]

[]

['Blood test: Pro-BNP']

['CBC/chemistry profile - normal']

[989]

[1099]

{'patient': {'bday': '2023-06-08', 'name': 'Erdman^Eli', 'breed': 'Domestic Longhair', 'owner': 'Erdman^Connie', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Insight Veterinary Wellness Center - 24/7', 'email': '[email protected]', 'address': 'United States - El Dorado Hills', 'clinician': 'IVWC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Eli is presenting from Petsmart boarding for being lethargic today. Per petsmart records, Eli has not been eating much since being dropped off 9/1. Today, employees took patient out of kennel and put him on the ground to see if he would perk up and walk around, but patient just laid down and did not want to move. Nasal discharge was also noticed by employees. Some sneezing heard on drive over.\r\n\r\nNot on any medications currently. Indoors only, usually very playful', 'questions': '3/9 BCS, nasal discharge, heart and lung sounds clear, febrile. Rule out viral vs infectious, littermate had FIP, treated and is doing well. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1006, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1273, 'state': 'abnormal', 'source': 'rules'}, {'id': 1274, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 201, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'elapsedTime': 148.483, 'consult_name': 'Peritoneal - Mass unknown, no fluid', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Suspicion for an abdominal mass of unclear origin. This finding may be due to summation of structures. Some abdominal mineralization is also noted on the lateral views but cannot definitively assess for organ of origin (doe not appear to be renal).', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider abdominal ultrasound +/- CT scan for confirmation of a possible mass and FNA sampling with cytology to further investigate if confirmed. An ultrasound/ CT scan may be useful to also further investigate the abdominal mineralization.', 'recommendation_custom_fields': None}, {'id': 279, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Cardiomegaly feline - No murmur, big heart', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 293, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'elapsedTime': 4.137, 'consult_name': 'Resp Bronchial - Feline, bronchitis, symptomatic', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider medical management for lower airway disease/bronchitis.', 'recommendation_custom_fields': None}, {'id': 309, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 2, 'elapsedTime': 35.768, 'consult_name': 'Resp Neoplasia - Sternal lymph node', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with thoracic ultrasound and possible FNA with cytology of the cranial mediastinal mass.', 'recommendation_custom_fields': None}, {'id': 1242, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'elapsedTime': 13.417, 'consult_name': 'Colon Feline - Constipation suspected', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with abdominal palpation to rule out constipation. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 150, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Nose discharge/Nasal discharge'}, {'id': 204, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Reluctant to walk'}, {'id': 230, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Sneezing'}, {'id': 545, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 607, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2327, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], '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': False, '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': 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': 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': 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': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': {'___s1_': ['is a single', 'large', 'ill defined', 'soft tissue', 'mass'], '___s2_': ['cranial mediastinum in the'], '___s3_': ['consistent with sternal lymphadenopathy.']}, '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': 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': 2410, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is an increased soft tissue opacity noted in the cranial mid-abdomen. Caudal to stomach & maybe also ventral to the kidneys/colon (seen on the laterals) and on the midline just caudal to the kidneys (noted on VD/DV view), may be summation of structures in the region. ', 'elapsedTime': 127.255, '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': 2556, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Abdominal mineralization', 'custom_fields': {'___s1_': ['retroperitoneal space'], '___s2_': ['an unknown structure']}, 'finding_normal_text': 'Abdominal mineralization', 'finding_abnormal_text': 'There is mineral opacity noted in the ___s1_ and most likely associated with ___s2_. '}, {'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': [], 'recommendations': [], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart. A bronchial pattern is present. There is a single large ill defined soft tissue mass noted in the cranial mediastinum in the thorax, consistent with sternal lymphadenopathy. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is a mild accumulation of fecal material in the colon. There is an increased soft tissue opacity noted in the cranial mid-abdomen. Caudal to stomach & maybe also ventral to the kidneys/colon (seen on the laterals) and on the midline just caudal to the kidneys (noted on VD/DV view), may be summation of structures in the region. There is mineral opacity noted in the retroperitoneal space and most likely associated with an unknown structure. 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': -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': 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': 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': 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': 705, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'retroperitoneal-fluid', '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': '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': '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': 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': 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': -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': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'labelling', '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': 'labelling', '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': 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': 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': 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': 2270, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thin-bcs', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', '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': 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': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2453, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': True}, {'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': 2, 'signal_name': 'Abdominal mineralization', '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': 2569, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', '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': 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': 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': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSuspicion for an abdominal mass of unclear origin. This finding may be due to summation of structures. Some abdominal mineralization is also noted on the lateral views but cannot definitively assess for organ of origin (doe not appear to be renal).\nSoft tissue mass noted in the thorax is most consistent with sternal/cranial mediastinal lymphadenopathy. Consider neoplastic infiltration versus reactive lymphadenopathy.\nBronchial pattern is consistent with lower airway disease/bronchitis. Differentials include feline asthma, chronic inhaled irritants, infectious etiologies (bacterial) and parasitic (including heartworm disease).\nThere is cardiomegaly. This is most consistent with a cardiomyopathy.\nEvidence of fecal retention is noted in the colon.\n\nRecommendations:\nConsider abdominal ultrasound +/- CT scan for confirmation of a possible mass and FNA sampling with cytology to further investigate if confirmed. An ultrasound/ CT scan may be useful to also further investigate the abdominal mineralization.\nCorrelate with thoracic ultrasound and possible FNA with cytology of the cranial mediastinal mass.\nConsider medical management for lower airway disease/bronchitis.\nConsider an echocardiogram to rule out cardiomyopathy.\nCorrelate with abdominal palpation to rule out constipation.'}

{'bday': '2023-06-08', 'name': 'Erdman^Eli', 'breed': 'Domestic Longhair', 'owner': 'Erdman^Connie', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Insight Veterinary Wellness Center - 24/7', 'email': '[email protected]', 'address': 'United States - El Dorado Hills', 'clinician': 'IVWC'}

Eli is presenting from Petsmart boarding for being lethargic today. Per petsmart records, Eli has not been eating much since being dropped off 9/1. Today, employees took patient out of kennel and put him on the ground to see if he would perk up and walk around, but patient just laid down and did not want to move. Nasal discharge was also noticed by employees. Some sneezing heard on drive over. Not on any medications currently. Indoors only, usually very playful

3/9 BCS, nasal discharge, heart and lung sounds clear, febrile. Rule out viral vs infectious, littermate had FIP, treated and is doing well.

standard

[]

['Lethargic/tired', 'Discharge - nasal', 'Reluctant to move/walk', 'Sneezing', 'Fever/pyrexia', 'Hyporexia', 'Feline']

[]

[131, 150, 204, 230, 545, 607, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-01-01', 'name': 'KIKO', 'breed': 'French Bulldog', 'owner': 'Garcia', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'My Pet Hospital on Pinecrest', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'My Pet Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Acute onset of difficulty standing. Pet seems to be in pain. Leaking urine. No known toxin ingestion. \r\nPlease note that patient was positioned appropriately for radiographs despite appearance.', 'questions': 'Comment on spine.', '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': 1013, 'state': 'abnormal', 'source': 'rules'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'partial', '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': 228, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Spine - incidental VAN', 'isAddressingConcern': False, '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': 2, 'consult_name': 'Bladder - Normal urinary tract, symptomatic', 'isAddressingConcern': False, 'diagnosis_custom_text': 'No urogenital cause for the reported urinary dripping is identified. Neurogenic cause considered likely though other causes maybe considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend a biochemistry profile, urinalysis, +/- urine culture. An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps. Correlate with a spinal evaluation.', 'recommendation_custom_fields': None}, {'id': 424, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, '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': 1309, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Spine disc space - TID/CID and mineralized disc', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 121, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Hunched up'}, {'id': 124, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Urinary incontinence'}, {'id': 248, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Struggling to stand'}, {'id': 2186, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2657, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], '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': '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': 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': 1635, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, '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': 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': 2158, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': ['T7', 'T8']}, 'finding_normal_text': 'Vertebral Anomaly', 'finding_abnormal_text': 'Vertebral anomaly is noted at ___s1_. '}, {'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': 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': 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': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['T13-L1']}, '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': 2402, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'mineralized-disk', 'custom_fields': {'___s1_': ['T13-L1', 'L1-L2']}, 'finding_normal_text': 'mineralized disk', 'finding_abnormal_text': 'There is evidence of mineralized disc material noted 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.'}], 'diagnosis': [], 'questions': [{'id': 2679, 'source': 'ai', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic 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 prostate is prominent. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nVertebral anomaly is noted at T7 and T8. There is intervertebral disc space narrowing at T13-L1. There is evidence of mineralized disc material noted at T13-L1 and L1-L2. 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': -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': -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': -3, 'signal_name': 'kidney-mineralization', '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': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'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': 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': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'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': 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': 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': 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': 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': -2, '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': -2, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'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': 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': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tympanic-bulla', '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': -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': 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': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nEvidence of disc space narrowing and mineralized discs as indicated. Either of these findings may indicate IVDD at the specified site.\nNo urogenital cause for the reported urinary dripping is identified. Neurogenic cause considered likely though other causes maybe considered.\nGastric material. This is most consistent with digested food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\nIncreased size of the prostate gland is likely secondary to benign hypertrophy being an intact male.\nVertebral anomaly. Likely incidental.\n\nRecommendations:\nCorrelate with physical and neurological examination. An MRI/ CT scan or myelogram can be useful for a more definitive diagnosis of IVDD.\nRecommend a biochemistry profile, urinalysis, +/- urine culture. An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps. Correlate with a spinal evaluation.\nRepeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material should be considered.\nCorrelate with rectal exam and clinical signs for clinical significance of the enlarged prostate.\nCorrelate with physical exam for clinical significance of the vertebral anomaly.'}

{'bday': '2021-01-01', 'name': 'KIKO', 'breed': 'French Bulldog', 'owner': 'Garcia', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'My Pet Hospital on Pinecrest', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'My Pet Hospital '}

Acute onset of difficulty standing. Pet seems to be in pain. Leaking urine. No known toxin ingestion. Please note that patient was positioned appropriately for radiographs despite appearance.

Comment on spine.

standard

['spine-neurological-ivdd-pain']

['Hunched up', 'Urination abnormal - incontinence', 'Struggling to stand', 'Pain', 'Canine Small Breed', 'Brachycephalic']

[]

[121, 124, 248, 2186, 2654, 2657]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-11-07', 'name': 'Gula^Brodie', 'breed': 'WEST HIGHLAND WHITE TERRIER', 'owner': 'Gula', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'clinician': 'CPA TECHS'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'compare to previous radiographs. pet has been hospitalized for hypoalbuminemia. AUS indicated PLE. Acute onset respiratory distress this morning with pink fluid from nostrils. currently being treated with IV steroids, GI support, pain medications. radiographs taken earlier tonight to verify NG tube positioning. lungs appear significantly worse on current rads', 'questions': 'see above. acute respiratory distress and changes to lung fields on radiographs', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'partial', 'source': 'rules'}, {'id': 1006, 'state': 'empty', 'source': 'rules'}, {'id': 1007, 'state': 'partial', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1024, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1033, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 733, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Parenchymal - resp signs, CVP/CDP (not alveolar), no cardiomegaly', 'diagnosis_custom_text': 'Incomplete/limited images available for assessment but based on the current study, the lungs appear to have progressively worsened from the previous study done tonight. Orthogonal views are recommended to complete the study for a more thorough investigation of the thorax. The changes noted in the lungs are indicative of pathology but are not diagnostic for a specific etiology. Consideration is given to ARDS, non-cardiogenic pulmonary edema, hemorrhage and less likely infectious or neoplastic causes. Pneumonia/pneumonitis cannot be ruled out. Mild pleural fluid noted is likely a transudate given the history of hypoalbuminemia.\xa0', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Stabilization of the patient and supportive care with IV fluids and supplemental oxygen is indicated at this time. Correlate with blood work (including proBNP and blood gas analysis), thoracic ultrasound, +/- thoracocentesis and fluid analysis may be used to confirm transudate. A respiratory lavage for cytological exam, culture and sensitivity may also be considered.', 'recommendation_custom_fields': None}, {'id': 1246, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Esophagus - NG tube placement, correct', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 41, 'source': 'labelling', 'history': True, 'confidence': 2, 'signal_name': 'Bleeding from nose'}, {'id': 50, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 150, 'source': 'labelling', 'history': True, 'confidence': 2, 'signal_name': 'Nose discharge/Nasal discharge'}, {'id': 2179, 'source': 'labelling', 'history': True, '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': 10, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': 'A nasogastric tube is present in the esophagus.', 'elapsedTime': 28.049, 'signal_name': 'esophagus-foreign-body', 'custom_fields': {'___s1_': []}}, {'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': 870, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2193, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Stifle', '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': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['patchy interstitial to alveolar']}}, {'id': 2283, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'feeding-tube', 'custom_fields': {'___s1_': ['stomach']}}, {'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': 2446, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 78, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Protein-losing enteropathy (PLE)'}, {'id': 2521, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'hypoalbuminemia'}], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}, {'id': 2670, 'source': 'labelling', 'signal_name': 'resp signs - upper vs lower'}, {'id': 2672, 'source': 'labelling', 'signal_name': 'neoplasia-thorax'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nThere is increased opacity throughout the lung fields, characterized as a patchy interstitial to alveolar pattern. There is suspicion of pleural fluid in the cranioventral thorax. A feeding tube is noted terminating in the stomach. 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': 'labelling', 'history': False, 'confidence': 2, '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': 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': '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': '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': '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': -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': 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': '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': 'labelling', 'history': False, 'confidence': -3, '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': 'labelling', 'history': False, 'confidence': -3, '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': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'labelling', 'history': False, 'confidence': -3, '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': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', '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': 'labelling', 'history': False, 'confidence': -3, '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': 'labelling', 'history': False, 'confidence': -3, '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': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', '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': 2283, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feeding-tube', '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': 0, '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': 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': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'labelling', 'history': False, 'confidence': -3, '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': 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': 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': 2572, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Hiatal hernia', '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': 2664, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nBased on the current study, the lungs appear to have progressively worsened from the previous study. Orthogonal views are recommended for a more thorough investigation of the thorax. The changes noted in the lungs are indicative of pathology but are not diagnostic for a specific etiology, with consideration given to ARDS, non-cardiogenic pulmonary edema, hemorrhage, and less likely infectious or neoplastic causes. Pneumonia/pneumonitis cannot be ruled out. Mild pleural fluid noted is likely a transudate given the history of hypoalbuminemia. The nasogastric tube appears to be correctly positioned in the stomach.\n\nRecommendations:\nStabilization of the patient and supportive care with IV fluids and supplemental oxygen is indicated at this time. To confirm transudate, correlate with blood work (including proBNP and blood gas analysis), thoracic ultrasound, +/- thoracocentesis and fluid analysis may be used. Additionally, a respiratory lavage for cytological exam, culture and sensitivity may also be considered.'}

{'bday': '2013-11-07', 'name': 'Gula^Brodie', 'breed': 'WEST HIGHLAND WHITE TERRIER', 'owner': 'Gula', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

compare to previous radiographs. pet has been hospitalized for hypoalbuminemia. AUS indicated PLE. Acute onset respiratory distress this morning with pink fluid from nostrils. currently being treated with IV steroids, GI support, pain medications. radiographs taken earlier tonight to verify NG tube positioning. lungs appear significantly worse on current rads

see above. acute respiratory distress and changes to lung fields on radiographs

standard

['Resp signs - heart/lungs', 'Resp signs - general', 'resp signs - upper vs lower', 'neoplasia-thorax']

['Bleeding - nasal', 'Dyspnoea', 'Discharge - nasal', 'Respiratory distress', 'Abnormal respiration', 'Canine Medium/Large Breed']

[]

[41, 50, 150, 2179, 2180, 2656]

[]

['Protein-losing enteropathy (PLE)', 'Hypoalbuminemia']

[]

[78, 2521]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-01-31', 'name': 'Phoebe', 'breed': 'Tabby', 'owner': 'Mitchell', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Town and Country Animal Hospital - Fairfax', 'email': '[email protected]', 'clinician': 'Dr. Kimberly Williams'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Vomiting for 24hrs. Cannot keep food down. Normal energy levels. P known to ingest items.', 'questions': 'Potential foreign body', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level', 'basic'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': ['peritoneal-mass', 'muscle-atrophy', 'panosteitis', 'hypertrophic-osteodystrophy', 'enthesopathy', 'joint-luxation', 'fluid-wispy', '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']}, 'groups': [{'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 939, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': ' Intestines - Enteritis with Partial Obstruction', 'diagnosis_custom_text': 'Mildly distended small intestinal segments noted. Consider enteritis, infiltrate or foreign material with possible secondary partial obstruction. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 92, 'source': 'labelling', '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': 2327, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], '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': 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': 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': 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': 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': 2669, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Mild small intestinal distention', 'custom_fields': {'___s1_': ['mildly'], '___s2_': ['gas']}, 'finding_normal_text': ' Mild/moderate (dropdown) gas/fluid (dropdown) distension of a portion of small intestine.', 'finding_abnormal_text': 'There is a portion of the small intestine that is ___s1_ distended with ___s2_.'}], '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'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is a portion of the small intestine that is mildly distended with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, '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': -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': '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': -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': 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': 'labelling', 'history': False, 'attention': False, 'confidence': -3, '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': -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': 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': 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': 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': -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': 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': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', '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': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nMildly distended small intestinal segments noted. Consider enteritis, infiltrate or foreign material with possible secondary partial obstruction. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion cannot be ruled out.\n\nRecommendations:\nConsider follow-up radiographs in 12-24 hours or potential abdominal ultrasound if clinical signs persist for further investigation of the changes noted in the intestines.'}

{'bday': '2022-01-31', 'name': 'Phoebe', 'breed': 'Tabby', 'owner': 'Mitchell', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Vomiting for 24hrs. Cannot keep food down. Normal energy levels. P known to ingest items.

Potential foreign body

expert

['Vomiting-FB/obstruction']

['Dietary indiscretion', 'Vomiting', 'Feline']

[]

[92, 256, 2327]

[]

['Foreign body']

[]

[612]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-08-10', 'name': 'Middlebrooks^Aspen', 'breed': 'Other Breed', 'owner': 'Middlebrooks^Shannon', 'gender': 'F', 'weight': '', 'species': 'Canine', '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': 'pt ate popsicle stick about 45 min ago', 'questions': 'Evidence of popsicle stick? Induce vomiting or send for endoscopy ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 488, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - No Fb visible, poss ingestion', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 251, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 1605, 'source': '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': 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': 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': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2684, 'source': 'labelling', 'signal_name': 'screening-abdomen'}], '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 an accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', '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': 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': -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': 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': -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': 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': 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': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', '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': 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': 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': 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:\nNo evidence of intestinal foreign body or intestinal obstruction noted in the radiographs provided. Presence of occult foreign material cannot completely be excluded radiographically.\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\n\nRecommendations:\nAbdominal ultrasound may be useful to look for non-obstructive, soft tissue opacity or gastrointestinal foreign body.\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying."}

{'bday': '2020-08-10', 'name': 'Middlebrooks^Aspen', 'breed': 'Other Breed', 'owner': 'Middlebrooks^Shannon', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

pt ate popsicle stick about 45 min ago

Evidence of popsicle stick? Induce vomiting or send for endoscopy

standard

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

['Foreign body ingestion']

[]

[251]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-08-09', 'name': '^Buttercup', 'breed': 'DSH', 'owner': 'Butler', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'address': 'United States - Pasadena', 'clinician': 'Craig MoMohaghegh'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet has a histroy of some unknown trauma to base of tail causing amputation of tail. Patient presented for constipation, on 6/8 patient was also constipated and received enema and lactulose, Patient has soft stool, decreased appetite and firm abdomen. Distended abdomen with large amount of firm stool.', 'questions': 'r/o constipation, any visible pelvic narrowing', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1016, 'state': 'abnormal', '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': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 223, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Peritoneal - Thin LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 442, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Colon - Obstipation/Megacolon', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 712, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Poss 2 pops vs colon', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 790, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Poss early GDV (severe GAD)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1072, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Axial spine- Tail Fracture', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 68, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Constipated'}, {'id': 259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Traumatic-injury'}, {'id': 512, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Defaecation abnormal - decreased frequency'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'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': 740, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'colon-foreign-material', 'custom_fields': {'___s1_': ['a small amount of mineral'], '___s2_': ['ascending', 'transverse', 'descending']}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': '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': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2270, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'thin-bcs', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 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': 2316, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intestine-fm', 'custom_fields': None}, {'id': 2374, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'tail', 'custom_fields': {'___s1_': ['fracture']}}, {'id': 2488, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'normal-colon', 'custom_fields': {'___s1_': ['severe']}}, {'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': 2606, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Chronic Fecal Material', 'custom_fields': None}], 'diagnosis': [{'id': 2127, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Tail injury'}], 'questions': [{'id': 2673, 'source': 'ai', 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2688, 'source': 'labelling', 'signal_name': 'straining-constipation'}], 'recommendations': [{'id': 378, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Large intestine: Enema'}, {'id': 983, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Laxative'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is moderate distension of the stomach with gas. There is presence of distension of a portion of small intestine and a population of non-distended intestine. There is a small amount of mineral opacity foreign material located within the ascending, transverse and descending colon. There is severe distension of the colon with stool. The fecal material noted in the colon is very radiopaque, consistent with chronicity. There is mild loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nA fracture is noted at the caudal vertebrae of the tail. The patient is noted to be in thin body condition. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', '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': -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': 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': 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': 2, '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': 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': 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': 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': 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': 2270, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'thin-bcs', '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': 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': 2374, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'tail', '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': 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': 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': 2487, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'colon-distension', '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': 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': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': 2, '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': 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': 2698, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2699, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'sio-colon', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nDilation of the colon and appearance of the feces is consistent with megacolon. \nLoss of detail in the abdomen most consistent with lack of intra-abdominal fat. A scant amount of peritoneal effusion cannot be ruled out. \nSevere gastric distension and displacement of the pylorus may be secondary to severe aerophagia, however early GDV cannot be ruled out. \nA portion of distended bowel is observed, however, given its location it cannot be differentiated from colon. \nTail fracture/fracture of caudal vertebra as described.\n\nRecommendations:\nTreatment for constipation/obstipation is indicated at this time.\nAn AFAST +/- abdominal ultrasound is recommended for free fluid if clinically warranted.\nMedical stabilization and exploratory laparotomy with gastropexy are recommended.\nConsider abdominal ultrasound for further investigation of distended portion of bowel. \nPain management is indicated. Surgical planning may be considered depending on the location and severity of the fracture.'}

{'bday': '2021-08-09', 'name': '^Buttercup', 'breed': 'DSH', 'owner': 'Butler', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'address': 'United States - Pasadena', 'clinician': 'Craig MoMohaghegh'}

Pet has a histroy of some unknown trauma to base of tail causing amputation of tail. Patient presented for constipation, on 6/8 patient was also constipated and received enema and lactulose, Patient has soft stool, decreased appetite and firm abdomen. Distended abdomen with large amount of firm stool.

r/o constipation, any visible pelvic narrowing

standard

['neoplasia-musculoskeletal', 'straining-constipation']

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

['Traumatic injury']

[68, 512, 607, 2327]

[259]

['Tail injury']

[]

[2127]

[]

['Large intestine: Enema', 'Laxative']

[]

[378, 983]

[]

{'patient': {'bday': '2015-07-09', 'name': 'TAYLOR^OLAF', 'breed': 'German Shepherd, Mix', 'owner': 'TAYLOR^MATHEW', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', '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': 'Hx of straining to defecate and urinate and getting up at times. Hx of atopy, well controlled right now, hx of recent steroid use. ', 'questions': 'Further definition of abdominal cavity', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1013, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, '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': 6, 'consult_name': 'Peritoneal - Summation(FP)', 'isAddressingConcern': False, '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': 1, 'consult_name': 'Bladder - Normal urinary tract, symptomatic', 'isAddressingConcern': True, 'diagnosis_custom_text': 'No radiographic evidence for urinary calculi.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 425, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Repros - PMG, neutered', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Increase soft tissue opacity noted at bladder neck may represent thickened bladder neck or maybe prostatomegaly secondary to prostatitis, neoplasia, prostatic or paraprostatic cyst.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with rectal exam and clinical signs. For further assessment, consider abdominal ultrasound.\xa0', 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Colon - Fecal retention', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Evidence of mild fecal retention is noted in the colon.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with abdominal palpation to rule out constipation. Consider intravenous fluids, enemas, oral stool softeners, or other treatments as indicated if constipation is confirmed clinically.', 'recommendation_custom_fields': None}, {'id': 500, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Intestines - FB small (incidental)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 243, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Straining to defaecate'}, {'id': 265, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Stranguria'}, {'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': '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 small amount of mineral opacity foreign material located within the small intestine.', 'elapsedTime': 16.348, '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': 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': 1635, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'The appears to be an increase soft tissue opacity noted at the region of the bladder neck.', 'elapsedTime': 80.88, 'signal_name': 'prostate-visible', 'custom_fields': None, 'finding_normal_text': 'Prostate Visible', 'finding_abnormal_text': 'The prostate is prominent. '}, {'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': 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': 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': 2410, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, '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.'}], 'diagnosis': [{'id': 1003, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Hypersensitivity (allergic) skin disorder - food hypersensitivity'}], 'questions': [{'id': 2688, 'source': 'labelling', 'attention': False, 'signal_name': 'straining-constipation'}], 'recommendations': [], 'report_findings': 'There is increased opacity throughout the lung fields, characterized as a bronchointerstitial pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. A small amount of mineral opacity foreign material is located within the small intestine, and there is a mild accumulation of fecal material in the colon. There is an increased soft tissue opacity noted in the cranial abdomen, suspected to be a summation of structures in the region. There appears to be an increased soft tissue opacity noted at the region of the bladder neck. 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': -2, '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': -2, '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': 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': 'labelling', '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': -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': -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': 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': 'labelling', 'history': False, 'attention': False, 'confidence': 2, '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': 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': 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': 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': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'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': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'summation-structures', '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': 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': 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': 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': 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': 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:\nChanges noted in the lungs are concerning for bronchitis and bronchopneumonia.\nNo radiographic evidence for urinary calculi. The increased soft tissue opacity noted at the bladder neck may represent thickened bladder neck or maybe prostatomegaly secondary to prostatitis, neoplasia, or a prostatic or paraprostatic cyst.\nSmall intestinal foreign material as described likely to pass on its own. No evidence of obstruction noted. Likely incidental. Evidence of mild fecal retention is noted in the colon.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\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.\n\nRecommendations:\nMedical management for lung disease is indicated after correlated with blood work for clinical significance. Recommend respiratory PCR, respiratory lavage for cytological exam, culture and sensitivity. Bronchoscopy and/or CT scan may be necessary depending on response to therapy.\nRecommend a biochemistry profile, urinalysis, +/- urine culture.\nConsider abdominal ultrasound for further investigation. FNA liver sampling or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nCorrelate with abdominal palpation to rule out constipation. If constipation is confirmed clinically, consider intravenous fluids, enemas, oral stool softeners, or other treatments as indicated.\nConsider follow-up radiographs to ensure passage of the described intestinal foreign material. Monitor for the development of clinical signs.\n'}

{'bday': '2015-07-09', 'name': 'TAYLOR^OLAF', 'breed': 'German Shepherd, Mix', 'owner': 'TAYLOR^MATHEW', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Hx of straining to defecate and urinate and getting up at times. Hx of atopy, well controlled right now, hx of recent steroid use.

Further definition of abdominal cavity

standard

['straining-constipation']

['Straining to defaecate', 'Urination abnormal - stranguria', 'Canine Medium/Large Breed']

[]

[243, 265, 2656]

[]

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

[]

[1003]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-01-15', 'name': 'Canine Companions For Independence^Glodbud II', 'breed': 'Labrador Retriever Mix', 'owner': 'Canine Companions For Independence', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', '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': 'O stated dog has had swollen face since this morning. Swelling has gone down on own so far. Dog also chewed up table leg, vomited up some wood chunks with tint of blood. threw up once in car was continuing to gag. ', 'questions': 'foreign material', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1024, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1033, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 40.574, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'isAddressingConcern': True, 'diagnosis_custom_text': None, '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, inducing emesis can be considered depending on other clinical input.", 'recommendation_custom_fields': None}, {'id': 248, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 13.981, 'consult_name': 'Intestines - Gastroenteritis (dietary indiscretion), concern for 2 pops/obstruction, symptomatic, no FB', 'isAddressingConcern': True, '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.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the reported clinical signs (including that for esophagitis) 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.', 'recommendation_custom_fields': None}, {'id': 791, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'elapsedTime': 110.423, 'consult_name': 'Esoph - Regurg, no ESD/EFB, reflux/esophagitis', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Consideration for the gagging is given to esophageal microtrauma from the foreign body described. Other differentials include gastroesophageal reflux or esophagitis. \n', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'An endoscopy or swallow study may be indicated for further investigation if there is no response to therapy. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 251, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}, {'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 521, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 580, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Mass/swelling - facial'}, {'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': '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': 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': 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': 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': 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': 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': 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': 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': 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 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': -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': 'labelling', 'history': False, 'attention': False, 'confidence': 0, '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': -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': 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': 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': 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': 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': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'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': -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': 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': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'skull-fracture', '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': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', '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': 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': 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': 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': 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': 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': 2554, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Esophageal foreign body, contrast', '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': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', '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': 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:\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\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 a gastroenteritis secondary to dietary indiscretion.\nConsideration for the gagging is given to esophageal microtrauma from the foreign body described. Other differentials include gastroesophageal reflux or esophagitis.\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, inducing emesis can be considered depending on other clinical input.\nMedical management of the reported clinical signs (including that for esophagitis) 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.\nAn endoscopy or swallow study may be indicated for further investigation if there is no response to therapy."}

{'bday': '2024-01-15', 'name': 'Canine Companions For Independence^Glodbud II', 'breed': 'Labrador Retriever Mix', 'owner': 'Canine Companions For Independence', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

O stated dog has had swollen face since this morning. Swelling has gone down on own so far. Dog also chewed up table leg, vomited up some wood chunks with tint of blood. threw up once in car was continuing to gag.

foreign material

standard

['Vomiting-FB/obstruction']

['Foreign body ingestion', 'Vomiting', 'Gagging/retching', 'Mass/swelling - facial', 'Canine Medium/Large Breed']

[]

[251, 256, 521, 580, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-11-01', 'name': 'Estrada^Noah Ben^^^', 'breed': 'Chihuahua', 'owner': 'Sara Estrada', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Companion Animal Hospital of Woodward Park', 'email': '[email protected]', 'address': 'United States - Fresno', 'clinician': 'cahfresno'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'gagging and spitting up flam, sneezing more frequently, started yesterday, drinking more', 'questions': 'kennel cough, dietary indiscretion', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1013, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1024, 'state': 'ready', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1033, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 304, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': None, 'elapsedTime': 39.669, 'consult_name': 'Negative Thorax - normal thorax & trachea, upper airway disease likely', 'isAddressingConcern': True, 'diagnosis_custom_text': 'A lower respiratory etiology for the clinical signs is not determined during this evaluation, the results of which are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, and masses. Given the history, an upper airway etiology is considered likely. A standard radiograph does not rule out bronchitis or dynamic airway collapse completely.', '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. If the patient does not respond to medical management, endoscopic evaluation, lower airway sampling, and respiratory PCR may be considered for further investigation if clinically warranted.', 'recommendation_custom_fields': None}, {'id': 424, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, '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': 1107, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': None, 'elapsedTime': 30.346, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Given the 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 a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion should be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 230, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Sneezing'}, {'id': 521, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 2654, 'source': 'labelling', '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': 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': 1635, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, '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': 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': 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': 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': 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': 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': 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': '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\nThe prostate is prominent. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 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': -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': 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': -2, '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': -2, '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': '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': 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': 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': -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': 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': -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': 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': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'skull-fracture', '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': 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': 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': 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': 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': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', '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:\nGiven the 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 on radiographs, although a GI obstruction cannot be completely excluded. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion should be considered.\nA lower respiratory etiology for the clinical signs is not determined during this evaluation and the results are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, and masses. Given the history, an upper airway etiology is considered likely. A standard radiograph does not rule out bronchitis or dynamic airway collapse completely.\nIncreased prostate gland size is likely secondary to benign hypertrophy being an intact male.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If medical management does not result in a response, consider repeat radiographs and/or abdominal ultrasound to further assess the gastrointestinal pattern and lab testing for pancreatitis.\nA more detailed upper airway exam and/or additional skull images may be useful for further investigation of the reported clinical signs. If the patient does not respond to medical management, endoscopic evaluation, lower airway sampling, and respiratory PCR may be considered for further investigation if clinically warranted.\nCorrelate with rectal exam and clinical signs for clinical significance of the enlarged prostate.'}

{'bday': '2022-11-01', 'name': 'Estrada^Noah Ben^^^', 'breed': 'Chihuahua', 'owner': 'Sara Estrada', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Companion Animal Hospital of Woodward Park', 'email': '[email protected]', 'address': 'United States - Fresno', 'clinician': 'cahfresno'}

gagging and spitting up flam, sneezing more frequently, started yesterday, drinking more

kennel cough, dietary indiscretion

standard

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

['Sneezing', 'Gagging/retching', 'Canine Small Breed']

[]

[230, 521, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-11-10', 'name': '^Penny', 'breed': 'American Pit Bull Terrier', 'owner': 'Gallahue', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Bridge Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Point Pleasant', 'clinician': 'BVH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented May 2024 for acute onset LF lameness, not localizable at that time, improved with Rimadyl. Yesterday jumped off bed and acutely non weight bearing LF with visible swelling of carpus.', 'questions': 'Neoplasia vs other', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': ['lumbosacral-degeneration', 'Lumbosacral-stenosis', 'axial-fracture', 'Vertebral Subluxation', 'skull-fracture', 'right-heart-enlargement', 'craniomandibular-osteopathy', 'distal-extremity-arthritis']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'inprogress', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1038, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1292, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 398, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'M/S Bone lesion - ABL, typical, no thoracic views , no swelling ', 'isAddressingConcern': False, 'diagnosis_custom_text': 'A well defined lytic lesion with associated soft tissue swelling is identified. Consider a neoplastic process (osteosarcoma), severe osteomyelitis, a benign process (bone cyst) or joint associated tumor.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider a biopsy for a definitive diagnosis of the lesion identified and three view thoracic radiographs to screen for metastasis. Radiographic monitoring of the described lesion is also indicated.', 'recommendation_custom_fields': None}], 'signals': [{'id': 575, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Mass/swelling - limb, upper'}, {'id': 2185, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2346, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lameness-forelimb'}, {'id': 2545, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}, {'id': 2656, 'source': 'labelling', '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': 723, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a bone lesion with evidence of focal moth-eaten lysis identified in the left distal radius. ', 'signal_name': 'bone-lesion-lesion', 'custom_fields': {'___s1_': ['focal'], '___s2_': ['left', 'distal', 'radius']}, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the left', 'distal', 'front 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': 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 ____. '}], 'diagnosis': [], 'questions': [{'id': 2673, 'source': 'ai', 'attention': False, 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2677, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-frontLimb'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is a bone lesion with evidence of focal moth-eaten lysis identified in the left distal radius. There is soft tissue swelling involving the left distal front limb. 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': 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': -2, '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': 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': 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': 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': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', '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': 0, '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': 0, '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': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, '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': 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': -2, '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': 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': 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': 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': 0, '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': 0, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}, {'id': 2668, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ruin-lesion', '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:\nA well defined lytic lesion with associated soft tissue swelling is identified. Consider a neoplastic process (osteosarcoma), severe osteomyelitis, a benign process (bone cyst) or joint associated tumor.\n\nRecommendations:\nConsider a biopsy for a definitive diagnosis of the lesion identified and three view thoracic radiographs to screen for metastasis. Radiographic monitoring of the described lesion is also indicated.'}

{'bday': '2016-11-10', 'name': '^Penny', 'breed': 'American Pit Bull Terrier', 'owner': 'Gallahue', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Bridge Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Point Pleasant', 'clinician': 'BVH'}

Presented May 2024 for acute onset LF lameness, not localizable at that time, improved with Rimadyl. Yesterday jumped off bed and acutely non weight bearing LF with visible swelling of carpus.

Neoplasia vs other

standard

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

['Mass/swelling - limb', 'Lameness', 'Forelimb lameness', 'Non-weight bearing lameness', 'Canine Medium/Large Breed']

[]

[575, 2185, 2346, 2545, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-09-07', 'name': 'RUIZ^KOTA', 'breed': 'CHIHUAHUA', 'owner': 'RUIZ', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Emergency Pet Hospital of Glendora', 'email': '[email protected]', 'address': 'United States - Glendora', 'clinician': 'EPHG'}, 'accept_tos': 'true', 'consult_info': {'case_info': '“Kota” presents for dribbling urine in the house for the past hour. Owner reports that “Kota” has been having a few bouts of urinary accidents inside the house for the past 2 months. “Kota” has history of urinary tract infection in the past. Otherwise, “Kota” is doing okay.', 'questions': 'Urinary tract infection vs. other.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 228, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Spine - incidental VAN', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 429, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Renal - SKD', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 775, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Bladder - Concern for urinary obstruction, no calculi', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Distended urinary bladder with no apparent calculi observed. Cystitis( or a urinary tract infection), radiolucent bladder stones,\xa0 neoplastic disease and polyps cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'An abdominal ultrasound (or contrast radiography) should be considered. Ensure the patient is able to urinate. A lower urinary tract obstruction may be present. Correlate with biochemistry profile, urinalysis, +/- urine culture.', 'recommendation_custom_fields': None}], 'signals': [{'id': 276, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Urine looks abnormal'}, {'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': 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': 798, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-small', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'Small Kidney', 'finding_abnormal_text': 'The ___s1_ kidney measures below normal range. '}, {'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': 2158, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': 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, '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': 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': 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': 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': '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': 2685, 'source': 'labelling', 'attention': False, 'signal_name': 'urinary-stones'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe left kidney measures below normal range. There is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nVertebral anomaly is noted at T13. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, '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': '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': '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': 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': -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': -2, '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': 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': -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': 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': 2264, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, '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': 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': 2459, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spina-bifida', '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': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', '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:\nDistended urinary bladder with no apparent calculi observed. Cystitis( or a urinary tract infection), radiolucent bladder stones,\xa0 neoplastic disease and polyps cannot be ruled out.\nThe small kidney(s) may indicate chronic renal disease.\nVertebral anomaly. Likely incidental.\n\nRecommendations:\nGiven degree of urinary bladder distension, ensure that patient can urinate appropriately and is not suffering from urethral obstruction. An abdominal ultrasound (or contrast radiography) should be considered. Correlate with biochemistry profile, urinalysis, +/- urine culture.\nCorrelate with physical exam for clinical significance of the vertebral anomaly.'}

{'bday': '2016-09-07', 'name': 'RUIZ^KOTA', 'breed': 'CHIHUAHUA', 'owner': 'RUIZ', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

“Kota” presents for dribbling urine in the house for the past hour. Owner reports that “Kota” has been having a few bouts of urinary accidents inside the house for the past 2 months. “Kota” has history of urinary tract infection in the past. Otherwise, “Kota” is doing okay.

Urinary tract infection vs. other.

standard

['urinary-stones']

['Abnormal urine - other', 'Canine Small Breed']

[]

[276, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-12-01', 'name': 'Weber^Brittney', 'breed': 'Brittany Spaniel', 'owner': 'Weber', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Shores Animal Hospital (FL)', 'email': '[email protected]', 'clinician': 'Shores Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Symptoms of osteoarthritis worsening, having a hard time walking around. Currently prescribed tramadol, gabapentin, and galliprant for pain management. ', 'questions': 'Been limping for the past 2 weeks from right rear leg. ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1032, 'state': 'inprogress', 'source': 'rules'}, {'id': 1036, 'state': 'ready', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 354, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb Stifle - mild/questionable stifle effusion', 'diagnosis_custom_text': 'The mild increased soft tissue opacity noted in the right stifle may be consistent with intra-articular injury (CCL strain or partial tear or meniscal injury); however, given the minimal nature of this finding, it may be secondary to positioning or technique of the radiographs.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 390, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - LS degeneration, no neuro signs', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2185, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2341, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lameness-chronic'}, {'id': 2345, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'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': 'There is mild increased soft tissue opacity in the stifle joint noted in the right stifle. ', 'elapsedTime': 2.582, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['right']}}, {'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': 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': 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': 2418, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lumbosacral-degeneration', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [{'id': 1302, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Arthritis'}], 'questions': [{'id': 2678, 'source': 'labelling', 'signal_name': 'lameness-hindLimb'}], 'recommendations': [{'id': 959, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Analgesic'}], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the lumbosacral spine. There is intervertebral disc space narrowing at L7-S1. There are degenerative changes noted at the lumbosacral junction. There is 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.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen 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': 'labelling', 'history': False, 'confidence': 2, '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': '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': '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': 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': 2266, 'source': 'labelling', 'history': False, 'confidence': 0, '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': -3, 'signal_name': 'panosteitis', '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': 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': 2449, 'source': 'ray', 'history': False, 'confidence': 0, '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': 2483, 'source': 'ray', 'history': False, 'confidence': 0, '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': 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': -3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal 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}, {'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 mild increased soft tissue opacity noted in the right stifle may be consistent with intra-articular injury (CCL strain or partial tear or meniscal injury); however, given the minimal nature of this finding, it may be secondary to positioning or technique of the radiographs.\nLumbosacral degeneration.\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.\nCorrelate with neurologic examination for clinical significance of lumbosacral degeneration.'}

{'bday': '2012-12-01', 'name': 'Weber^Brittney', 'breed': 'Brittany Spaniel', 'owner': 'Weber', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Shores Animal Hospital (FL)', 'email': '[email protected]', 'clinician': 'Shores Animal Hospital'}

Symptoms of osteoarthritis worsening, having a hard time walking around. Currently prescribed tramadol, gabapentin, and galliprant for pain management.

Been limping for the past 2 weeks from right rear leg.

standard

['lameness-hindLimb']

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

[]

[2185, 2341, 2345, 2656]

[]

['Arthritis']

[]

[1302]

[]

['Analgesic']

[]

[959]

[]

{'patient': {'bday': '2013-10-04', 'name': 'Dimova^Muscle', 'breed': 'Pekingese', 'owner': 'Dimova^Margarita', 'gender': 'M', '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': 'P presented for acute cough (since Thur 8/29), keeping P up at night. P boarded ~ 1 month ago. P has yellow nasal discharge. Cough elicited during V/D view. P has a history of heart murmur (Grade 2-3/6). P has inspiratory wheeze. P eating/drinking ok. P lethargic, but no fever. ', 'questions': 'Can you explain the abnormality regarding the trachea please? ', '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': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1038, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 192, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Hepatic - Small', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 303, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Resp Trachea - cough, redundant tracheal membrane', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 374, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, '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': 748, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Negative Thorax - Cardiac/lung Screening, normal', 'isAddressingConcern': False, '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': 131, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 150, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Nose discharge/Nasal discharge'}, {'id': 2175, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2456, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Wheezing'}, {'id': 2654, 'source': 'ai', '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': 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': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['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': 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': 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': 2262, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'small-liver', 'custom_fields': None, 'finding_normal_text': 'Small Liver', 'finding_abnormal_text': 'The liver appears small with the gastric axis displaced cranially. '}, {'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': 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': 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': 2663, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - general'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is increased soft tissue opacity within the cervical region of the trachea. A pleural fissure line is noted in the right thorax. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears small with the gastric axis displaced cranially. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are degenerative changes noted in the right elbow. 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': 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': -2, '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': 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': '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': 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': 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': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', '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': -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': 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': 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': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', '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': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', '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': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nChanges in the trachea are concerning for chondromalacia and may be an early stage of collapsing trachea. The pleural fissure line noted may represent a small amount of pleural fluid. Thickening of the pleura/pleuritis or artifactual appearance cannot be ruled out. The cardiovascular structures are unremarkable with no evidence of enlargement or congestion. \nThe liver appears small. This may be secondary to conformation but cirrhosis or vascular anomaly cannot be ruled out.\nDegenerative changes in the elbow.\n\nRecommendations:\nConsider further work up including biochemistry profile, CBC and urinalysis to further investigate the reported non-specific signs. \nConsider symptomatic 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.\nConsider biochemical profile and possible bile acids testing to confirm adequate hepatic function of the small liver.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow.'}

{'bday': '2013-10-04', 'name': 'Dimova^Muscle', 'breed': 'Pekingese', 'owner': 'Dimova^Margarita', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

P presented for acute cough (since Thur 8/29), keeping P up at night. P boarded ~ 1 month ago. P has yellow nasal discharge. Cough elicited during V/D view. P has a history of heart murmur (Grade 2-3/6). P has inspiratory wheeze. P eating/drinking ok. P lethargic, but no fever.

Can you explain the abnormality regarding the trachea please?

standard

['Resp signs - general']

['Coughing', 'Lethargic/tired', 'Discharge - nasal', 'Heart Murmur', 'Wheezing', 'Canine Small Breed']

[]

[69, 131, 150, 2175, 2456, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-07-02', 'name': 'Plyler^Gracie', 'breed': 'Pitbull', 'owner': 'Plyler^Daniel', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Foothills Animal Hospital', 'email': '[email protected]', 'clinician': 'Foothills Animal Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Comparison study from 7/3/2024', 'questions': 'R/O pyometra ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1013, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 239, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Small FB', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, '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': 422, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 87.13400000000001, 'consult_name': 'Repros - UTD, early preg/pyo', 'diagnosis_custom_text': 'The uterus is mildly distended with fluid. Early pregnancy, pyometra, mucometra, and hydrometra should be considered.\nEvidence of prominent mammary glands. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider abdominal ultrasound for confirmation of pyometra/early pregnancy, otherwise, ovariohysterectomy is recommended. \nCorrelate with a physical exam to rule out mastitis.', 'recommendation_custom_fields': None}], 'signals': [{'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': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-foreign-material', 'custom_fields': {'___s1_': ['mineralized'], '___s2_': ['with a gravel/sand like appearance']}}, {'id': 1633, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'On the left lateral abdominal view there appears to be a distended tubular structure resembling a uterine horn noted between the colon and bladder.\nThe mammary glands appear prominent.', 'elapsedTime': 70.888, 'signal_name': 'uterus-distension', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['right']}}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}], 'diagnosis': [{'id': 1954, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pyometra'}], 'questions': [{'id': 2686, 'source': 'labelling', 'signal_name': 'reproductive-vaginal-disch'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe stomach contains a mineralized opacity with a gravel/sand like appearance. On the left lateral abdominal view there appears to be a distended tubular structure resembling a uterine horn noted between the colon and bladder.\nThe mammary glands appear prominent. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is evidence of hip incongruity of the left and right hip. There is 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, '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': -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': 707, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'prostate-mineralization', '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': -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': -2, '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': 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': 2, 'signal_name': 'uterus-distension', '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': 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': 'labelling', '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': 2254, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'utd-secondary-to-fetus', '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': 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': 2451, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Prostate-fp', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 2, '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}], 'report_conclusions': 'Conclusions:\nThe uterus is mildly distended with fluid. Early pregnancy, pyometra, mucometra, and hydrometra should be considered.\nEvidence of prominent mammary glands.\nGastric foreign body as described which may or may not pass on its own.\nOsteoarthritis of the hips secondary to hip dysplasia.\n\nRecommendations:\nConsider abdominal ultrasound for confirmation of pyometra/early pregnancy, otherwise, ovariohysterectomy is recommended. No significant changes seen comparing with previous exam.\nCorrelate with a physical exam to rule out mastitis.\nRecommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign body.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis secondary to hip dysplasia.'}

{'bday': '2020-07-02', 'name': 'Plyler^Gracie', 'breed': 'Pitbull', 'owner': 'Plyler^Daniel', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Comparison study from 7/3/2024

R/O pyometra

standard

['reproductive-vaginal-disch']

['Canine Medium/Large Breed']

[]

[2656]

[]

['Possible Pyometra']

[]

[1954]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-09-10', 'name': 'Anguiano^Tom', 'breed': 'FRENCH BULLDOG', 'owner': 'Anguiano^Ximena & Samarina', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', '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 at 6:30pm on Saturday 8/17/2024 for heat stroke. Pet has been outside since 10am. Arrived with a rectal temp of 107.7*F. Lactate 6.0 mmol/L, CBC unremarkable, chem unremarkable. Clear nasal discharge, loud upper airway sounds, foamy spittle.', 'questions': 'Rule out evidence of lung injury or aspiration pneumonia at this time.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 349, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Aerophagia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, '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': 150, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Nose discharge/Nasal discharge'}, {'id': 545, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 2654, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2657, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], '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': 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': 702, 'group': 'abdomen', 'source': 'rules', 'history': 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, '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': 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': 787, 'group': 'thorax', 'source': 'rules', 'history': 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': 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': 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': 2166, 'group': 'thorax', 'source': 'rules', 'history': 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, '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, '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, '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, '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, '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': 2315, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['gas']}, 'finding_normal_text': 'stomach-gas', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with ___s2_. '}], 'diagnosis': [{'id': 257, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Heat stroke'}], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}, {'id': 2683, 'source': 'labelling', 'signal_name': 'screening-thorax'}], 'recommendations': [{'id': 1310, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'lactate-levels'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted. \n\nAbdomen\nThere is moderate distention of the stomach with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 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': 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': -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': -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': -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': 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': -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': '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': 'labelling', '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': -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': -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': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', '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': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', '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': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', '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': 2698, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', '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 gas distension observed in the GI tract is most consistent with aerophagia.\n\nRecommendations:\nCorrelate with clinical signs and exam for clinical significance of gastric gas distension.'}

{'bday': '2019-09-10', 'name': 'Anguiano^Tom', 'breed': 'FRENCH BULLDOG', 'owner': 'Anguiano^Ximena & Samarina', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Pt presented at 6:30pm on Saturday 8/17/2024 for heat stroke. Pet has been outside since 10am. Arrived with a rectal temp of 107.7*F. Lactate 6.0 mmol/L, CBC unremarkable, chem unremarkable. Clear nasal discharge, loud upper airway sounds, foamy spittle.

Rule out evidence of lung injury or aspiration pneumonia at this time.

standard

['Resp signs - general', 'screening-thorax']

['Discharge - nasal', 'Fever/pyrexia', 'Canine Small Breed', 'Brachycephalic']

[]

[150, 545, 2654, 2657]

[]

['Heat stroke']

[]

[257]

[]

['Blood test: Lactate level']

[]

[1310]

[]

{'patient': {'bday': '2023-12-05', 'name': 'Farrell^Cyrus', 'breed': 'Maine Coon', 'owner': 'Farrell^Patrick', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Westside Animal Emergency Clinic', 'email': '[email protected]', 'address': 'United States - Lithia Springs', 'clinician': 'Westside Animal Emergency Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Temp: 103.9 f. wt 11.10 lbs. mm -pk. crt < 2 sec. Indoor only. Current on vacs. Lethargic, Depressed past 24 hrs. Coughing w/ foamy phlegm vs vomit w/ foamy watery & clear/ Episodes occurred twice. Doughy non-painful palpation. Reduced appetite yesterday/ anorexic today. no diarrhea. h/l: clear on auscultation. ^ rr 40. \r\nCHEM 17: wnl. CBC: wn. fpl: normal sample.', 'questions': 'URI, Pneumonia, Fever Unknown Origin, GI/FB obstruction, Gastroenteritis, open\r\n', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'partial', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'partial', 'source': 'rules'}, {'id': 1274, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 187, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Hepatomegaly - Juvenile', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 195, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Spleen feline - Visible', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 441, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Intestines - Functional ileus', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 653, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 40.961, 'consult_name': 'Negative Thorax - Feline, normal lungs', 'diagnosis_custom_text': 'No cause for coughing has been determined from this radiographic study. Asthma or bronchitis cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'If coughing is confirmed, 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}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 76, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Diarrhea-c'}, {'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 545, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 606, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 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': 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_': ['prominent']}}, {'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': 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': 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': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [{'id': 1099, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'cbc-chemistry-profile'}], 'report_findings': 'Abdomen\nThe liver appears enlarged. The spleen is visualized in the cranioventral abdomen and has a prominent appearance. 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': 'labelling', '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': -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': -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': -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': 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': 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': 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': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', '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': 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': 2449, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'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': 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:\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.\nNo cause for coughing has been determined from this radiographic study. Asthma or bronchitis 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 appearance of an enlarged liver is likely secondary to the age of the patient.\n\nRecommendations:\nConsider abdominal ultrasound to further investigate for ileus. Medical management of the clinical signs (if any) may be indicated at this time.\nIf coughing is confirmed, bronchoscopic evaluation, lower airway sampling and a respiratory PCR could be considered if the patient does not respond to medical management.\nConsider abdominal ultrasound to further investigate clinical significance of the visualized spleen and if enlargement is confirmed an FNA sample is recommended.'}

{'bday': '2023-12-05', 'name': 'Farrell^Cyrus', 'breed': 'Maine Coon', 'owner': 'Farrell^Patrick', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Westside Animal Emergency Clinic', 'email': '[email protected]', 'address': 'United States - Lithia Springs', 'clinician': 'Westside Animal Emergency Clinic'}

Temp: 103.9 f. wt 11.10 lbs. mm -pk. crt < 2 sec. Indoor only. Current on vacs. Lethargic, Depressed past 24 hrs. Coughing w/ foamy phlegm vs vomit w/ foamy watery & clear/ Episodes occurred twice. Doughy non-painful palpation. Reduced appetite yesterday/ anorexic today. no diarrhea. h/l: clear on auscultation. ^ rr 40. CHEM 17: wnl. CBC: wn. fpl: normal sample.

URI, Pneumonia, Fever Unknown Origin, GI/FB obstruction, Gastroenteritis, open

expert

['Vomiting-FB/obstruction']

['Coughing', 'Lethargic/tired', 'Vomiting', 'Fever/pyrexia', 'Anorexia', 'Hyporexia', 'Feline']

['Diarrhea']

[69, 131, 256, 545, 606, 607, 2327]

[76]

[]

[]

[]

[]

['CBC/chemistry profile - normal']

[]

[1099]

[]

{'patient': {'bday': '2022-08-24', 'name': 'Brake^Ginger', 'breed': 'Mixed', 'owner': 'Brake^Tina', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', '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': 'O reports ataxia and wobbling throughout the day', 'questions': 'P is struggling to stand.', 'specialty_area': ''}}

{'tags': {'userTags': ['important_incidental_missed'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1015, 'state': 'empty', 'source': 'labelling'}, {'id': 1030, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1054, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1096, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 446, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Negative M/S - normal signals, large breed, ataxia, Wobblers', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 742, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 33.643, 'consult_name': 'Neuro - No cause for non-specific neuro signs', 'isAddressingConcern': True, 'diagnosis_custom_text': 'No evidence of masses or neoplastic process is appreciated. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with neurological exam and blood work.', 'recommendation_custom_fields': None}], 'signals': [{'id': 248, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Struggling to stand'}, {'id': 273, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Unsteady'}, {'id': 530, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Oral (mouth) abnormality - other'}, {'id': 601, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Gait abnormality - ataxia'}, {'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': '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': 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': 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': 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': 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': 2679, 'source': 'labelling', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}], 'internal_notes': 'suspicion for wobblers if large breed', '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, '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': 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': 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': -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': 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': 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': -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': 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': 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': 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': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', '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': 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': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe described clinical signs may be consistent with Wobbler's syndrome. Flattening of the cranioventral aspect of the cervical vertebrae is indicative of a cervical spondylomyelopathy, however, this cannot be completely ruled out with normal cervical radiographs.\nNo evidence of masses or neoplastic process is appreciated.\n\nRecommendations:\nA neurological exam should indicate the likelihood of Wobblers syndrome. If there is high index of suspicion one may consider dynamic MRI or CT examination.\nCorrelate with neurological exam and blood work."}

{'bday': '2022-08-24', 'name': 'Brake^Ginger', 'breed': 'Mixed', 'owner': 'Brake^Tina', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

O reports ataxia and wobbling throughout the day

P is struggling to stand.

standard

['spine-neurological-ivdd-pain']

['Struggling to stand', 'Unsteady', 'Other mouth abnormality', 'Ataxia', 'Canine Medium/Large Breed']

[]

[248, 273, 530, 601, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-08-15', 'name': 'Gallagher^Agnus', 'breed': 'Chihuahua, Mix', 'owner': 'Gallagher^Sandra', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'After Hours Animal Hospital ', 'email': '[email protected]', 'address': 'United States - Norwalk', 'clinician': 'ahah1'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Anorexia partial to complete . Progressive weight loss over weeks ', 'questions': ' Intact female , Gums icteric , Appetite depressed \r\nIn House blood elevated ALP and T Bilirubin ,rest NSF ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', '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': 1044, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 244.909, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/anorexia/ lethargy', 'diagnosis_custom_text': "No other cause of the patient's described clinical signs is identified in the radiographs provided. ", 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with biochemistry profile, CBC, urinalysis and abdominal ultrasound to further investigate the reported non-specific signs. Consider testing for etiologies of icterus such as tickborne diseases. In addition, a more detailed clinical history may also be helpful and/or follow up evaluation may be indicated. Re-evaluation of radiographs in time may also be indicated to further investigate the reported non-specific signs.', 'recommendation_custom_fields': None}, {'id': 223, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Peritoneal - Thin LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 441, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Intestines - Functional ileus', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 786, 'state': 'abnormal', '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}], 'signals': [{'id': 113, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Icterus'}, {'id': 140, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2404, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'liver-enzymes-elevated'}, {'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': 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': 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': 787, 'group': 'thorax', 'source': 'rules', 'history': 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, '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, '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, '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, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['moderate']}, '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, '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': 2166, 'group': 'thorax', 'source': 'rules', 'history': 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, '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 are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': 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, '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, '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': 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': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': 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, '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': 2436, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': {'___s1_': ['fluid']}, '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, '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': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is moderate loss of serosal detail in the abdomen. There is diffuse distension of the small intestine with 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.', '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': -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': -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': 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': 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': 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': -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': 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': 2270, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thin-bcs', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', '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': 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': 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}, {'id': 2714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nLoss of detail in the abdomen most consistent with lack of intra-abdominal fat. A scant amount of peritoneal effusion cannot be ruled out.\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.\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.\nNo other cause of the patient's described clinical signs is identified in the radiographs provided.\n\nRecommendations:\nAn AFAST +/- abdominal ultrasound is recommended for free fluid if clinically warranted. This will also assessment of the liver and gallbladder (mucocele?) and the rest of the abdomen. \nCorrelate with 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. Re-evaluation of radiographs in time may also be indicated to further investigate the reported non-specific signs."}

{'bday': '2018-08-15', 'name': 'Gallagher^Agnus', 'breed': 'Chihuahua, Mix', 'owner': 'Gallagher^Sandra', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'After Hours Animal Hospital ', 'email': '[email protected]', 'address': 'United States - Norwalk', 'clinician': 'ahah1'}

Anorexia partial to complete . Progressive weight loss over weeks

Intact female , Gums icteric , Appetite depressed In House blood elevated ALP and T Bilirubin ,rest NSF

standard

['Gi signs - Systemic vs general']